Legend Oaks Healthcare and Rehabilitation - New BRCMS ratings, inspections and fines
- Address
- 2468 Fm 1101, New Braunfels, TX 78130
- CCN
- 676392
- Ownership type
- Government, hospital district
- Certified beds
- 126
- Chain
- The Ensign Group
- Residents per day
- 115
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Legend Oaks Healthcare and Rehabilitation - New BR an overall rating of 3 of 5 stars. The last standard survey was on 20 May 2026. The latest survey cycle has 10 health citations. The median for nursing homes in Texas is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Comal County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 6 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 20 May 2026 | 10 | 8 |
| Cycle 2 | 28 Mar 2025 | 21 | 8 |
| Cycle 3 | No date | 7 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 11 Jun 2026 |
| 20 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 27 May 2026 |
| 20 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Jun 2026 |
| 20 May 2026 | F0761 | 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. | D | Standard survey | 11 Jun 2026 |
| 20 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 11 Jun 2026 |
| 20 May 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 11 Jun 2026 |
| 20 May 2026 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 11 Jun 2026 |
| 29 Apr 2026 | F0761 | 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. | D | Complaint investigation | 6 May 2026 |
| 10 Sep 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 15 Sep 2025 |
| 10 Sep 2025 | F0887 | Educate 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 | Complaint investigation | 15 Sep 2025 |
Survey cycle 2: 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 31 Mar 2025 |
| 28 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Mar 2025 |
| 28 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 3 Apr 2025 |
| 28 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 2 Apr 2025 |
| 28 Mar 2025 | F0700 | Try 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 | Standard survey | 31 Mar 2025 |
| 28 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 2 Apr 2025 |
| 28 Mar 2025 | F0761 | 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. | D | Standard survey | 31 Mar 2025 |
| 28 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Mar 2025 |
| 28 Mar 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard survey | 3 Apr 2025 |
| 28 Mar 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard survey | 3 Apr 2025 |
| 28 Mar 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 3 Apr 2025 |
| 28 Mar 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard survey | 3 Apr 2025 |
| 28 Mar 2025 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Standard survey | 3 Apr 2025 |
| 28 Mar 2025 | F0946 | Provide training in compliance and ethics. | D | Standard survey | 3 Apr 2025 |
| 28 Mar 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard survey | 3 Apr 2025 |
| 6 Feb 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 7 Feb 2025 |
| 6 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 7 Feb 2025 |
| 6 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 12 Feb 2025 |
| 6 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 7 Feb 2025 |
| 3 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Aug 2024 |
| 3 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 Aug 2024 |
Survey cycle 3: 7 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 27 Feb 2024 |
| 27 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Feb 2024 |
| 27 Jan 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 16 Feb 2024 |
| 27 Jan 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 29 Feb 2024 |
| 27 Jan 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 29 Feb 2024 |
| 27 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 29 Jan 2024 |
| 20 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 20 Mar 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.30 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.45 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.71 | 0.95 | |
| Nurse aides | 2.15 | 2.00 | |
| All nurse staff, weekends | 2.87 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 49.5%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 53.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.7% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, hospital district
- Legal business name
- Guadalupe County Hospital Board
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Guadalupe County Hospital Board | 5% or greater direct ownership interest | 100% | 1 Apr 2019 |
| Riverwalk Healthcare Inc | Operational/managerial control | 1 Apr 2019 | |
| Ensign Services Inc | Adp of the snf | 1 May 2016 | |
| National Health Investors, Inc. | Adp of the snf | 1 Apr 2019 | |
| Riverwalk Healthcare Inc | Adp of the snf | 7 Oct 2025 | |
| Texas Nhi Investors, LLC | Adp of the snf | 1 Apr 2019 |
The site shows organisations only. It does not show the names of persons.
Other homes in Comal County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avir at New Braunfels | New Braunfels | 1 of 5 | 26 | $163,819 | 29 Aug 2025 | |
| Sundance Inn Health Center | New Braunfels | 2 of 5 | 12 | $6,364 | 28 Aug 2025 | |
| Eden Home | New Braunfels | 3 of 5 | 15 | $45,130 | 20 Mar 2026 | |
| Kirkwood Manor | New Braunfels | 2 of 5 | 15 | $29,026 | 10 Apr 2026 | |
| The Heights of Bulverde | Spring Branch | 2 of 5 | 16 | $0 | 25 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Legend Oaks Healthcare and Rehabilitation - New BR (CCN 676392). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/legend-oaks-healthcare-and-rehabilitation-new-br-new-braunfels-tx-676392/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Legend Oaks Healthcare and Rehabilitation - New BR last inspected?
- The latest inspection with a citation in the CMS record was on 20 May 2026. It was a standard survey. It gave 7 citations. The standard survey before the last one was on 28 Mar 2025.
- Who operates Legend Oaks Healthcare and Rehabilitation - New BR?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain The Ensign Group. The CMS ownership file names Riverwalk Healthcare Inc for operational or managerial control. This site does not show the names of persons.
- Is Legend Oaks Healthcare and Rehabilitation - New BR a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.