Nursing HomeInspections

Legend Oaks Healthcare and Rehabilitation Center -

Nursing home in San Antonio, TX

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
2003 W Hutchins Place, San Antonio, TX 78224
Phone
(210) 927-0800
Listed under
For-profit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
676113
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
126
Average residents per day
112
Ownership
For-profit, individual
Legal business name
Legal Business Name Not Available
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 10, 2006
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676113. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Dec 4, 2025. CMS lists 32 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 28, 2023 to May 15, 2026): 9 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 15, 2026Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · complaint inspection
B
Potential for minimal harm, pattern
May 15, 2026Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · complaint inspection
B
Potential for minimal harm, pattern
May 15, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
May 15, 2026Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
May 15, 2026Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
May 15, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 15, 2026Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 4, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 4, 2025Keep residents' personal and medical records private and confidential.
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 4, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 4, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Dec 4, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 32. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.62 hours
Registered nurse (RN) time per resident per day
0.45 hours
Nurse aide time per resident per day
1.99 hours
Total nurse staffing on weekends
3.17 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
25%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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