Legend Oaks West Rehab
Legend Oaks West Rehab is a Nursing Home in Texas
Legend Oaks West Rehab is a Nursing Home in Texas
Legend Oaks West Rehab
Legend Oaks West Rehab is a Nursing Home in Texas
Legend Oaks West Rehab is a Nursing Home in Texas
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.
Home Information
LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST S
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This nursing home maintains occupancy well above most state peers, signaling sustained demand. The facility operates with a larger bed count than most state competitors, supporting broader intake. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.
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Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll spending sits in the top tier, showing a strong investment in staffing resources. Total income exceeds the majority of state facilities, highlighting strong profitability.
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Medicare nights track the statewide midpoint, keeping volumes steady. Medicaid nights are roughly in line with the state middle third, maintaining a balanced safety-net share. Private pay nights lead the state, showing strong demand from market-rate residents.
OccupancyBeds
124
Occupancy
85.7%
Total Bed Days Available
45260
Avg. Length of Stay
55 days
Avg. Residents per Day
110
FinanceHome Revenue
$12,391,667.00
Payroll Costs
$5,897,857.00
Profit
$969,843.00
Total Home Costs
$10,791,235.00
Payroll % of Revenue
Percentage of home revenue spent on payroll costs.
Percentage of home revenue spent on payroll costs.
47.6%
House Specifics:CCN
676312
Owner Name
BERTETTI HEALTHCARE, INC.
Rural vs. Urban
Urban
County
Bexar
Type of Control
Voluntary Nonprofit — Church
OperationsTotal Admissions
612
Total Discharges
587
% Medicaid Admissions
2%
% Medicare Admissions
13%
% Private Pay Admissions
85%
% Medicaid Discharges
2%
% Medicare Discharges
9%
% Private Pay Discharges
88%
Quality Ratings
Overall Rating
CMS 5-star rating based on health inspections, staffing, and quality measures.
CMS 5-star rating based on health inspections, staffing, and quality measures.
5 / 5
Health Inspection Rating
Rating based on deficiencies found during state health inspections.
Rating based on deficiencies found during state health inspections.
4 / 5
Staffing Rating
Rating based on nurse staffing hours per resident per day.
Rating based on nurse staffing hours per resident per day.
4 / 5
QM Rating
Quality Measures rating based on clinical outcomes for residents.
Quality Measures rating based on clinical outcomes for residents.
5 / 5
Nurse Hours / Resident / Day
Total nurse staffing hours per resident per day.
Total nurse staffing hours per resident per day.
3.86 hrs
Number of Fines
1
Medicaid, Medicare & Private
Medicare Nights
Number of resident nights paid by Medicare for short-term or rehab care.
Number of resident nights paid by Medicare for short-term or rehab care.
17830
Medicaid Nights
Resident nights covered by Medicaid for long-term care or support services.
Resident nights covered by Medicaid for long-term care or support services.
2083
Free Market Nights
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
12516
Comparison Chart
The information below is reported by the Texas Health and Human Services Commission.Compare Nursing Homes around San Antonio
Legend Oaks West Rehab
AL
For seniors needing help with daily tasks but not full-time nursing.
San Antonio
124
No
24
BERTETTI HEALTHCARE, INC.
85.7%
$12,391,667.00
$5,897,857.00
47.6%
109.50
5/5
3.8564
4/5
4/5
5/5
1
Saint Francis Nursing Home
AL
For seniors needing help with daily tasks but not full-time nursing.
IL
For self-sufficient seniors seeking community and minimal assistance.
MC
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
24/7 care needed
San Antonio
122
No
71
DIXON, GINGER
67.5%
$8,147,174.00
$3,814,585.00
46.8%
75.20
5/5
6.1027
3/5
5/5
5/5
-
Remington Transitional Care
AL
For seniors needing help with daily tasks but not full-time nursing.
San Antonio
60
No
75
REGENCY IHS OF SAN ANTONIO LLC
79.4%
$10,056,301.00
$3,686,061.00
36.7%
56.60
4/5
3.7726
4/5
4/5
4/5
1
Lakeside Nursing and Rehabilitation Center
AL
For seniors needing help with daily tasks but not full-time nursing.
San Antonio
118
No
19
CRYSTAL LAKE HEALTHCARE, INC.
85.1%
$6,954,611.00
$2,623,129.00
37.7%
112.30
4/5
3.4176
4/5
2/5
4/5
1
Blue Skies of Texas East
AL
For seniors needing help with daily tasks but not full-time nursing.
