Nursing home
Legend Oaks Healthcare and Rehabilitation - North
11020 Dessau Rd, Austin, TX 78754 · Map
For profit - Limited Liability company · Part of The Ensign Group (329 facilities) · 124 certified beds
Legend Oaks Healthcare and Rehabilitation - North is a Medicare-certified nursing home in Austin, Texas. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.12 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Feb 20, 2025 cited 9 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $41,890In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Legend Oaks Healthcare and Rehabilitation - North compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.12 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.61 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.11 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 27.6% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 9.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $41,890, 1 total penalty.
What inspectors found at Legend Oaks Healthcare and Rehabilitation - North
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 17, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 17, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Sep 17, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 17, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies · Apr 28, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Feb 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jan 17, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 11020 Dessau Rd
Austin, TX 78754 - CMS certification #
- 676238
- Ownership
- For profit - Limited Liability company
- Certified beds
- 124
- Avg residents/day
- 115.4
- Provider type
- Medicare and Medicaid
- First certified
- 2009-10-20
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Legend Oaks Healthcare and Rehabilitation - North using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Kitchen 4 inspections by Austin Public Health since 2023; latest score 92 (February 2026)
- Staff pay 1 federal wage case with violations found, since 2017
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Austin Public Health: Legend Oaks Healthcare & Rehabilitation
- Feb 2, 2026 (routine inspection): score 92.
- Apr 16, 2025 (routine inspection): score 96.
- Aug 28, 2024 (routine inspection): score 95.
- Nov 14, 2023 (routine inspection): score 97.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Score: Out of 100. Points are taken off for each violation; 70 or above passes. This dataset publishes scores only. Violation details are in the report, available from Austin Public Health.
Care and services
From the community’s website
What Legend Oaks Healthcare and Rehabilitation - North says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour, round-the-clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Dec 10, 2017 to Dec 9, 2019. Violations found: Overtime. Back wages: $18,377 owed to 106 employees. Employer as DOL recorded it: Legend Oaks Healthcare and Rehab- North (Dessau Healthcare, Inc). Case 1845470.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- North Austin Medical Center, Austin. 3.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Sedona Trace Health and Wellness Center, Austin. 2.3 miles away, straight line.
- Nearest home health agency office
- The Medical Team Inc, Austin. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Vina Pharmacy. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78754 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Shc Metric, Austin, 3.1 miles away, straight line (CMS rating 3 of 5 stars)
Shc Tech Ridge, Austin, 3.3 miles away, straight line (CMS rating 4 of 5 stars)
Nna - North, Austin, 3.6 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 38 Medicare hospices tell CMS they serve ZIP code 78754.
Sonder Hospice, office in Austin, 2.9 miles away, straight line
Generations Health Care Inc, office in Austin, 3.3 miles away, straight line
Three Oaks Hospice, office in Austin, 4.4 miles away, straight line - Nearest geriatric medicine practice
- Scott And White Clinic, Austin. 2.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Austin Public Health kitchen inspections | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Legend Oaks Healthcare and Rehabilitation - North a good nursing home?
CMS gives Legend Oaks Healthcare and Rehabilitation - North an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Legend Oaks Healthcare and Rehabilitation - North staffed?
Legend Oaks Healthcare and Rehabilitation - North reports 3.12 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Legend Oaks Healthcare and Rehabilitation - North had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does Legend Oaks Healthcare and Rehabilitation - North have?
Legend Oaks Healthcare and Rehabilitation - North is certified for 124 beds.