Legend Oaks West Rehab

Nursing Home
Overview of Legend Oaks West Rehab

Legend West Rehab keeps one thing in mind when providing its service: enhancing the lives of its residents. Management and staff approach their service with the understanding that their residents need a sense of healing– both on the physical and emotional levels. The staff ensures residents are inspired to grow as better individuals through their enhanced lifestyle in a vibrant and positive environment. Legend West Rehab is committed to ensuring that residents are comfortable and secure in the community.
Services at Legend West Rehab is a short-term rehabilitation community where its services revolve around improving the quality of life for residents; found through their list of activities and programs that help residents maintain an active lifestyle. Some community amenities include lounge areas, recreational rooms, a fitness center, in-house therapy, housekeeping, and laundry services.

(210) 673-1700

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Texas average: 2.8/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Texas average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Texas average: 2.1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Texas average: 3.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 51m per day

This home provides 6% more nursing time per resident than the state average.

Texas average: 3h 38m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 28m per day 26m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 1h 4m per day 57m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 1h 58m per day 2h 1m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 6m per day 2h 59m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 6m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 21m per day 21m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 124

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Texas average
Occupancy rate 85.1%
Residents per day (avg) 110
Occupancy rate
85.1%
Residents per day (avg)
110

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

10% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

88% of new residents, often for short stays.

Typical stay 23 days

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 3 years

Finances and operations

Governmental home
Facility District
Home revenue
$14.7M
Surplus of revenue
$1.0M
Governmental home Facility District
Home revenue
$14,664,464.00
Surplus of revenue
$1,032,514.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.9M
46.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.8M
Total costs $13.6M
Contact Legend Oaks West Rehab

Compare Nursing Homes around San Antonio

The information below is reported by the Texas Health and Human Services Commission.
Legend Oaks West Rehab
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

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124
No
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No
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WEISER, TIFFANY
58.8%
$9,001,708.00
$3,781,873.00
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27.40
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4.7792
3/5
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4/5
1
18
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+32%
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Blue Skies of Texas East
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

San Antonio (Valley High North)
80
No
47
AIR FORCE VILLAGE INC
68.3%
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30%
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Places of interest near Legend Oaks West Rehab

Address 9.7 miles from city center — 4.19 miles to nearest hospital (Urology San Antonio (Westover Hills))

Address 222 Bertetti Dr, San Antonio, TX 78227

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

134
Total Staff
131
Employees
3
Contractors
46,935
Total Hours (Quarter)
63
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse117.7 No
Licensed Practical Nurse258.5 No
Certified Nursing Assistant418.2 No
Staff by Category
Administration
2 staff
7.2hs shift avg
Nursing Staff
89 staff
8.5hs shift avg
Physicians & Practitioners
4 staff
8.9hs shift avg
Therapy Services
29 staff
7.3hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
5 staff
8.1hs shift avg
Dietary Services
2 staff
8.4hs shift avg
Other Services
3 staff
8hs shift avg
Contractor Analysis
0.5%
of total hours from contractors
256 contractor hours this quarter
Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4104116,23091100%8.2
Licensed Practical Nurse250257,94991100%8.5
Registered Nurse110113,44791100%7.7
Physical Therapy Aide7073,0518897%7.7
Speech Language Pathologist110112,99091100%7.6
Medication Aide/Technician7072,98991100%11.3
RN Director of Nursing5052,3046571%8.9
Dental Services Staff3031,5206571%8
Physical Therapy Assistant4041,4206976%7.7
Qualified Social Worker5051,1717481%8.1
Respiratory Therapy Technician5059598290%7.2
Nurse Practitioner1015856571%9
Dietitian1015756673%8.7
Clinical Nurse Specialist3035615965%8.9
Administrator1015206571%8
Other Dietary Services Staff1014095156%8
Occupational Therapy Assistant0111155358%2.2
Occupational Therapy Aide011961314%7.4
Medical Director011451314%3.5

Health Inspection History

Inspections
Total health inspections 4

Texas average 7.4


Last Health inspection on Oct 2024

Total health citations 11
Citations per inspection
2.75

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

9 of 11 citations resulted from standard inspections; and 2 of 11 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
50% better than Texas average

Texas average: 2


Serious Health citations More info 0
100% better than Texas average

Texas average: 0.4

1 critical citation More info Texas average: 2

0 serious citations More info Texas average: 0.4

10 moderate citations More info Texas average: 23

0 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Care Planning moderate citation Oct 31, 2024
Corrected

Resident Rights moderate citation Oct 31, 2024
Corrected

Abuse/Neglect moderate citation Apr 12, 2024
Corrected

Quality of Care critical citation Apr 12, 2024
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Part of: Keystone Care, LLC
Resident Census by Payment Source
107 Total Residents
Medicare 29 (27.1%)
Medicaid 61 (57%)
Private Pay/Other 17 (15.9%)
Programs & Services
Residents' Group
Nurse Aide Training
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.6
58% worse than Texas average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 27.1
69% worse than Texas average

Texas average: 16.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.1%
18% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 38.9%
140% worse than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.3%
49% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.3%
60% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.4%
45% better than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.0%
23% worse than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.4%
84% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.0%
108% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.0%
87% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.84
14% better than Texas average

Texas average: 2.13

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.75
64% better than Texas average

Texas average: 2.07

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
10% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
74% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1%
11% better than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.2%
In line with Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.6%
In line with Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 59.1%
10% better than Texas average

Texas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 62.2%
23% better than Texas average

Texas average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $9K
89% lower than Texas average

Texas average: $80K

Number of fines 1
60% fewer fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $9K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 12, 2024
$9K

Last updated: Jan 2026

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Financial Aid for Texas Seniors

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Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Texas Community Care Services

TX CCS

Age 60+, Texas resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; high demand in urban areas.

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+, TX resident; no income/asset limits.

None; donations encouraged.

Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled, TX resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized, TX resident, low-income.

~$3,970/month (185% FPL).

Not assessed.

Priority for elderly/disabled; covers gas, electric, propane.

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed.

High rural demand; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+, unemployed, low-income, TX resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+, TX resident, homeowner (homestead).

None; tax-based eligibility.

Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+, TX resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

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