• CMS rates this facility 5/5 stars (above average)
• Has 124 certified beds with an average of 108.2 residents per day (87% occupancy)
• Last health inspection found 3 deficiencies (inspected Oct 31, 2024)
• Has been fined a total of $8,632 across 1 fine(s)
• Total nursing staff: 3.49 hours per resident per day
• Staff turnover rate: 32.5%
• Part of the The Ensign Group chain (324 facilities)
Legend Oaks Healthcare and Rehabilitation - West S is a 5-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 124 certified beds. It has been operating since 2012. The facility scored above average compared to Texas facilities.
Provide and implement an infection prevention and control program.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Assure that each resident’s assessment is updated at least once every 3 months.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
PASARR screening for Mental disorders or Intellectual Disabilities
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 and implement an infection prevention and control program.
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 |
|---|---|---|---|---|
| DEWITT MEDICAL DISTRICT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2017 |
| BERTETTI HEALTHCARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2017 |
| GRAY, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 15, 2017 |
| MANSOOR, SAAD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 12, 2023 |
| ALEXANDER, ALMA | CORPORATE OFFICER | Individual | N/A | May 27, 2020 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Apr 1, 2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
This chain operates 324 facilities. View all →