Nursing homes › Texas › Legend Oaks Healthcare and Rehabilitation - New Br
2468 Fm 1101, New Braunfels, TX 78130 · 8304206500 · 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: 3.30 (Texas median: 3.27). RN hours: 0.45. Weekend total: 2.87. Nursing staff turnover: 50%.
All-time on record: 38 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-20 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2026-05-27 |
| 2026-05-20 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-06-11 |
| 2026-05-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-06-11 |
| 2026-05-20 | 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 2026-06-11 |
| 2026-05-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2026-06-11 |
| 2026-05-20 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2026-06-11 |
| 2026-05-20 | Dispose of garbage and refuse properly. | D | Health | corrected 2026-06-11 |
| 2026-04-29 | 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 | complaint | corrected 2026-05-06 |
| 2025-09-10 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2025-09-15 |
| 2025-09-10 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | complaint | corrected 2025-09-15 |
| 2025-03-28 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-04-02 |
| 2025-03-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-04-02 |
| 2025-03-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-03-29 |
| 2025-03-28 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-03-31 |
| 2025-03-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-03-31 |
| 2025-03-28 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-04-03 |
| 2025-03-28 | 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. | D | Health | corrected 2025-03-31 |
| 2025-03-28 | 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 2025-03-31 |
| 2025-03-28 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Health | corrected 2025-04-03 |
| 2025-03-28 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Health | corrected 2025-04-03 |
| 2025-03-28 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Health | corrected 2025-04-03 |
| 2025-03-28 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Health | corrected 2025-04-03 |
| 2025-03-28 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Health | corrected 2025-04-03 |
| 2025-03-28 | Provide training in compliance and ethics. | D | Health | corrected 2025-04-03 |
| 2025-03-28 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Health | corrected 2025-04-03 |
| 2025-02-06 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-02-07 |
| 2025-02-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-02-07 |
| 2025-02-06 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-02-12 |
| 2025-02-06 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-02-07 |
| 2024-08-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-08-04 |
| 2024-08-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-08-04 |
| 2024-02-29 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-02-27 |
| 2024-01-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-02-16 |
| 2024-01-27 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-02-16 |
| 2024-01-27 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-02-29 |
| 2024-01-27 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-02-29 |
| 2024-01-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2024-01-29 |
| 2024-01-20 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-03-20 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2019 |
| NEWSOME, GARRETT | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/12/2020 |
| YU, HAORAN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/01/2017 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2019 |
| GANN, KODY | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2021 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| RIVERWALK HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2019 |
| NEWSOME, GARRETT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/12/2020 |
| YU, HAORAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676392. Corrections: data@carerecords.org.