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Legend Oaks Healthcare and Rehabilitation - West S

222 Bertetti Dr
San Antonio, TX 78227 · 2106731700 · Bexar County

CMS Star Ratings

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

Facility Facts

Certified beds124
OwnershipFor profit - Corporation
State rank#425

By the numbers

20
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$8,632
Federal fines (CMPs)
The trend: Citations are rising — 11 in the most recent cycle versus 7 two cycles ago.

Recent Health Citations

Jun 12, 2026 · Health survey · F-tag 0609
E — 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.
Jun 12, 2026 · 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.
Apr 23, 2026 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 23, 2026 · Health survey · F-tag 0690
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Jan 29, 2026 · Health survey · F-tag 0755
D — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 29, 2026 · Health survey · F-tag 0628
D — No actual harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Jan 29, 2026 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 29, 2026 · 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.
Jan 29, 2026 · Health survey · F-tag 0761
E — No actual harm
Pharmacy Service Deficiencies
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.
Jan 29, 2026 · Health survey · F-tag 0641
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Dec 9, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 31, 2024 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Oct 31, 2024 · Health survey · F-tag 0576
F — No actual harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Apr 12, 2024 · 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.
Apr 12, 2024 · Health survey · F-tag 0689
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Apr 15, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation
Sep 15, 2023 · Health survey · F-tag 0812
D — 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 15, 2023 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 15, 2023 · Health survey · F-tag 0645
D — No actual harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Sep 15, 2023 · Health survey · F-tag 0644
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Sep 15, 2023 · Health survey · F-tag 0638
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.

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.