CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Legend Oaks Healthcare and Rehabilitation-Kyle is a 3-star Medicare and Medicaid certified nursing home in Kyle, Texas with 126 certified beds. It has been operating since 2011. Its overall CMS rating is 3 out of 5.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Ensure that residents are fully informed and understand their health status, care and treatments.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure services provided by the nursing facility meet professional standards of quality.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2017 |
| FOWERS, MATTHEW | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Mar 12, 2019 |
| KROL, MICHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 1, 2016 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Apr 1, 2017 |
| GANN, KODY | CORPORATE OFFICER | Individual | N/A | Feb 1, 2021 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| TREATY HEALTHCARE, INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2017 |
| FOWERS, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 12, 2019 |
| KROL, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2016 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | May 1, 2016 |
| NATIONAL HEALTH INVESTORS, INC. | ADP OF THE SNF | Organization | N/A | Apr 1, 2017 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2017 |
| TREATY HEALTHCARE, INC | ADP OF THE SNF | Organization | N/A | Oct 7, 2025 |
| FOWERS, MATTHEW | ADP OF THE SNF | Individual | N/A | Mar 12, 2019 |
| KROL, MICHAEL | ADP OF THE SNF | Individual | N/A | May 1, 2016 |
Compare CMS ratings and recorded fines for Legend Oaks Healthcare and Rehabilitation-Kyle and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 346 facilities. View all →