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Legend Oaks Healthcare And Rehabilitation Center -

Nursing Home Facility

2003 W Hutchins Place, San Antonio, TX 78224

Nursing Home Care Senior Living

Legend Oaks Healthcare And Rehabilitation Center - is a senior care community located in San Antonio, TX. It provides nursing home care and senior living for older adults in the San Antonio area. To learn more or schedule a tour, call (210) 927-0800.

Operated by The Ensign Group, which runs 419 communities in our directory.

Employer rating 3.3 out of 5 39 reviews from their own employees on Indeed. See what they say.

With 126 beds, Legend Oaks Healthcare And Rehabilitation Center - is smaller than most nearby options, senior care communities in San Antonio average about 176 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 86% of its licensed beds. That is above the San Antonio average of roughly 65%.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in December 2025 and recorded 15 deficiencies.

Residents receive about 3.6 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 46%.

The community is located in Bexar County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 32 problems at Legend Oaks Healthcare And Rehabilitation Center -. None of them caused harm to a resident. 9 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected May 2026, after a complaint. Corrected by May 16, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    Inspected May 2026, after a complaint. Corrected by May 16, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected May 2026, after a complaint. Corrected by May 16, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected May 2026, after a complaint. Corrected by May 16, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Inspected May 2026, after a complaint. Corrected by May 16, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected December 2025. Corrected by December 30, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Inspected December 2025. Corrected by December 30, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected December 2025. Corrected by December 30, 2025.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected December 2025. Corrected by December 30, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected December 2025. Corrected by December 30, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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 locked compartments, separately locked, compartments for controlled drugs.

    Inspected December 2025. Corrected by December 30, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected December 2025. Corrected by December 30, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected December 2025. Corrected by December 30, 2025.

  • Minimal harm or the potential for it, a pattern Resident Rights

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Inspected May 2026, after a complaint. Corrected by May 16, 2026.

  • Minimal harm or the potential for it, a pattern Quality of Life and Care

    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.

    Inspected May 2026, after a complaint. Corrected by May 16, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Legend Oaks Healthcare And Rehabilitation Center - offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 126
  • Occupancy 86%
  • Nursing hours per resident/day 3.6
  • Annual staff turnover 46%
  • Last health inspection December 2025

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Resident & family reviews

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