Legend Oaks Healthcare and Rehabilitation Center -

Nursing home in San Antonio, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (210) 927-0800 Send a message Map ↗

Public-record details

Address: 2003 W Hutchins Place, San Antonio, TX 78224
Phone: (210) 927-0800
Listed under: For-profit, No fines in 3 years
Medicare CCN: 676113
Overall star rating: 3 of 5 ★★★☆☆
Health inspection rating: 3 of 5
Staffing rating: 2 of 5
Quality measures rating: 4 of 5
Certified beds: 126
Average residents per day: 108
Ownership: For-profit, individual
Legal business name: Dewitt Medical District
Chain: The Ensign Group (342 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 2026-09-30.

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.

Inspection	Citation	Severity
May 15, 2026	Allow 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, 2026	Ensure 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, 2026	Reasonably accommodate the needs and preferences of each resident. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 15, 2026	Let 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, 2026	Keep residents' personal and medical records private and confidential. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 15, 2026	Ensure 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, 2026	Ensure 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, 2025	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights	D Potential for more than minimal harm, isolated
Dec 4, 2025	Keep residents' personal and medical records private and confidential. Resident Rights	D Potential for more than minimal harm, isolated
Dec 4, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Dec 4, 2025	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	D Potential for more than minimal harm, isolated
Dec 4, 2025	Ensure 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 Aug 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 Aug 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: 0.42 hours
Nurse aide time per resident per day: 1.96 hours
Total nurse staffing on weekends: 3.17 hours
Nursing staff turnover (yearly): 46%
RN turnover (yearly): 33%
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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