Nursing homes › Texas › Legend Oaks Healthcare and Rehabilitation Center -
2003 W Hutchins Place, San Antonio, TX 78224 · 2109270800 · 126 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.62 (Texas median: 3.27). RN hours: 0.42. Weekend total: 3.17. Nursing staff turnover: 46%.
All-time on record: 32 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-15 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2026-05-16 |
| 2026-05-15 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | complaint | corrected 2026-05-16 |
| 2026-05-15 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-05-16 |
| 2026-05-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-16 |
| 2026-05-15 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | complaint | corrected 2026-05-16 |
| 2026-05-15 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | complaint | corrected 2026-05-16 |
| 2026-05-15 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | B | complaint | corrected 2026-05-16 |
| 2025-12-04 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Health | corrected 2025-12-30 |
| 2025-12-04 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-12-30 |
| 2025-12-04 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2025-12-30 |
| 2025-12-04 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-12-30 |
| 2025-12-04 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-12-30 |
| 2025-12-04 | 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. | D | Health | corrected 2025-12-30 |
| 2025-12-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-12-30 |
| 2025-12-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-12-30 |
| 2024-09-27 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2024-10-20 |
| 2024-09-27 | 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. | E | Health | corrected 2024-10-20 |
| 2024-09-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-10-20 |
| 2024-09-27 | 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. | D | Health | corrected 2024-10-20 |
| 2024-09-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-10-20 |
| 2024-09-27 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-10-20 |
| 2024-09-27 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Health | corrected 2024-10-20 |
| 2024-09-27 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-10-20 |
| 2024-03-22 | Provide routine and 24-hour emergency dental care for each resident. | E | complaint | corrected 2024-03-26 |
| 2024-03-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-03-26 |
| 2023-07-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-08-16 |
| 2023-07-28 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2023-08-16 |
| 2023-07-28 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2023-08-16 |
| 2023-07-28 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-08-16 |
| 2023-07-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-08-16 |
| 2023-07-28 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-08-16 |
| 2023-07-28 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Health | corrected 2023-08-16 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MARTINEZ, FERNANDO | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/16/2017 |
| YAMSANI, PRADEEP | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/30/2019 |
| ALEXANDER, ALMA | Corporate Officer | Individual | NOT APPLICABLE | since 05/27/2020 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| HUTCHINS HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| MARTINEZ, FERNANDO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/16/2017 |
| YAMSANI, PRADEEP | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/30/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676113. Corrections: data@carerecords.org.