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 - New Br is a 3-star Medicare and Medicaid certified nursing home in New Braunfels, Texas with 126 certified beds. It has been operating since 2015. Its overall CMS rating is 3 out of 5.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Educate 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 member's vaccination status.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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.
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Protect each resident from the wrongful use of the resident's belongings or money.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
+ 8 more deficiencies
No penalties on record.
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, 2019 |
| NEWSOME, GARRETT | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Nov 12, 2020 |
| YU, HAORAN | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Nov 1, 2017 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Apr 1, 2019 |
| GANN, KODY | CORPORATE OFFICER | Individual | N/A | Feb 1, 2021 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| RIVERWALK HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2019 |
| NEWSOME, GARRETT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 12, 2020 |
| YU, HAORAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 1, 2017 |
| 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, 2019 |
| RIVERWALK HEALTHCARE INC | ADP OF THE SNF | Organization | N/A | Oct 7, 2025 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2019 |
| NEWSOME, GARRETT | ADP OF THE SNF | Individual | N/A | Nov 12, 2020 |
| YU, HAORAN | ADP OF THE SNF | Individual | N/A | Nov 1, 2017 |
Compare CMS ratings and recorded fines for Legend Oaks Healthcare and Rehabilitation - New Br 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 →