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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 76th out of 289 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.
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5m per day | ▲ 26% State avg: 4m per day · National avg: 4m per day |
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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 |
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 hours
Assists 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 hours
Helps 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 average
Texas average: $80K
60% fewer fines than Texas average
Texas 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 average
Texas 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, 2024
Last 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 average
Texas average: 8.6
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
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 average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
38.9%
140% worse than Texas average
Texas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
60% better than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.0%
23% worse than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
6.4%
84% worse than Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
6.0%
108% worse than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
1.0%
87% better than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas average
Texas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.84
14% better than Texas average
Texas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.75
64% better than Texas average
Texas 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 average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
74% better than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
11% better than Texas average
Texas average: 88.0%
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%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.6%
In line with Texas average
Texas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas average
Texas average: 0.8%
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%
Rate of successful return to home or community from a skilled nursing facility.
62.2%
23% better than Texas average
Texas 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
107
Residents 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 2012–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #47 / 297Payroll — State benchmarkedThis home is ranked 47th out of 297 homes in Texas. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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.
— 4.19 miles to nearest hospital (Urology San Antonio (Westover Hills))
Add your location
Legend Oaks West Rehab is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
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| Mystic Park Nursing and Rehabilitation Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Antonio (Far West Side) |
119
Facility
119
TX AVG
80
Rank
#258 / 988
|
81.8%
Facility
81.8%
TX AVG
63.5%
Rank
#51 / 297
| +29% |
3.50
Facility
3.50
TX AVG
3.63
Rank
#140 / 289
| -5% | -4% |
$111.1k
Facility
$111.1k
TX AVG
$81.8k
Rank
#251 / 294
|
21
Facility
21
TX AVG
25.9
Rank
#147 / 292
|
4.2
Facility
4.2
TX AVG
3.7
Rank
#222 / 292
| 2 | 108 | - |
59
Facility
59
TX AVG
41
Rank
#311 / 1391
| Fox Sparrow Healthcare, Inc. |
$14.5M
Facility
$14.5M
TX AVG
$8.4M
Rank
#78 / 297
|
$6.7M
Facility
$6.7M
TX AVG
$3.5M
Rank
#66 / 297
|
46.5%
Facility
46.5%
TX AVG
47%
Rank
#149 / 297
| 676012 | ||||
| San Pedro Manor |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Antonio (Monte Vista) |
150
Facility
150
TX AVG
80
Rank
#63 / 988
| - | - |
3.63
Facility
3.63
TX AVG
3.63
Rank
#122 / 289
| +2% | 0% |
$24.3k
Facility
$24.3k
TX AVG
$81.8k
Rank
#199 / 294
|
43
Facility
43
TX AVG
25.9
Rank
#253 / 292
|
3.9
Facility
3.9
TX AVG
3.7
Rank
#204 / 292
| 5 | 19 | A+ |
79
Facility
79
TX AVG
41
Rank
#38 / 1391
| West Ashby Healthcare, Inc. |
$12.1M
Facility
$12.1M
TX AVG
$8.4M
Rank
#117 / 297
|
$6.1M
Facility
$6.1M
TX AVG
$3.5M
Rank
#88 / 297
|
50.8%
Facility
50.8%
TX AVG
47%
Rank
#96 / 297
| 455689 | ||||
| Legend Oaks West Rehab |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Antonio (Far West Side) |
124
Facility
124
TX AVG
80
Rank
#178 / 988
|
85.1%
Facility
85.1%
TX AVG
63.5%
Rank
#36 / 297
| +34% |
3.86
Facility
3.86
TX AVG
3.63
Rank
#76 / 289
| +28% | +6% |
$8.6k
Facility
$8.6k
TX AVG
$81.8k
Rank
#89 / 294
|
11
Facility
11
TX AVG
25.9
Rank
#32 / 292
|
2.8
Facility
2.8
TX AVG
3.7
Rank
#91 / 292
| 1 | 110 | - |
24
Facility
24
TX AVG
41
Rank
#1040 / 1391
| Bertetti Healthcare, Inc. |
$14.7M
Facility
$14.7M
TX AVG
$8.4M
Rank
#76 / 297
|
$8.0M
Facility
$8.0M
TX AVG
$3.5M
Rank
#47 / 297
|
54.5%
Facility
54.5%
TX AVG
47%
Rank
#67 / 297
| 676312 | ||||
| River City Care Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). |
San Antonio (Eastside Promise Neighborhood) |
92
Facility
92
TX AVG
80
Rank
#410 / 988
|
45.7%
Facility
45.7%
TX AVG
63.5%
Rank
#251 / 297
| -28% |
3.63
Facility
3.63
TX AVG
3.63
Rank
#122 / 289
| +37% | 0% |
$23.4k
Facility
$23.4k
TX AVG
$81.8k
Rank
#145 / 294
|
32
Facility
32
TX AVG
25.9
Rank
#223 / 292
|
5.3
Facility
5.3
TX AVG
3.7
Rank
#268 / 292
| 2 | 47 | - |
68
Facility
68
TX AVG
41
Rank
#158 / 1391
| - |
$4.4M
Facility
$4.4M
TX AVG
$8.4M
Rank
#285 / 297
|
$2.1M
Facility
$2.1M
TX AVG
$3.5M
Rank
#287 / 297
|
48%
Facility
48%
TX AVG
47%
Rank
#124 / 297
| 675896 | ||||
| Buena Vida Nursing and Rehab Center San Antonio |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
San Antonio (East Side) |
222
Facility
222
TX AVG
80
Rank
#10 / 988
|
27.6%
Facility
27.6%
TX AVG
63.5%
Rank
#279 / 297
| -57% |
3.48
Facility
3.48
TX AVG
3.63
Rank
#140 / 289
| +31% | -4% |
$269.1k
Facility
$269.1k
TX AVG
$81.8k
Rank
#278 / 294
|
44
Facility
44
TX AVG
25.9
Rank
#256 / 292
|
4.4
Facility
4.4
TX AVG
3.7
Rank
#235 / 292
| 3 | 61 | - |
26
Facility
26
TX AVG
41
Rank
#1005 / 1391
| West Wharton County Hospital District |
$6.7M
Facility
$6.7M
TX AVG
$8.4M
Rank
#254 / 297
|
$3.2M
Facility
$3.2M
TX AVG
$3.5M
Rank
#254 / 297
|
47.3%
Facility
47.3%
TX AVG
47%
Rank
#137 / 297
| 455390 |
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%.
Yes — there are 5 photos of Legend Oaks West Rehab in the photo gallery on this page.
(210) 673-1700 will put you in contact with the team at Legend Oaks West Rehab.
Yes — Legend Oaks West Rehab is a CMS-certified provider of Medicare and Medicaid.
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