Legend Oaks Healthcare and Rehabilitation - West S

222 Bertetti Dr, San Antonio, TX 78227 · CCN 676312 · 124 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-04-12 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.90

state median 2.67

Weekend staffing gap

−0%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.41

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

21%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $8,632 in fines.

Date	Type	Amount
2024-04-12	Fine	$8,632

Ownership

Ownership type: For profit - Corporation. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) — CMS overall2 of 5
Polaris Extended Care (ANCHORAGE, AK) — CMS overall2 of 5
THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) — CMS overall1 of 5
POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) — CMS overall3 of 5
Desert Terrace Healthcare Center (PHOENIX, AZ) — CMS overall3 of 5
PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) — CMS overall2 of 5
CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) — CMS overall3 of 5
MISSION PALMS POST ACUTE (MESA, AZ) — CMS overall5 of 5

Full citation history

By severity: Potential for more than minimal harm: 17 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-04-23	F0690	Quality of Life and Care Deficiencies	D	not recorded
2026-04-23	F0880	Infection Control Deficiencies	D	not recorded
2026-01-29	F0628	Resident Rights Deficiencies	D	not recorded
2026-01-29	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-01-29	F0755	Pharmacy Service Deficiencies	D	not recorded
2026-01-29	F0761	Pharmacy Service Deficiencies	E	not recorded
2026-01-29	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-29	F0880	Infection Control Deficiencies	E	not recorded
2025-12-09	F0880	Infection Control Deficiencies	D	not recorded
2024-10-31	F0576	Resident Rights Deficiencies	F	not recorded
2024-10-31	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-04-12	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-04-12	F0689	Quality of Life and Care Deficiencies	J	not recorded
2023-09-15	F0638	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-15	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-15	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-15	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-09-15	F0812	Nutrition and Dietary Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Legend Oaks Healthcare and Rehabilitation - West S, San Antonio” at medicare.gov/care-compare.