C

LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR

2468 FM 1101, NEW BRAUNFELS, TX 78130
Score: 56 / 100

Legend Oaks Healthcare And Rehabilitation - New Br is an average performer in CMS ratings, earning a C grade with a score of 56/100. Located in New Braunfels, Texas, the facility meets baseline standards across most quality metrics.

Staffing at Legend Oaks Healthcare And Rehabilitation - New Br is near the national average, with 3.52 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 35 deficiencies at Legend Oaks Healthcare And Rehabilitation - New Br. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.52 3.8 Average
Registered Nurses (RN) 0.37 0.7 Below Average
Licensed Practical Nurses (LPN) 0.93 0.7 Above Average
Certified Nursing Assistants (CNA) 2.22 2.4 Average
Weekend Total Nursing 3.06 3.8 Below Average
Weekend RN Hours 0.37 0.7 Below Average

🔍 Inspection & Deficiency History

35
Total Deficiencies
Sep 9, 2025
Most Recent Inspection
🟠 35 Moderate
View recent deficiencies (5 shown)
  • Tag 0804 Severity E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Sep 9, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0887 Severity D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document
    Sep 9, 2025 · Infection Control Deficiencies
  • Tag 0695 Severity E
    Provide safe and appropriate respiratory care for a resident when needed.
    Mar 27, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Mar 27, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Mar 27, 2025 · Pharmacy Service 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 2.6% 4.5% Better
Falls with major injury 4.4% 3.0% Worse
On antipsychotic medication 5.8% 14.5% Better
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 23.4% 14.0% Worse
Excessive weight loss 0.8% 7.5% Better
New/worsened incontinence 18.5% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 56 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
126
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 27, 2025
Deficiencies (Cycle 1)
17