3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 81st out of 296 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ■ Avg State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 3m per day | ▲ 10% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 0m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 2m per day | ■ Avg State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 26% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 11% State avg: 21m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% fewer staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursAssists with medical care and medications.
All 23 LPN Staff are full-time employees. No contractors work on this role.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 40 CNA Staff are full-time employees. No contractors work on this role.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
235 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 40 | 0 | 40 | 16,996 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 23 | 0 | 23 | 8,388 | 92 | 100% | 8.7 |
| Medication Aide/Technician | 7 | 0 | 7 | 3,283 | 92 | 100% | 11.3 |
| Registered Nurse | 13 | 0 | 13 | 3,197 | 92 | 100% | 7 |
| Physical Therapy Aide | 10 | 0 | 10 | 2,958 | 91 | 99% | 6.5 |
| Speech Language Pathologist | 9 | 0 | 9 | 2,871 | 92 | 100% | 7.2 |
| RN Director of Nursing | 6 | 0 | 6 | 2,241 | 66 | 72% | 8.8 |
| Dental Services Staff | 3 | 0 | 3 | 1,536 | 66 | 72% | 8 |
| Qualified Social Worker | 5 | 0 | 5 | 1,397 | 73 | 79% | 7.4 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,383 | 76 | 83% | 7.4 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 853 | 82 | 89% | 6.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 621 | 66 | 72% | 9 |
| Nurse Practitioner | 1 | 0 | 1 | 603 | 69 | 75% | 8.7 |
| Dietitian | 1 | 0 | 1 | 555 | 62 | 67% | 8.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 415 | 52 | 57% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 111 | 14 | 15% | 7.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 79 | 56 | 61% | 1.4 |
| Medical Director | 0 | 1 | 1 | 45 | 13 | 14% | 3.5 |
Includes penalties issued in 2024
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)
89% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 12, 2024 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 12, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.1
69% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
19.1%
18% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
38.9%
140% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.3%
49% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
60% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.0%
23% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
6.4%
84% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
6.0%
108% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
1.0%
87% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.84
14% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.75
64% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
10% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
74% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
11% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.2%
In line with Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.6%
In line with Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
59.1%
10% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
62.2%
23% 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.
10% of new residents, usually for short-term rehab.
88% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
107Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Legend Oaks West Rehab from 2013–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 09/2023.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #49 / 304Payroll — State benchmarkedThis home is ranked 49th out of 304 homes in Texas for Payroll. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #71 / 304Payroll % — State benchmarkedThis home is ranked 71st out of 304 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (88% of admissions), and a typical private pay stay runs around 23 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
9.7 miles from city center
Estimated distance in miles from San Antonio's city center to Legend Oaks West Rehab's address, calculated via Google Maps.
