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 - 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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
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.
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 |
| GRAY, ROBERT | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Dec 15, 2017 |
| MANSOOR, SAAD | MANAGING CONTROL - GOVERNING BODY | 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 |
| 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 |
| BERTETTI HEALTHCARE, INC. | ADP OF THE SNF | Organization | N/A | Oct 24, 2025 |
| 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, 2017 |
| TEXAS NHI INVESTORS, LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2017 |
| GRAY, ROBERT | ADP OF THE SNF | Individual | N/A | Dec 15, 2017 |
| MANSOOR, SAAD | ADP OF THE SNF | Individual | N/A | Sep 12, 2023 |
Compare CMS ratings and recorded fines for Legend Oaks Healthcare and Rehabilitation - West S 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 →