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Data / Nursing homes / Texas / Legend Oaks Healthcare and Rehabilitation, New BR

Legend Oaks Healthcare and Rehabilitation, New BR, New Braunfels, TX: 3 star rating, no fines

Legend Oaks Healthcare and Rehabilitation, New BR in New Braunfels, TX is owned by Guadalupe County Hospital Board, is rated 3 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 38 health citations from inspections in that time, the latest survey on May 20, 2026, and none of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
2468 FM 1101, New Braunfels, TX 78130
Overall rating
3 of 5 stars
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
126
Residents per day
113 on average
Ownership type
Government, Hospital district
Legal business name
Guadalupe County Hospital Board
Chain
The Ensign Group, 347 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
38, of which 0 with actual harm or immediate jeopardy
Latest survey
May 20, 2026
CMS Certification Number
676392
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 20, 2026F814Dispose of garbage and refuse properly.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 20, 2026F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 20, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 20, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 20, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 20, 2026F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 27, 2026data.cms.gov
May 20, 2026F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
April 29, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 6, 2026data.cms.gov
September 10, 2025F887Educate 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
September 10, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 15, 2025data.cms.gov
March 28, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2025data.cms.gov
March 28, 2025F946Provide training in compliance and ethics.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2025data.cms.gov
March 28, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2025data.cms.gov
March 28, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2025data.cms.gov
March 28, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2025data.cms.gov
March 28, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2025data.cms.gov
March 28, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2025data.cms.gov
March 28, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 29, 2025data.cms.gov
March 28, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 31, 2025data.cms.gov
March 28, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 2, 2025data.cms.gov
March 28, 2025F700Try 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 31, 2025data.cms.gov
March 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 2, 2025data.cms.gov
March 28, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2025data.cms.gov
March 28, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 31, 2025data.cms.gov
March 28, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 31, 2025data.cms.gov
February 6, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
February 6, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 12, 2025data.cms.gov
February 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
February 6, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
August 3, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2024data.cms.gov
August 3, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2024data.cms.gov
February 29, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceFebruary 27, 2024data.cms.gov
January 27, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 29, 2024data.cms.gov
January 27, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 29, 2024data.cms.gov
January 27, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 29, 2024data.cms.gov
January 27, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 27, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2024data.cms.gov
January 20, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 20, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (4 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Guadalupe County Hospital BoardDirect owner100%April 1, 2019data.cms.gov
Riverwalk Healthcare IncOperational or managerial controlNot listedApril 1, 2019data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedMay 1, 2016data.cms.gov
National Health Investors, Inc.Additional disclosable partyNot listedApril 1, 2019data.cms.gov
Riverwalk Healthcare IncAdditional disclosable partyNot listedOctober 7, 2025data.cms.gov
Texas Nhi Investors, LLCAdditional disclosable partyNot listedApril 1, 2019data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.