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The information below is reported by the Texas Health and Human Services Commission.
| The Army Residence Community Health Care Center | NH AL IL MC SNF | San Antonio (Northeast Side) | 30
Facility
30
TX AVG
80
Rank
#782 / 988 | - | - | 4.74
Facility
4.74
TX AVG
3.63
Rank
#36 / 296 | -10% | +31% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301 | 18
Facility
18
TX AVG
25.9
Rank
#103 / 299 | 4.5
Facility
4.5
TX AVG
3.7
Rank
#247 / 299 | - | 59 | - |
6
Facility
6
TX AVG
41
Rank
#1286 / 1391 | Army Retirement Residence Foundation San Antonio | $33.5MFiscal year ending 06/2024
Facility
$33.5MFiscal year ending 06/2024
TX AVG
$8.4M
Rank
#6 / 304 | $16.5MFiscal year ending 06/2024
Facility
$16.5MFiscal year ending 06/2024
TX AVG
$3.5M
Rank
#6 / 304 | 49.4%Fiscal year ending 06/2024
Facility
49.4%Fiscal year ending 06/2024
TX AVG
47%
Rank
#268 / 304 | 675697 | ||||
| Blue Skies of Texas East | NH AL HOS IL MC SNF | San Antonio (Valley High North) | 24
Facility
24
TX AVG
80
Rank
#798 / 988 | - | - | 6.51
Facility
6.51
TX AVG
3.63
Rank
#3 / 296 | -7% | +79% | $17.3k
Facility
$17.3k
TX AVG
$81.8k
Rank
#127 / 301 | 31
Facility
31
TX AVG
25.9
Rank
#224 / 299 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#133 / 299 | 2 | 53 | - |
47
Facility
47
TX AVG
41
Rank
#587 / 1391 | Air Force Village Inc | $10.3MFiscal year ending 06/2024
Facility
$10.3MFiscal year ending 06/2024
TX AVG
$8.4M
Rank
#63 / 304 | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
TX AVG
$3.5M
Rank
#44 / 304 | 52.2%Fiscal year ending 06/2024
Facility
52.2%Fiscal year ending 06/2024
TX AVG
47%
Rank
#84 / 304 | 676041 | ||||
| Saint Francis Nursing Home | NH AL IL | San Antonio (Midtown) | 116
Facility
116
TX AVG
80
Rank
#275 / 988 | - | - | 3.93
Facility
3.93
TX AVG
3.63
Rank
#4 / 296 | - | +8% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301 | -
Facility
-
TX AVG
25.9
Rank
#91 / 299 | -
Facility
-
TX AVG
3.7
Rank
#233 / 299 | - | 92 | - |
71
Facility
71
TX AVG
41
Rank
#124 / 1391 | - | -
Facility
-
TX AVG
$8.4M
Rank
#178 / 304 | -
Facility
-
TX AVG
$3.5M
Rank
#156 / 304 | -
Facility
-
TX AVG
47%
Rank
#123 / 304 | 45F410 | ||||
| Lakeside Nursing and Rehabilitation Center | NH SNF | San Antonio (Far West Side) | 120
Facility
120
TX AVG
80
Rank
#210 / 988 |
93.5%
Facility
93.5%
TX AVG
—
Rank
#40 / 304 | - | 3.42
Facility
3.42
TX AVG
3.63
Rank
#174 / 296 | +35% | -6% | $14.6k
Facility
$14.6k
TX AVG
$81.8k
Rank
#111 / 301 | 24
Facility
24
TX AVG
25.9
Rank
#178 / 299 | 3.4
Facility
3.4
TX AVG
3.7
Rank
#168 / 299 | 3 | 110 | - |
19
Facility
19
TX AVG
41
Rank
#1113 / 1391 | Crystal Lake Healthcare, Inc | $11.7MFiscal year ending 03/2024
Facility
$11.7MFiscal year ending 03/2024
TX AVG
$8.4M
Rank
#76 / 304 | $7.0MFiscal year ending 03/2024
Facility
$7.0MFiscal year ending 03/2024
TX AVG
$3.5M
Rank
#63 / 304 | 60.2%Fiscal year ending 03/2024
Facility
60.2%Fiscal year ending 03/2024
TX AVG
47%
Rank
#147 / 304 | 676325 | ||||
| Legend Oaks West Rehab | NH MC SNF | San Antonio (Far West Side) | 124
Facility
124
TX AVG
80
Rank
#178 / 988 |
89.0%
Facility
89.0%
TX AVG
—
Rank
#36 / 304 | - | 3.86
Facility
3.86
TX AVG
3.63
Rank
#81 / 296 | +28% | +6% | $8.6k
Facility
$8.6k
TX AVG
$81.8k
Rank
#94 / 301 | 11
Facility
11
TX AVG
25.9
Rank
#32 / 299 | 2.8
Facility
2.8
TX AVG
3.7
Rank
#94 / 299 | 1 | 110 | - |
24
Facility
24
TX AVG
41
Rank
#1040 / 1391 | Bertetti Healthcare, Inc | $13.5MFiscal year ending 09/2023
Facility
$13.5MFiscal year ending 09/2023
TX AVG
$8.4M
Rank
#79 / 304 | $7.8MFiscal year ending 09/2023
Facility
$7.8MFiscal year ending 09/2023
TX AVG
$3.5M
Rank
#49 / 304 | 57.9%Fiscal year ending 09/2023
Facility
57.9%Fiscal year ending 09/2023
TX AVG
47%
Rank
#71 / 304 | 676312 |
Legend Oaks West Rehab is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Legend Oaks West Rehab is in the Far West Side neighborhood.
Legend Oaks West Rehab has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
Legend Oaks West Rehab's occupancy is 85.1%.
Legend Oaks West Rehab is registered as a for-profit.
Yes — there are 5 photos of Legend Oaks West Rehab in the photo gallery on this page.
Legend Oaks West Rehab is located at 222 Bertetti Dr, San Antonio, TX 78227.
(210) 673-1700 will put you in contact with the team at Legend Oaks West Rehab.
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