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HomeTexasLegend Oaks Healthcare and Rehabilitation - West S

Legend Oaks Healthcare and Rehabilitation - West S

222 Bertetti Dr, San Antonio, TX 782272106731700WebsiteGoogle Maps
4.2on Google(221 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
3/5
Quality
4/5
Beds
124
certified
1 fine(s) totaling $8,632

How Legend Oaks Healthcare and Rehabilitation - West S Compares in Texas

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.

CMS overall rating
3/5
TX average
2.7/5
Above state average
Health inspection rating
3/5
TX average
2.8/5
Close to state average
Staffing rating
3/5
TX average
1.9/5
Above state average
Nursing hours per resident
3.64 hrs/day
TX average
3.39 hrs/day
Above state average
RN hours per resident
0.53 hrs/day
TX average
0.43 hrs/day
Above state average
Staff turnover
20.7%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Reported nursing time is 3.64 hours per resident per day, above the state average of 3.39.
Reported RN time is 0.53 hours per resident per day, above the state average of 0.43.
Staff turnover is 20.7%, lower than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
4
deficiency citations
Inspected Oct 31, 2024
Most recent cycle
9
deficiency citations
Inspected Jan 29, 2026
The most recent cycle recorded 5 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Bexar County 65+
248,631
12.3% of county
County Population
2,014,059
Bexar County

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 - West S is a 3-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 124 certified beds. It has been operating since 2012. Its overall CMS rating is 3 out of 5.

Beds
124
Avg Residents/Day
108.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 31, 2012
Sprinklers
Yes
Council
Resident
County
Bexar
Last Inspection
Jan 29, 2026
Deficiencies (Cycle 1)
9
Weighted Score
63.8
Infection Citations
0

Deficiency Citations (18)

F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Apr 23, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 23, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Jan 29, 2026Corrected: 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: Jan 29, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Jan 29, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 9, 2025Corrected: NoCycle: 1
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Oct 31, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Oct 31, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 12, 2024Corrected: NoCycle: 3
F0609Potential for Harm

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

Survey: Apr 12, 2024Corrected: NoCycle: 3
F0638Potential for Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey: Sep 15, 2023Corrected: NoCycle: 3
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Sep 15, 2023Corrected: NoCycle: 3
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Sep 15, 2023Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 15, 2023Corrected: NoCycle: 3
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 15, 2023Corrected: NoCycle: 3
Total Fines
$8,632
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineApr 12, 2024
$8,632

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

Nurse Aide2.12 hrs
National avg: 2.32 hrs
LPN0.99 hrs
National avg: 0.86 hrs
RN0.53 hrs
National avg: 0.69 hrs
Total Nursing3.64 hrs
National avg: 3.86 hrs
Weekend Total3.20 hrs
National avg: 0.00 hrs
Physical Therapist0.11 hrs
National avg: 0.07 hrs
Total Turnover
20.7%
RN Turnover
18.2%
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 (15)

NameRoleTypeOwnership %Since
DEWITT MEDICAL DISTRICT5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2017
GRAY, ROBERTMANAGING CONTROL - GOVERNING BODYIndividualN/ADec 15, 2017
MANSOOR, SAADMANAGING CONTROL - GOVERNING BODYIndividualN/ASep 12, 2023
ALEXANDER, ALMACORPORATE OFFICERIndividualN/AMay 27, 2020
BURNAM, SOONCORPORATE OFFICERIndividualN/AApr 1, 2017
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011
BERTETTI HEALTHCARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
GRAY, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 15, 2017
MANSOOR, SAADOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 12, 2023
BERTETTI HEALTHCARE, INC.ADP OF THE SNFOrganizationN/AOct 24, 2025
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/AMay 1, 2016
NATIONAL HEALTH INVESTORS, INC.ADP OF THE SNFOrganizationN/AApr 1, 2017
TEXAS NHI INVESTORS, LLCADP OF THE SNFOrganizationN/AApr 1, 2017
GRAY, ROBERTADP OF THE SNFIndividualN/ADec 15, 2017
MANSOOR, SAADADP OF THE SNFIndividualN/ASep 12, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Legend Oaks Healthcare and Rehabilitation - West S and nearby alternatives.

All Texas facilities
Legend Oaks Healthcare and Rehabilitation - West S
San Antonio, TXCurrent facility
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $8,632
The Mission at Blue Skies of Texas East
San Antonio, TX1.2 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: $17,345
Lakeside Nursing and Rehabilitation Center
San Antonio, TX2.3 mi
CMS
5/5
Health
4/5
Staffing
2/5
Recorded fines: $14,611
Westover Hills Rehabilitation and Healthcare
San Antonio, TX3.7 mi
CMS
4/5
Health
3/5
Staffing
4/5
Recorded fines: $20,156
Windemere at Westover Hills
San Antonio, TX4.3 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $8,281
Harbor Valley Health and Rehabilitation
San Antonio, TX4.4 miAbuse flag
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $18,989
Las Colinas of Westover
San Antonio, TX4.9 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $38,630
FacilityDistanceCMSHealthStaffingRecorded fines
Legend Oaks Healthcare and Rehabilitation - West S
San Antonio, TX · Current facility
—3/53/53/5$8,632
The Mission at Blue Skies of Texas East
San Antonio, TX
1.2 mi5/54/54/5$17,345
Lakeside Nursing and Rehabilitation Center
San Antonio, TX
2.3 mi5/54/52/5$14,611
Westover Hills Rehabilitation and Healthcare
San Antonio, TX
3.7 mi4/53/54/5$20,156
Windemere at Westover Hills
San Antonio, TX
4.3 mi2/53/51/5$8,281
Harbor Valley Health and Rehabilitation
San Antonio, TX
4.4 mi2/52/52/5$18,989
Las Colinas of Westover
San Antonio, TX
4.9 mi2/52/52/5$38,630

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.

Frequently Asked Questions

What is the CMS rating for Legend Oaks Healthcare and Rehabilitation - West S?▾
Legend Oaks Healthcare and Rehabilitation - West S has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated average.
How much does Legend Oaks Healthcare and Rehabilitation - West S cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Legend Oaks Healthcare and Rehabilitation - West S participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Legend Oaks Healthcare and Rehabilitation - West S had any health inspection violations?▾
Legend Oaks Healthcare and Rehabilitation - West S had 9 deficiency citations in its most recent health inspection (Jan 29, 2026). The current CMS dataset records 1 fine(s) totaling $8,632.
What are the staffing levels at Legend Oaks Healthcare and Rehabilitation - West S?▾
Legend Oaks Healthcare and Rehabilitation - West S provides 3.64 total nursing staff hours per resident per day, including 0.53 RN hours, 0.99 LPN hours, and 2.12 nurse aide hours. The total staff turnover rate is 20.7%.
How many beds does Legend Oaks Healthcare and Rehabilitation - West S have?▾
Legend Oaks Healthcare and Rehabilitation - West S has 124 certified beds with an average of 108.8 residents per day, resulting in approximately 88% occupancy. The facility is For profit - Corporation owned and is part of the The Ensign Group chain.
Are there other nursing homes near Legend Oaks Healthcare and Rehabilitation - West S?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 6 in San Antonio. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Legend Oaks Healthcare and Rehabilitation - West S?▾
On Google Maps, Legend Oaks Healthcare and Rehabilitation - West S has a rating of 4.2 out of 5 based on 221 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →