Legend Oaks Healthcare And Rehabilitation-Kyle is an average performer in CMS ratings, earning a C grade with a score of 64/100. Located in Kyle, Texas, the facility meets baseline standards across most quality metrics.
With 3.25 total nurse hours per resident per day, Legend Oaks Healthcare And Rehabilitation-Kyle falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 26 deficiencies at Legend Oaks Healthcare And Rehabilitation-Kyle. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.25 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.30 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.96 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.98 | 2.4 | Below Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.17 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJan 28, 2026 · Resident Rights Deficiencies
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Jan 28, 2026 · Resident Rights Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Nov 19, 2024 · Infection Control Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Nov 19, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Sep 4, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.1% | 4.5% | Better |
| Falls with major injury | 1.7% | 3.0% | Better |
| On antipsychotic medication | 3.3% | 14.5% | Better |
| Urinary tract infections | 1.2% | 2.5% | Better |
| ADL decline (daily activities) | 33.3% | 14.0% | Worse |
| Excessive weight loss | 0.6% | 7.5% | Better |
| New/worsened incontinence | 18.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $12,735
How This Grade Was Calculated
This facility's grade of C is based on a score of 64 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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