For profit - Limited Liability company · 124 certified beds · CMS number 676238
Legend Oaks Healthcare and Rehabilitation - North, Austin, TX
CMS records 24 health deficiencies at Legend Oaks Healthcare and Rehabilitation - North in Austin, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 23, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $28,064 in the last three years.
- 24deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $28,064fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Legend Oaks Healthcare and Rehabilitation - North as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Legend Oaks Healthcare and Rehabilitation - North may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection Apr 23, 2026. CMS counts 11 health deficiencies and 0 fire safety deficiencies in this cycle.
Apr 23, 2026 · Standard inspection
6 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 27, 2026
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 27, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 27, 2026
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 27, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 27, 2026
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 27, 2026
Sep 17, 2025 · Complaint inspection
5 deficiencies, highest J
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 18, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 18, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 18, 2025
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 18, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 18, 2025
Previous cycle: 10 deficiencies (standard inspection Feb 20, 2025)
Standard inspection Feb 20, 2025. CMS counts 10 health deficiencies and 0 fire safety deficiencies in this cycle.
Apr 28, 2025 · Complaint inspection
1 deficiency, highest D
F573 · Access to personal and medical records
Requirement cited (CMS): Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2025
Feb 20, 2025 · Standard inspection
3 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 21, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 21, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 21, 2025
Feb 5, 2025 · Complaint inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 6, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2025
Jan 17, 2025 · Complaint inspection
1 deficiency, highest E
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 20, 2025
Nov 8, 2024 · Complaint inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 11, 2024
Sep 13, 2024 · Complaint inspection
2 deficiencies, highest E
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 14, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 14, 2024
Earlier cycle: 3 deficiencies (standard inspection Dec 13, 2023)
Standard inspection Dec 13, 2023. CMS counts 3 health deficiencies and 0 fire safety deficiencies in this cycle.
Jan 6, 2024 · Complaint inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 7, 2024
- Found in
- infection control inspection
Dec 13, 2023 · Standard inspection
2 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2023
Tags cited in more than one inspection
5 tags cited on more than one inspection date at Legend Oaks Healthcare and Rehabilitation - North; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 4 | Feb 5, 2025; Nov 8, 2024; Jan 6, 2024; Dec 13, 2023 |
| F550 Dignity and the right to exercise rights | 2 | Apr 23, 2026; Feb 20, 2025 |
| F677 Help with daily care | 2 | Apr 23, 2026; Feb 20, 2025 |
| F689 Accident prevention and supervision | 2 | Feb 5, 2025; Sep 13, 2024 |
| F919 Working call system | 2 | Apr 23, 2026; Feb 20, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Sep 17, 2025 | Fine | $28,064 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.17 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.66 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.68 h
- Nursing staff turnover
- not reported
- Administrators who left
- not reported
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Legend Oaks Healthcare and Rehabilitation - North, copied as published; Texas medians are ours.
Facility details
- Address
- 11020 Dessau Rd, Austin, TX 78754
- Phone
- (512) 873-2244
- County
- Travis
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- The Ensign Group
- Certified beds
- 124
- Average residents per day
- 109.9
- In Medicare/Medicaid since
- Oct 20, 2009
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 4 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
Other nursing homes in Austin and the same chain
- Coral Rehabilitation and Nursing of Austin
Austin · 89 deficiencies - Austin Wellness & Rehabilitation
Austin · 66 deficiencies - Gracy Woods Nursing Center
Austin · 61 deficiencies - Heritage Park Rehabilitation and Skilled Nursing C
Austin · 49 deficiencies - Brush Country Nursing and Rehabilitation
Austin · 46 deficiencies - Ignite Medical Resort Round Rock, LLC
Austin · 37 deficiencies - The Eden of Las Colinas
Irving · 65 deficiencies - Northeast Rehabilitation and Healthcare Center
San Antonio · 57 deficiencies - Westpark Rehabilitation and Living
Euless · 54 deficiencies - Park Village Healthcare and Rehabilitation
DeSoto · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.