Government - Hospital district · 126 certified beds · CMS number 676392
Legend Oaks Healthcare and Rehabilitation - New Br, New Braunfels, TX
CMS records 38 health deficiencies at Legend Oaks Healthcare and Rehabilitation - New Br in New Braunfels, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 20, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 38deficiencies, 3 cycles (TX median 25)
- 10in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Legend Oaks Healthcare and Rehabilitation - New Br 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 - New Br may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (10 deficiencies)
Standard inspection May 20, 2026. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.
May 20, 2026 · Standard inspection
7 deficiencies, highest E
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2026
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 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 Jun 11, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2026
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 27, 2026
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2026
Apr 29, 2026 · Complaint inspection
1 deficiency, highest D
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 May 6, 2026
Sep 10, 2025 · Complaint inspection
2 deficiencies, highest E
F887 · COVID-19 vaccine education and offering
Requirement cited (CMS): Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 15, 2025
Previous cycle: 19 deficiencies (standard inspection Mar 28, 2025)
Standard inspection Mar 28, 2025. CMS counts 19 health deficiencies and 2 fire safety deficiencies in this cycle.
Mar 28, 2025 · Standard + complaint inspection
15 deficiencies, highest E
F949 · Behavioral health training
Requirement cited (CMS): Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2025
F946 · Compliance and ethics training
Requirement cited (CMS): Provide training in compliance and ethics.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2025
F945 · Infection control training
Requirement cited (CMS): Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2025
F944 · Quality program training
Requirement cited (CMS): Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2025
F943 · Abuse prevention and dementia training
Requirement cited (CMS): Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2025
F941 · Communication training for caregivers
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2025
F940 · Staff training program
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 29, 2025
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 Mar 31, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 2, 2025
F700 · Bed rail safety
Requirement cited (CMS): Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 31, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 2, 2025
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 31, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 31, 2025
Feb 6, 2025 · Complaint inspection
4 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 7, 2025
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 Feb 12, 2025
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 7, 2025
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 7, 2025
Earlier cycle: 9 deficiencies (standard inspection Jan 27, 2024)
Standard inspection Jan 27, 2024. CMS counts 9 health deficiencies and 1 fire safety deficiency in this cycle.
Aug 3, 2024 · Complaint inspection
2 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 4, 2024
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 Aug 4, 2024
Feb 29, 2024 · Complaint inspection
1 deficiency, highest D
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
- Past non-compliance (fixed before the inspection), Feb 27, 2024
Jan 27, 2024 · Standard + complaint inspection
5 deficiencies, highest D
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 29, 2024
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 29, 2024
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 29, 2024
F623 · Written notice before a move
Requirement cited (CMS): Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 16, 2024
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 Feb 16, 2024
Jan 20, 2024 · Complaint inspection
1 deficiency, highest D
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 Mar 20, 2024
Tags cited in more than one inspection
5 tags cited on more than one inspection date at Legend Oaks Healthcare and Rehabilitation - New Br; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F695 Respiratory and oxygen care | 4 | May 20, 2026; Mar 28, 2025; Feb 6, 2025; Jan 20, 2024 |
| F761 Drug labeling and secure storage | 3 | May 20, 2026; Apr 29, 2026; Mar 28, 2025 |
| F812 Food safety and sanitation | 3 | May 20, 2026; Mar 28, 2025; Jan 27, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 2 | May 20, 2026; Mar 28, 2025 |
| F842 Complete, confidential medical records | 2 | Feb 6, 2025; Aug 3, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.30 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.45 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.87 h
- Nursing staff turnover
- 49.5% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Legend Oaks Healthcare and Rehabilitation - New Br, copied as published; Texas medians are ours.
Facility details
- Address
- 2468 Fm 1101, New Braunfels, TX 78130
- Phone
- (830) 420-6500
- County
- Comal
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- The Ensign Group
- Certified beds
- 126
- Average residents per day
- 115.1
- In Medicare/Medicaid since
- Oct 16, 2015
- 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 are oxygen equipment and breathing treatments managed and checked? (F695, cited 4 times)
- How are medications stored and secured on each unit? (F761, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
Other nursing homes in New Braunfels and the same chain
- Avir at New Braunfels
New Braunfels · 54 deficiencies - Kirkwood Manor
New Braunfels · 51 deficiencies - Eden Home
New Braunfels · 28 deficiencies - Sundance Inn Health Center
New Braunfels · 28 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.