Legend Oaks Healthcare and Rehabilitation - North

Nursing home in Austin, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (512) 873-2244 Send a message Map ↗

Public-record details

Address: 11020 Dessau Rd, Austin, TX 78754
Phone: (512) 873-2244
Listed under: For-profit
Medicare CCN: 676238
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 3 of 5
Certified beds: 124
Average residents per day: 110
Ownership: For-profit, limited Liability company
Legal business name: Guadalupe County Hospital Board
Chain: The Ensign Group (342 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Oct 20, 2009
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 676238. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 23, 2026. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 13, 2023 to Apr 23, 2026): 13 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

Inspection	Citation	Severity
Apr 23, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 23, 2026	Provide appropriate foot care. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 23, 2026	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
Apr 23, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	E Potential for more than minimal harm, pattern
Apr 23, 2026	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Apr 23, 2026	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental	E Potential for more than minimal harm, pattern
Sep 17, 2025	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Sep 17, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Sep 17, 2025	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental · complaint inspection	D Potential for more than minimal harm, isolated
Sep 17, 2025	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	J Immediate jeopardy, isolated
Sep 17, 2025	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	J Immediate jeopardy, isolated
Apr 28, 2025	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

Showing the 12 most recent of 24. 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 1 fine totalling $42,726 in the last three years.

Sep 17, 2025

Fine: $42,726

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: 3.17 hours
Registered nurse (RN) time per resident per day: 0.66 hours
Nurse aide time per resident per day: 2.10 hours
Total nurse staffing on weekends: 2.68 hours

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.

Other nursing homes in Austin

All 25 in Austin →