Legend Oaks Healthcare and Rehabilitation - West S: Staffing, Turnover, and Inspection Record
Legend Oaks Healthcare and Rehabilitation - West S is a 124-bed for-profit nursing home in San Antonio, Texas, part of The Ensign Group. In the CMS August 2026 release it reported 2.12 nurse aide hours per resident per day, 6% above the Texas average of 2.00, and 20.7% nursing staff turnover (Texas average 55.3%).
Legend Oaks Healthcare and Rehabilitation - West S
222 Bertetti DrSan Antonio, TX 78227
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 - West S, nurse aides logged 2.12 hours per resident per day, 6% above the Texas average. With about 109 residents a day, that works out to roughly 230 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.12 | 2.00 | 2.32 |
| Licensed practical nurses | 0.99 | 0.95 | 0.86 |
| Registered nurses | 0.53 | 0.43 | 0.69 |
| All nursing staff | 3.64 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.20 | 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
20.7% of nursing staff at Legend Oaks Healthcare and Rehabilitation - West S left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 18.2%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 29, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $8,632 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 12, 2024 | Fine | $8,632 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
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 - West S holds 3 of 5 overall; the Texas average is 2.6.
About Legend Oaks Healthcare and Rehabilitation - West S
- Ownership: For profit - Corporation
- Chain: The Ensign Group, 342 homes
- Legal name: Dewitt Medical District
- Medicare and Medicaid certified since: May 31, 2012
- Councils: resident council
- Area: urban
Nursing homes near Legend Oaks Healthcare and Rehabilitation - West S
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Mission at Blue Skies of Texas East San Antonio | 1.2 | 80 | 2.72 | 4.87 | 57.6% | 5 | $17,345 |
| Lakeside Nursing and Rehabilitation Center San Antonio | 2.3 | 118 | 2.02 | 3.33 | 36.8% | 5 | $14,611 |
| Westover Hills Rehabilitation and Healthcare San Antonio | 3.7 | 124 | 2.05 | 3.56 | 29.2% | 4 | $20,156 |
| Windemere at Westover Hills San Antonio · staffing data not validated | 4.2 | 112 | — | — | 57.0% | 2 | $8,281 |
| Harbor Valley Health and Rehabilitation San Antonio · abuse citation | 4.4 | 120 | 2.38 | 3.58 | 43.8% | 2 | $18,989 |
| Las Colinas of Westover San Antonio | 4.9 | 140 | 2.02 | 3.34 | 43.9% | 2 | $38,630 |
| Silver Creek Nursing and Rehabilitation San Antonio | 6.0 | 120 | 1.84 | 3.04 | 39.7% | 3 | None |
| San Antonio West Nursing and Rehabilitation San Antonio | 6.3 | 135 | 1.52 | 2.75 | 63.6% | 1 | $364,695 |
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.