Total health inspections
7
Texas average 7.4
Last Health inspection on Nov 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Legend Oaks Rehabilitation and Healthcare – Kyle
Nursing Home
Legend Oaks Rehabilitation and Healthcare – Kyle
Nursing Home
Overview of Legend Oaks Rehabilitation and Healthcare – Kyle
In the heart of Kyle, Texas, sits Legend Oaks Rehabilitation and Healthcare – Kyle, a for-profit nursing home dedicated to providing exceptional care and services. Certified by Medicaid and Medicare, this facility stands equipped to offer both short-term rehabilitation and long-term care services, boasting a capacity of 126 beds inclusive of private and semi-private rooms. It’s not just a facility; it’s a place where residents rediscover their strength and mobility, forging a new home filled with care and support.
At Legend Oaks, a talented and devoted staff collaborates closely with residents, their families, and healthcare providers to craft comprehensive care and treatment plans. The facility’s in-house therapy team blends cutting-edge techniques with hands-on approaches, ensuring a tailored and effective approach to rehabilitation and care. Beyond the exceptional care, Legend Oaks fosters an environment brimming with diverse activities curated to suit individual preferences, promoting an active lifestyle for residents.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
126
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
86.1%
Residents per day (avg)
113
Occupancy rate
86.1%
Residents per day (avg)
113
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
69% of new residents, often for short stays.
Typical stay
1 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
5 years
Finances and operations
Governmental home
Facility District
Home revenue
$16.1M
Surplus of revenue
$1.2M
Governmental home
Facility District
Home revenue
$16,057,092.00
Surplus of revenue
$1,219,163.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$14.8M
126-bed community
A larger shared setting that may offer more common spaces and organized community services.
15 years in operation
A community with a solid operating history and experience delivering ongoing care.
Walk Score: 26 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Services
About this community
Facility Type
Nursing
License Date
January 4, 2023
License Expiration
January 4, 2026
Additional licensing details
License number:
147275
Year opened:
2/8/2011
County:
HAYS
Ownership & operating entity
Legend Oaks Rehabilitation and Healthcare – Kyle is administrated by GABRIEL BARRAZA.
Management company:
TREATY HEALTHCARE INC
Owner:
GUADALUPE COUNTY HOSPITAL BOARD
Ownership type:
HOSPITAL DISTRICT/AUTHORITY
Type Of Units
Medicaid and Medicare
126 units
Total beds
126 units
Staffing
Key information about the people who lead and staff this community.
Leadership
Administrator email:
[email protected]
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
Programs & Activities
Specific Programs
In-house Therapy, Skilled Nursing, Stay Active, Activities & Excursions, Church Services
Religious Services
Yes
Types of Care at Legend Oaks Rehabilitation and Healthcare – Kyle
Memory Care
Nursing Home
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Compare Nursing Homes around Kyle
The information below is reported by the Texas Health and Human Services Commission.
Legend Oaks Rehabilitation and Healthcare – Kyle
-37%
-6%
+36%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Kyle
126
No
26
TREATY HEALTHCARE, INC
86.1%
$16,055,694.00
$6,951,299.00
43.3%
113.40
3.4208
25
-37%-6%+36%
Legend Oaks Rehabilitation and Healthcare – Kyle
Type of care:
SNF
AL
Community:
Kyle
Bed Count:
126
Pets Allowed:
No
Operator:
TREATY HEALTHCARE, INC
CCN:
676272
Occupancy:
86.1%
Home Revenue:
$16,055,694.00
Payroll Costs:
$6,951,299.00
Payroll %:
43.3%
Avg Residents/Day:
113.40
Overall Rating:
Adj Nurse Hours:
3.4208
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
25
RN share vs State Avg:
-37%
-37%
Staffing vs State Avg:
-6%
-6%
Occupancy vs State Avg:
+36%
+36%Places of interest near Legend Oaks Rehabilitation and Healthcare – Kyle
2.7 miles from city center — 2.34 miles to nearest hospital (Ascension Seton Hays)
1640 Fairway, Kyle, TX 78640
Calculate Travel Distance to Legend Oaks Rehabilitation and Healthcare – Kyle
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
170
Total Staff
167
Employees
3
Contractors
45,135
Total Hours (Quarter)
62
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 9.4 | No |
| Licensed Practical Nurse | 23 | 9.8 | No |
| Certified Nursing Assistant | 74 | 7.6 | No |
Staff by Category
Administration ⓘ
2 staff
8.4hs shift avg
Nursing Staff ⓘ
119 staff
8.4hs shift avg
Physicians & Practitioners ⓘ
