• CMS rates this facility 2/5 stars (below average)
• Has 124 certified beds with an average of 115.4 residents per day (93% occupancy)
• Last health inspection found 11 deficiencies (inspected Feb 20, 2025)
• Has been fined a total of $41,890 across 1 fine(s)
• Total nursing staff: 3.12 hours per resident per day
• Staff turnover rate: 27.6%
• Part of the The Ensign Group chain (324 facilities)
Legend Oaks Healthcare and Rehabilitation - North is a 2-star Medicare and Medicaid certified nursing home in Austin, Texas with 124 certified beds. It has been operating since 2009. The facility scored below average compared to Texas facilities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide and implement an infection prevention and control program.
Reasonably accommodate the needs and preferences of each resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Provide and implement an infection prevention and control program.
Provide and implement an infection prevention and control program.
Keep residents' personal and medical records private and confidential.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Assess the resident when there is a significant change in condition
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 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.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 |
| DESSAU HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2017 |
| QUINTERO, JOSELYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 27, 2018 |
| RATHI, ANIL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 10, 2025 |
| 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 |
This chain operates 324 facilities. View all →