Legend Oaks Healthcare and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Legend Oaks Healthcare and Rehabilitation Center is a 126-bed for-profit nursing home in San Antonio, Texas, part of The Ensign Group. In the CMS August 2026 release it reported 1.96 nurse aide hours per resident per day, about the same as the Texas average of 2.00, and 46.2% nursing staff turnover (Texas average 55.3%).
Legend Oaks Healthcare and Rehabilitation Center
2003 W Hutchins PlaceSan Antonio, TX 78224
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Legend Oaks Healthcare and Rehabilitation Center, nurse aides logged 1.96 hours per resident per day, about the same as the Texas average. With about 108 residents a day, that works out to roughly 211 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.96 | 2.00 | 2.32 |
| Licensed practical nurses | 1.24 | 0.95 | 0.86 |
| Registered nurses | 0.42 | 0.43 | 0.69 |
| All nursing staff | 3.62 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.17 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
46.2% of nursing staff at Legend Oaks Healthcare and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 4, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Legend Oaks Healthcare and Rehabilitation Center holds 3 of 5 overall; the Texas average is 2.6.
About Legend Oaks Healthcare and Rehabilitation Center
- Ownership: For profit - Individual
- Chain: The Ensign Group, 342 homes
- Legal name: Dewitt Medical District
- Medicare and Medicaid certified since: Oct 10, 2006
- Councils: resident council
- Area: urban
Nursing homes near Legend Oaks Healthcare and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at San Antonio San Antonio · many days without an RN | 0.8 | 119 | 1.70 | 2.63 | 60.7% | 1 | $29,494 |
| Hunters Pond Rehabilitation and Healthcare San Antonio | 1.8 | 128 | 2.09 | 3.31 | 40.0% | 3 | $66,531 |
| San Jose Nursing Center San Antonio | 1.9 | 55 | 1.97 | 3.16 | 33.3% | 3 | None |
| Windsor Mission Oaks San Antonio | 3.8 | 150 | 1.60 | 2.74 | 23.2% | 3 | $10,842 |
| San Antonio West Nursing and Rehabilitation San Antonio | 4.3 | 135 | 1.52 | 2.75 | 63.6% | 1 | $364,695 |
| Harbor Valley Health and Rehabilitation San Antonio · abuse citation | 4.7 | 120 | 2.38 | 3.58 | 43.8% | 2 | $18,989 |
| The Rio at Mission Trails San Antonio | 5.1 | 124 | 2.14 | 3.71 | 97.2% | 1 | $153,825 |
| Highland Nursing Center San Antonio · staffing data not validated | 6.4 | 53 | — | — | 42.4% | 1 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.