Nursing home report
Registered name: Legend Oaks Healthcare and Rehabilitation - West S
San Antonio, TX · Medicare-certified · 124 beds
Legend Oaks Healthcare and Rehabilitation - West San Antonio has a 3 out of 5 overall rating. Its inspection and staffing ratings are also 3 stars, quality measures are 4 stars, reported nurse staffing is 3.64 hours per resident day below the 4.1-hour federal benchmark, and it had no fines in the last 24 months.
Health inspections
Staffing
3.6379 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6379.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited October 2024 — widespread issue, potential for harm.
F-Tag 576 — 42 CFR §483.10 — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2026 — limited pattern, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited June 2026 — limited pattern, potential for harm.
F-Tag 609 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 6 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
On record with Medicare: 1 fine · $8,632 in total fines.
Federal fine
Apr 12, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
