Data / Nursing homes / Texas / Legend Oaks Healthcare and Rehabilitation, West S
Legend Oaks Healthcare and Rehabilitation, West S, San Antonio, TX: 3 star rating, fined $8,632 across 1 fine
Legend Oaks Healthcare and Rehabilitation, West S in San Antonio, TX is owned by Dewitt Medical District, is rated 3 of 5 stars by Medicare, and was fined $8,632 across 1 fine in the three years to October 1, 2026. CMS lists 15 health citations from inspections in that time, the latest survey on June 12, 2026, and 1 of them found actual harm or immediate jeopardy.
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- Address
- 222 Bertetti Dr, San Antonio, TX 78227
- Overall rating
- 3 of 5 stars
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
- Certified beds
- 124
- Residents per day
- 102 on average
- Ownership type
- For profit, corporation
- Legal business name
- Dewitt Medical District
- Chain
- The Ensign Group, 347 facilities
- Fines
- $8,632 across 1 fine, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 15, of which 1 with actual harm or immediate jeopardy
- Latest survey
- June 12, 2026
- CMS Certification Number
- 676312
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| April 12, 2024 | Fine | $8,632 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| June 12, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 3, 2026 | data.cms.gov |
| June 12, 2026 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 3, 2026 | data.cms.gov |
| April 23, 2026 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 14, 2026 | data.cms.gov |
| April 23, 2026 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 14, 2026 | data.cms.gov |
| January 29, 2026 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 18, 2026 | data.cms.gov |
| January 29, 2026 | F812 | Procure 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 harm | Corrected | February 18, 2026 | data.cms.gov |
| January 29, 2026 | F761 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 18, 2026 | data.cms.gov |
| January 29, 2026 | F755 | Provide 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 harm | Corrected | February 18, 2026 | data.cms.gov |
| January 29, 2026 | F641 | Ensure each resident receives an accurate assessment. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 18, 2026 | data.cms.gov |
| January 29, 2026 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 18, 2026 | data.cms.gov |
| December 9, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 10, 2025 | data.cms.gov |
| October 31, 2024 | F657 | Develop 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 harm | Corrected | November 22, 2024 | data.cms.gov |
| October 31, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | November 22, 2024 | data.cms.gov |
| April 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J: isolated, immediate jeopardy | Corrected | April 15, 2024 | data.cms.gov |
| April 12, 2024 | F609 | Timely 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 harm | Corrected | April 15, 2024 | data.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.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Dewitt Medical District | Indirect owner | 100% | April 1, 2017 | data.cms.gov |
| Bertetti Healthcare, Inc. | Operational or managerial control | Not listed | April 1, 2017 | data.cms.gov |
| Bertetti Healthcare, Inc. | Additional disclosable party | Not listed | October 24, 2025 | data.cms.gov |
| Ensign Services Inc | Additional disclosable party | Not listed | May 1, 2016 | data.cms.gov |
| National Health Investors, Inc. | Additional disclosable party | Not listed | April 1, 2017 | data.cms.gov |
| Texas Nhi Investors, LLC | Additional disclosable party | Not listed | April 1, 2017 | data.cms.gov |
Also on SpecStream
- All nursing homes in Texas
- Every nursing home Dewitt Medical District owns or manages
- Every nursing home Ensign Services Inc owns or manages
- This facility on Medicare Care Compare
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.