Nursing HomeInspections

Legend Oaks Healthcare and Rehabilitation - New Br

Nursing home in New Braunfels, TX

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
2468 Fm 1101, New Braunfels, TX 78130
Phone
(830) 420-6500
Listed under
Government-owned, No fines or payment denials in 3 years
Medicare CCN
676392
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
113
Ownership
Government, hospital district
Legal business name
Guadalupe County Hospital Board
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 16, 2015
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 676392. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 20, 2026. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 20, 2024 to May 20, 2026): 13 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 20, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 20, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 20, 2026Ensure 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
May 20, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
May 20, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
May 20, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
May 20, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Apr 29, 2026Ensure 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 10, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff…
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 10, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 28, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 28, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 38. 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
3.36 hours
Registered nurse (RN) time per resident per day
0.43 hours
Nurse aide time per resident per day
2.11 hours
Total nurse staffing on weekends
2.89 hours
Nursing staff turnover (yearly)
51%
RN turnover (yearly)
50%
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.

Other nursing homes in New Braunfels

Sundance Inn Health Center2034 Sundance Parkway · New Braunfels, TX 78130 · (830) 221-1400 · For-profit29 health citations in 3 inspection cycles · last standard inspection Aug 28, 2025 · $6,364 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)
Eden Home631 Lakeview Blvd · New Braunfels, TX 78130 · (830) 625-6291 · For-profit28 health citations in 3 inspection cycles · last standard inspection Mar 20, 2026 · $45,130 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)
Kirkwood Manor2590 Loop 337 N · New Braunfels, TX 78130 · (830) 620-0509 · For-profit51 health citations in 3 inspection cycles · last standard inspection Apr 10, 2026 · $29,026 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Avir at New Braunfels821 Us Hwy 81 W · New Braunfels, TX 78130 · (830) 625-7526 · For-profit54 health citations in 3 inspection cycles · last standard inspection Aug 29, 2025 · $158,095 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

All 5 in New Braunfels →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error