6 staff
8.7hs shift avg
Therapy Services ⓘ
29 staff
6.9hs shift avg
Activities & Recreation ⓘ
1 staff
6hs shift avg
Social Services ⓘ
8 staff
7hs shift avg
Dietary Services ⓘ
3 staff
7.3hs shift avg
Other Services ⓘ
2 staff
7hs shift avg
Contractor Analysis
0.5%
of total hours from contractors
228 contractor hours this quarter
Medical Director: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 74 | 0 | 74 | 17,027 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 23 | 0 | 23 | 7,952 | 91 | 100% | 9.8 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,912 | 91 | 100% | 9 |
| Physical Therapy Aide | 7 | 0 | 7 | 2,185 | 91 | 100% | 7.4 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 2,074 | 84 | 92% | 6.5 |
| Physical Therapy Assistant | 8 | 0 | 8 | 1,900 | 88 | 97% | 6.5 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,832 | 70 | 77% | 7.2 |
| Registered Nurse | 8 | 0 | 8 | 1,793 | 86 | 95% | 9.4 |
| Qualified Social Worker | 8 | 0 | 8 | 1,755 | 76 | 84% | 7 |
| RN Director of Nursing | 4 | 0 | 4 | 1,682 | 65 | 71% | 9 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,258 | 66 | 73% | 8.6 |
| Dental Services Staff | 2 | 0 | 2 | 647 | 64 | 70% | 7 |
| Nurse Practitioner | 2 | 0 | 2 | 594 | 65 | 71% | 9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 2 | 0 | 2 | 504 | 63 | 69% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 185 | 31 | 34% | 6 |
| Medical Director | 0 | 1 | 1 | 110 | 10 | 11% | 11 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 90 | 15 | 16% | 6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 88 | 8 | 9% | 11 |
| Occupational Therapy Aide | 0 | 1 | 1 | 31 | 3 | 3% | 10.2 |
Health Inspection History
Inspections
Total health citations
25
Citations per inspection
3.57
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 25 citations resulted from standard inspections; and 10 of 25 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
0 critical citations
0 serious citations
25 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Nov 20, 2024
Corrected
Infection Control moderate citation
Nov 20, 2024
Corrected
Environmental moderate citation
Sep 05, 2024
Corrected
Nutrition moderate citation
Sep 05, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Ensign Group
Resident Census by Payment Source
107
Total Residents
Medicare
10
(9.3%)
ⓘ
Medicaid
57
(53.3%)
ⓘ
Private Pay/Other
40
(37.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
73% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.5
77% worse than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
33.0%
Percent of long-stay residents whose need for help with daily activities has increased
33.0%
104% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
35.3%
Percent of long-stay residents whose ability to move independently worsened
35.3%
118% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
9% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
35% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.6%
Percent of long-stay high risk residents with pressure ulcers
3.6%
20% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
15% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.3%
Percent of long-stay residents who lose too much weight
0.3%
90% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.0%
Percent of long-stay residents who have depressive symptoms
1.0%
65% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.1%
Percent of long-stay residents who received an antipsychotic medication
3.1%
61% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.6%
11% worse than Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.67
Number of hospitalizations per 1,000 long-stay resident days.
1.67
22% better than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.11
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.11
46% better than Texas averageTexas average: 2.07
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.5%
In line with Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
8% better than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.5%
29% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.7%
19% better than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
56.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.6%
5% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
60.6%
Rate of successful return to home or community from a skilled nursing facility.
60.6%
20% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Legend Oaks Rehabilitation and Healthcare – Kyle based on CMS SNF Cost Reports.
Occupancy Rate
86.1%
↑ 10.7pp vs 2022
Net Income
$1,219,163
↑ ~$319K vs 2022
Total Payroll
$8,000,324
↑ ~$827K vs 2022
Profit Margin
7.6%
↑ 1.3pp vs 2022
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