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Nursing homes › Texas › Austin › Legend Oaks Healthcare and Rehabilitation - North

Legend Oaks Healthcare and Rehabilitation - North

11020 Dessau Rd, Austin, TX 78754 · (512) 873-2244 · 124 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★☆☆☆☆ 1/5
Quality measures★★★☆☆ 3/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

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Same-type reference in TX

CMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Legend Oaks Healthcare and Rehabilitation - North

  • The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
  • Ask who is responsible for care decisions locally and at THE ENSIGN GROUP. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 342 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 6 facilities on the Special Focus list, $7,057,363 in federal fines. This facility rates below its group average (3.2/5).

See all 342 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.17 (Texas median: 3.27). RN hours: 0.66. Weekend total: 2.68.

Inspection deficiencies

In the downloaded CMS dataset: 24 deficiency citations, including 2 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-23Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. EHealthcorrected 2026-04-27
2026-04-23Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. EHealthcorrected 2026-04-27
2026-04-23Make sure that a working call system is available in each resident's bathroom and bathing area. EHealthcorrected 2026-04-27
2026-04-23Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2026-04-27
2026-04-23Provide appropriate foot care. DHealthcorrected 2026-04-27
2026-04-23Ensure 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. DHealthcorrected 2026-04-27
2025-09-17Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2025-09-18
2025-09-17Develop and implement policies and procedures to prevent abuse, neglect, and theft. Jcomplaintcorrected 2025-09-18
2025-09-17Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-09-18
2025-09-17Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2025-09-18
2025-09-17Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Dcomplaintcorrected 2025-09-18
2025-04-28Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Dcomplaintcorrected 2025-04-28
2025-02-20Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. EHealthcorrected 2025-02-21
2025-02-20Provide care and assistance to perform activities of daily living for any resident who is unable. EHealthcorrected 2025-02-21
2025-02-20Make sure that a working call system is available in each resident's bathroom and bathing area. DHealthcorrected 2025-02-21
2025-02-05Provide and implement an infection prevention and control program. Ecomplaintcorrected 2025-02-06
2025-02-05Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-02-06
2025-01-17Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Ecomplaintcorrected 2025-01-20
2024-11-08Provide and implement an infection prevention and control program. Ecomplaintcorrected 2024-11-11
2024-09-13Reasonably accommodate the needs and preferences of each resident. Ecomplaintcorrected 2024-09-14
2024-09-13Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-09-14
2024-01-06Provide and implement an infection prevention and control program. Ecomplaintcorrected 2024-01-07
2023-12-13Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2023-12-14
2023-12-13Provide and implement an infection prevention and control program. DHealthcorrected 2023-12-14

Federal penalties

DateTypeAmount
2025-09-17Fine$42,726

Ownership & control records (CMS filings)

NameRoleType%Since
GUADALUPE COUNTY HOSPITAL BOARD5% Or Greater Direct Ownership InterestOrganization100%since 04/01/2017
QUINTERO, JOSELYNManaging Control - Governing BodyIndividualNOT APPLICABLEsince 06/27/2018
RATHI, ANILManaging Control - Governing BodyIndividualNOT APPLICABLEsince 04/10/2025
BURNAM, SOONCorporate OfficerIndividualNOT APPLICABLEsince 04/01/2017
GANN, KODYCorporate OfficerIndividualNOT APPLICABLEsince 02/01/2021
KEETCH, CHADCorporate OfficerIndividualNOT APPLICABLEsince 03/01/2011
DESSAU HEALTHCARE INCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 04/01/2017
QUINTERO, JOSELYNOperational/Managerial ControlIndividualNOT APPLICABLEsince 06/27/2018
RATHI, ANILOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/10/2025

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How to cite this page: CareRecords, “Legend Oaks Healthcare and Rehabilitation - North — compliance, penalty and ownership record” (CCN 676238), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/legend-oaks-healthcare-and-rehabilitation-north-austin-tx/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676238. Corrections: data@carerecords.org.