Legend Oaks Healthcare And Rehabilitation - West S earns a solid B grade from CMS data, with a score of 82/100. Performing above average across most metrics, this San Antonio facility ranks in the 91th percentile among Texas nursing homes.
Staffing at Legend Oaks Healthcare And Rehabilitation - West S is near the national average, with 3.49 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 12 deficiencies at Legend Oaks Healthcare And Rehabilitation - West S, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.49 | 3.8 | Average |
| Registered Nurses (RN) | 0.46 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.06 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.96 | 2.4 | Below Average |
| Weekend Total Nursing | 3.10 | 3.8 | Below Average |
| Weekend RN Hours | 0.35 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Dec 8, 2025 · Infection Control Deficiencies
- Tag 0576 Severity FEnsure residents have reasonable access to and privacy in their use of communication methods.Oct 30, 2024 · Resident Rights Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Oct 30, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Apr 11, 2024 · Quality of Life and Care Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Apr 11, 2024 · Freedom from Abuse, Neglect, and Exploitation 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 | 2.7% | 4.5% | Better |
| Falls with major injury | 0.6% | 3.0% | Better |
| On antipsychotic medication | 3.6% | 14.5% | Better |
| Urinary tract infections | 2.3% | 2.5% | Average |
| ADL decline (daily activities) | 15.2% | 14.0% | Average |
| Excessive weight loss | 4.8% | 7.5% | Better |
| New/worsened incontinence | 21.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,632
How This Grade Was Calculated
This facility's grade of B is based on a score of 82 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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