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Legend Oaks Healthcare and Rehabilitation-Kyle

1640 Fairway
Kyle, TX 78640 · 5122681003 · Hays County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds126
OwnershipFor profit - Limited Liability company
State rank#415

By the numbers

29
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$8,407
Federal fines (CMPs)
The trend: Citations are trending down — 8 in the most recent cycle versus 12 two cycles ago.

Recent Health Citations

May 26, 2026 · Health survey · F-tag 0842
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 26, 2026 · Health survey · F-tag 0695
E — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jan 29, 2026 · Health survey · F-tag 0552
D — No actual harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Jan 29, 2026 · Health survey · F-tag 0584
E — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Dec 12, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 12, 2025 · Health survey · F-tag 0636
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Dec 12, 2025 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 12, 2025 · Health survey · F-tag 0686
G — Actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Details
Correction status: Corrected Dec 18, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Standard survey
Nov 20, 2024 · Health survey · F-tag 0600
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Nov 20, 2024 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 5, 2024 · Health survey · F-tag 0919
D — No actual harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Sep 5, 2024 · Health survey · F-tag 0791
D — No actual harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Sep 5, 2024 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Sep 5, 2024 · Health survey · F-tag 0578
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Sep 5, 2024 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Sep 5, 2024 · Health survey · F-tag 0583
E — No actual harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Sep 5, 2024 · Health survey · F-tag 0550
E — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nov 21, 2023 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 10, 2023 · Health survey · F-tag 0758
E — No actual harm
Pharmacy Service Deficiencies
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.
Aug 10, 2023 · Health survey · F-tag 0658
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Texas →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.