Nursing home · Top rated by CMS
Legend Oaks Healthcare and Rehabilitation
222 Bertetti Dr, San Antonio, TX 78227 · Map
For profit - Corporation · Part of The Ensign Group (329 facilities) · 124 certified beds
Legend Oaks Healthcare and Rehabilitation is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.49 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Oct 31, 2024 cited 3 deficiencies.
- 1 fine totaling $8,632In 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 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) | 3.49 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.46 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.96 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 32.5% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 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 $8,632, 1 total penalty.
What inspectors found at Legend Oaks Healthcare and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 29, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 29, 2026 · Full report (PDF) - Potential for harm
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 · Jan 29, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 29, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jan 29, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Jan 29, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 9, 2025 · Full report (PDF) - Potential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Oct 31, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Oct 31, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 12, 2024 · 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 · Apr 12, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 15, 2023
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
- 222 Bertetti Dr
San Antonio, TX 78227 - CMS certification #
- 676312
- Ownership
- For profit - Corporation
- Certified beds
- 124
- Avg residents/day
- 108.2
- Provider type
- Medicare and Medicaid
- First certified
- 2012-05-31
- 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 using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Legend Oaks Healthcare and Rehabilitation 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.
We leave the critical decisions to those who know best: the Caregivers, Doctors, and Nurses who work with our patients 24-hours a day, 7-days a week.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Christus Santa Rosa Medical Center, San Antonio. 4.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- The Mission at Blue Skies of Texas East, San Antonio. 1.2 miles away, straight line.
- Nearest home health agency office
- Soft Touch Home Care Inc, San Antonio. 4.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B 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 78227 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Gateway Dialysis, San Antonio, 0.6 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Dialysis Services Of Ingram, San Antonio, 4.3 miles away, straight line (CMS rating 4 of 5 stars)
Usrc Dialysis At Home West Tcu, San Antonio, 4.5 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 97 Medicare hospices tell CMS they serve ZIP code 78227.
Bexar Hospice, office in San Antonio, 3.1 miles away, straight line
Blue Skies Hospice, office in San Antonio, 5.4 miles away, straight line
American Medical Hospice & Palliative Care, office in San Antonio, 7.4 miles away, straight line - Nearest geriatric medicine practice
- Wellmed Medical Group Pa, San Antonio. 5.4 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 low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively 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 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| 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 a good nursing home?
CMS gives Legend Oaks Healthcare and Rehabilitation an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Legend Oaks Healthcare and Rehabilitation staffed?
Legend Oaks Healthcare and Rehabilitation reports 3.49 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Legend Oaks Healthcare and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Legend Oaks Healthcare and Rehabilitation have?
Legend Oaks Healthcare and Rehabilitation is certified for 124 beds.