San Antonio
80
No
47
AIR FORCE VILLAGE INC
67.8%
$13,741,291.00
$4,137,308.00
30.1%
45.70
3/5
6.5100
3/5
4/5
4/5
2
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Touring Checklist for Senior Living
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Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
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Places of interest near Legend Oaks West Rehab
9.7 miles from city center
222 Bertetti Dr, San Antonio, TX 78227
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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 Nurse | 11 | 7.7 | No |
| Licensed Practical Nurse | 25 | 8.5 | No |
| Certified Nursing Assistant | 41 | 8.2 | 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 Assistant | 41 | 0 | 41 | 16,230 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 25 | 0 | 25 | 7,949 | 91 | 100% | 8.5 |
| Registered Nurse | 11 | 0 | 11 | 3,447 | 91 | 100% | 7.7 |
| Physical Therapy Aide | 7 | 0 | 7 | 3,051 | 88 | 97% | 7.7 |
| Speech Language Pathologist | 11 | 0 | 11 | 2,990 | 91 | 100% | 7.6 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,989 | 91 | 100% | 11.3 |
| RN Director of Nursing | 5 | 0 | 5 | 2,304 | 65 | 71% | 8.9 |
| Dental Services Staff | 3 | 0 | 3 | 1,520 | 65 | 71% | 8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,420 | 69 | 76% | 7.7 |
| Qualified Social Worker | 5 | 0 | 5 | 1,171 | 74 | 81% | 8.1 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 959 | 82 | 90% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 585 | 65 | 71% | 9 |
| Dietitian | 1 | 0 | 1 | 575 | 66 | 73% | 8.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 561 | 59 | 65% | 8.9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 409 | 51 | 56% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 115 | 53 | 58% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 96 | 13 | 14% | 7.4 |
| Medical Director | 0 | 1 | 1 | 45 | 13 | 14% | 3.5 |
Health Inspection History
Source: CMS Health Citations (Jul 2022 – Oct 2024)
4
Inspections
11
Total Citations
1
Critical (J-L)
0
Serious (G-I)
2.75
Citations/Inspection
Oct 2024
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Resident Rights
2
18% of total
Quality of Life & Care
2
18% of total
Infection Control
1
9% of total
Abuse, Neglect & Exploitation
1
9% of total
Citation Sources
Standard Inspections
9
Complaint Investigations
2
State Comparison (TX)
Avg Citations (State)
25.9
This Facility: 11
Avg Critical (State)
2
This Facility: 1
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Oct 31, 2024 | D | Care Planning | F0657 | Corrected |
| Oct 31, 2024 | F | Resident Rights | F0576 | Corrected |
| Apr 12, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| Apr 12, 2024 | J | Quality of Care | F0689 | Corrected |
| Sep 15, 2023 | D | Nutrition | F0812 | Corrected |
| Sep 15, 2023 | D | Quality of Care | F0689 | Corrected |
| Sep 15, 2023 | D | Care Planning | F0638 | Corrected |
| Sep 15, 2023 | D | Care Planning | F0644 | Corrected |
| Sep 15, 2023 | D | Care Planning | F0645 | Corrected |
| Jul 15, 2022 | D | Infection Control | F0880 | Corrected |
| Jul 15, 2022 | D | Resident Rights | F0578 | 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.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
13.6
Score
58% worse than avg
State avg: 8.6
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
27.1
Score
69% worse than avg
State avg: 16.0
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
19.1%
Lost Too Much Weight
6.4%
Urinary Tract Infection
1.0%
Depressive Symptoms
6.0%
Falls with Major Injury
1.3%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
1.0%
Walking Ability Worsened
38.9%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
2.4%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
23.3%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
99.3%
10% better than avg
State: 90.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.4%
74% better than avg
State: 1.4%
Influenza Vaccine
98.1%
11% better than avg
State: 88.0%
Penalties & 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
$9K
State avg: $80K
89% better than avg
Number of Fines
1
State avg: 2.5
Compared to State Average
Facility: $9K |
State Avg: $80K
Penalty History
Showing all 1 penalties (Apr 2024 - Apr 2024)
Apr 12, 2024
Civil Money Penalty
$9K
Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for Texas Seniors
Program
State Program Name
Eligibility
Benefits
Community Care for the Aged and Disabled (CCAD)
TX Medicaid CCAD
- General: Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- TX Specifics: Large state; rural access challenges.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
Texas Community Care Services
- General: Age 60+, Texas resident, at risk of decline.
- Income Limits: ~$2,000/month (individual, varies).
- Asset Limits: $5,000 (individual).
- TX Specifics: Limited funding; high demand in urban areas.
- Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Area Agency on Aging (AAA) Services
Texas AAA Services
Official government program page
- General: Age 60+, TX resident; no income/asset limits.
- Income Limits (2025): None; donations encouraged.
- Asset Limits: Not assessed.
- TX Specifics: 28 AAAs; includes Meals on Wheels in some areas.
- Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Medicare Savings Program (MSP)
Texas Medicare Savings Program
Official government program page
- General: Age 65+ or disabled, TX resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- TX Specifics: Includes Extra Help for Part D; no waitlist.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIHEAP)
Texas Comprehensive Energy Assistance Program (CEAP)
- General: Age 60+ prioritized, TX resident, low-income.
- Income Limits (2025): ~$3,970/month (185% FPL).
- Asset Limits: Not assessed.
- TX Specifics: Priority for elderly/disabled; covers gas, electric, propane.
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
Texas Family Caregiver Support Program
- General: Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
- Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits: Not assessed.
- TX Specifics: High rural demand; includes grandparent caregivers.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
Texas SCSEP
Official government program page
- General: Age 55+, unemployed, low-income, TX resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified.
- TX Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Texas VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth).
- TX Specifics: High veteran population; supports rural/urban needs.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Property Tax Exemption for Seniors
Texas Senior Property Tax Exemption
Official government program page
- General: Age 65+, TX resident, homeowner (homestead).
- Income Limits (2025): None; tax-based eligibility.
- Asset Limits: Not assessed.
- TX Specifics: $25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.
- Services: Tax exemption or freeze (~$500-$1,000/year savings).
Senior Farmers’ Market Nutrition Program (SFMNP)
Texas SFMNP
- General: Age 60+, TX resident, low-income.
- Income Limits (2025): ~$2,322/month (185% FPL).
- Asset Limits: Not assessed.
- TX Specifics: Vouchers (~$50/season); serves ~20,000 via 28 AAAs.
- Services: Vouchers (~$50/season) for produce at farmers’ markets.
Claim What’s Yours Financial Aid for Texas Seniors
TX Medicaid CCAD
Community Care for the Aged and Disabled (CCAD)
Requirements:
- General:Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).
- Income Limits (2025):~$2,829/month (300% FBR, individual).
- Asset Limits:$2,000 (individual), $3,000 (couple).
- TX Specifics:Large state; rural access challenges.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
TX CCS
Texas Community Care Services
Requirements:
- General:Age 60+, Texas resident, at risk of decline.
- Income Limits:~$2,000/month (individual, varies).
- Asset Limits:$5,000 (individual).
- TX Specifics:Limited funding; high demand in urban areas.
Benefits without Contact:
- Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Texas AAA Services
Area Agency on Aging (AAA) Services
Requirements:
- General:Age 60+, TX resident; no income/asset limits.
- Income Limits (2025):None; donations encouraged.
- Asset Limits:Not assessed.
- TX Specifics:28 AAAs; includes Meals on Wheels in some areas.
Benefits without Contact:
- Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Texas Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, TX resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- TX Specifics:Includes Extra Help for Part D; no waitlist.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Texas Comprehensive Energy Assistance Program (CEAP)
Low-Income Home Energy Assistance Program (LIHEAP)
Requirements:
- General:Age 60+ prioritized, TX resident, low-income.
- Income Limits (2025):~$3,970/month (185% FPL).
- Asset Limits:Not assessed.
- TX Specifics:Priority for elderly/disabled; covers gas, electric, propane.
Benefits without Contact:
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Texas Family Caregiver Support Program
Family Caregiver Support Program (FCSP)
Requirements:
- General:Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
- Income Limits (2025):No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits:Not assessed.
- TX Specifics:High rural demand; includes grandparent caregivers.
Benefits without Contact:
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Texas SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, TX resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified.
- TX Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Texas VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth).
- TX Specifics:High veteran population; supports rural/urban needs.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Texas Senior Property Tax Exemption
Property Tax Exemption for Seniors
Requirements:
- General:Age 65+, TX resident, homeowner (homestead).
- Income Limits (2025):None; tax-based eligibility.
- Asset Limits:Not assessed.
- TX Specifics:$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.
Benefits without Contact:
- Services: Tax exemption or freeze (~$500-$1,000/year savings).
Texas SFMNP
Senior Farmers’ Market Nutrition Program (SFMNP)
Requirements:
- General:Age 60+, TX resident, low-income.
- Income Limits (2025):~$2,322/month (185% FPL).
- Asset Limits:Not assessed.
- TX Specifics:Vouchers (~$50/season); serves ~20,000 via 28 AAAs.
Benefits without Contact:
- Services: Vouchers (~$50/season) for produce at farmers’ markets.
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