NursingHomes.us
StatesRankingsCompare

Browse

  • All States
  • Rankings
  • Compare

Resources

  • About Us
  • Data Sources
  • Contact

About

  • About Us
  • Data Sources
  • Contact
  • Privacy Policy
  • Terms of Use

Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasLegend Oaks Healthcare and Rehabilitation-Kyle

Legend Oaks Healthcare and Rehabilitation-Kyle

1640 Fairway, Kyle, TX 786405122681003
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
5/5
Beds
126
certified
1 fine(s) totaling $12,735

Key Findings

• CMS rates this facility 4/5 stars (above average)

• Has 126 certified beds with an average of 112.4 residents per day (89% occupancy)

• Last health inspection found 7 deficiencies (inspected Sep 5, 2024)

• Has been fined a total of $12,735 across 1 fine(s)

• Total nursing staff: 3.25 hours per resident per day

• Staff turnover rate: 32.6%

• Part of the The Ensign Group chain (324 facilities)

Legend Oaks Healthcare and Rehabilitation-Kyle is a 4-star Medicare and Medicaid certified nursing home in Kyle, Texas with 126 certified beds. It has been operating since 2011. The facility scored above average compared to Texas facilities.

Beds
126
Avg Residents/Day
112.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 8, 2011
Sprinklers
Yes
Council
Resident
County
Hays
Last Inspection
Sep 5, 2024
Deficiencies (Cycle 1)
7
Weighted Score
56.0
Infection Citations
0

Deficiency Citations (24)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Sep 5, 2024Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Sep 5, 2024Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Sep 5, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Sep 5, 2024Corrected: NoCycle: 1
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Sep 5, 2024Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Sep 5, 2024Corrected: NoCycle: 1
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Sep 5, 2024Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 20, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 20, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Jun 30, 2023Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jun 30, 2023Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Jun 30, 2023Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jun 30, 2023Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Jun 30, 2023Corrected: NoCycle: 2
F0805Potential for Harm

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

Survey: Jun 30, 2023Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jun 30, 2023Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Jun 30, 2023Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 21, 2023Corrected: NoCycle: 3
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0758Potential for Harm

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.

Survey: Aug 10, 2023Corrected: NoCycle: 3
F0800Potential for Harm

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Survey: Jun 13, 2023Corrected: NoCycle: 3
F0803Potential for Harm

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.

Survey: Jun 13, 2023Corrected: NoCycle: 3
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Jun 13, 2023Corrected: NoCycle: 3
Total Fines
$12,735
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineDec 12, 2025
$12,735

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.98 hrs
National avg: 2.35 hrs
LPN0.96 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.68 hrs
Total Nursing3.25 hrs
National avg: 3.89 hrs
Weekend Total2.78 hrs
National avg: 0.00 hrs
Physical Therapist0.21 hrs
National avg: 0.07 hrs
Total Turnover
32.6%
RN Turnover
54.5%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
GUADALUPE COUNTY HOSPITAL BOARD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2017
TREATY HEALTHCARE, INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
FOWERS, MATTHEWOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 12, 2019
KROL, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2016
BURNAM, SOONCORPORATE OFFICERIndividualN/AApr 1, 2017
GANN, KODYCORPORATE OFFICERIndividualN/AFeb 1, 2021
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011

Frequently Asked Questions

What is the CMS rating for Legend Oaks Healthcare and Rehabilitation-Kyle?▾
Legend Oaks Healthcare and Rehabilitation-Kyle has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated above average.
Has Legend Oaks Healthcare and Rehabilitation-Kyle had any health inspection violations?▾
Legend Oaks Healthcare and Rehabilitation-Kyle had 7 deficiency citations in its most recent health inspection (Sep 5, 2024). The facility has been fined a total of $12,735 across 1 fine(s).
What are the staffing levels at Legend Oaks Healthcare and Rehabilitation-Kyle?▾
Legend Oaks Healthcare and Rehabilitation-Kyle provides 3.25 total nursing staff hours per resident per day, including 0.30 RN hours, 0.96 LPN hours, and 1.98 nurse aide hours. The total staff turnover rate is 32.6%.
How many beds does Legend Oaks Healthcare and Rehabilitation-Kyle have?▾
Legend Oaks Healthcare and Rehabilitation-Kyle has 126 certified beds with an average of 112.4 residents per day, resulting in approximately 89% occupancy. The facility is For profit - Corporation owned and is part of the The Ensign Group chain.

Part of The Ensign Group

This chain operates 324 facilities. View all →