Senior Care Grader

Legend Oaks Healthcare and Rehabilitation

F57
Address
1640 Fairway, Kyle, TX 78640
Phone
512-268-1003
CMS
★★★☆☆3 of 5
Beds
126
Owner
For profit - Limited Liability company

Why this grade

Health inspections
D
60

Federal inspection star: 3

Staffing
F
40

Federal staffing star: 2

Quality measures
D
60

Federal quality star: 3

Safety
C
70

-5: Minor deficiency, May 26, 2026 · -5: Minor deficiency, Jan 29, 2026 · -5: Minor deficiency, Dec 12, 2025 · -5: Minor deficiency, Nov 20, 2024 · -5: Minor deficiency, Sep 5, 2024

Inspection history

Findings from federal nursing-home surveys published by CMS. Severity letters come from the official inspection grid.

  • ·health survey

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning
    Severity E
    Potential for more than minimal harm
  • ·health survey

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Resident Rights
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Provide and implement an infection prevention and control program.

    Infection Control
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Environmental
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Pharmacy Service
    Severity E
    Potential for more than minimal harm
  • ·health survey

    Dispose of garbage and refuse properly.

    Nutrition and Dietary
    Severity D
    Potential for more than minimal harm