Legend Oaks Healthcare And Rehabilitation - West S
222 Bertetti Dr, San Antonio, TX 78227 · Bexar County
For-profit · 124 certified beds · 88% occupancy · (210) 673-1700
The U.S. government (CMS) rates Legend Oaks Healthcare And Rehabilitation - West S 3 out of 5 stars overall — average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.64 nurse hours per resident per day. 11% above the Texas median of 3.27.
Nursing staff turnover: 20.7% · RN turnover: 18.2%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0641 · Jan 29, 2026Corrected Feb 18, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0761 · Jan 29, 2026Corrected Feb 18, 2026
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · Jan 29, 2026Corrected Feb 18, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Jan 29, 2026Corrected Feb 18, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0690 · Apr 23, 2026ComplaintCorrected May 14, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Apr 23, 2026ComplaintCorrected May 14, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0628 · Jan 29, 2026Corrected Feb 18, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
- Potential for harmTag F0755 · Jan 29, 2026Corrected Feb 18, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Dec 9, 2025ComplaintCorrected Dec 10, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0576 · Oct 31, 2024Corrected Nov 22, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 18 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the The Ensign Group chain (346 facilities), chain average overall rating 3.2★.