Legend Oaks Healthcare and Rehabilitation - New Br
New Braunfels, Texas · CCN 676392
21 surveys since 2016, 3 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 119
- Surveys
- 21
- Harm or worse
- 3
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 126
- Ownership
- Government - Hospital district
- Chain
- THE ENSIGN GROUP
- County
- Comal
- Medicare-certified since
- 2015
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 104 government-run facilities of 100–127 beds in Texas.
Last survey on record
May 20, 2026
173 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.30 | 3.25 |
| Registered-nurse hours per resident day | 0.45 | — |
| Annual nurse turnover | 49.5% | 48.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D3386.8% | E513.2% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6954×
Provide safe and appropriate respiratory care for a resident when needed.
- F7613×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F8422×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
In the surveyor’s words
From the most serious findings on record at Legend Oaks Healthcare and Rehabilitation - New Br, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF802Sep 24, 2021
Based on observation, interview and record review the facility did not provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service in 1 of 1 kitchen. Dietary Staff failed to maintain the kitchen in a sanitary condition as evidenced by the uncleanliness of the side of the stove, stove burners, oven, wall on behind the stove, microwave, toaster, top of prep tables, side of steamer, inside of the utensil drawer, three-shelf rolling cart and the uncleanliness of the floor and mat in the freezer. These deficient practices could contribute to the spread of food borne illnesses and diseases. […]
- No harm, potential for more than minimal, widespreadF812Sep 24, 2021
Based on observation, interview and record review revealed the facility failed to store, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen. 1. Dietary Staff failed to maintain the kitchen in a sanitary condition as evidenced by the uncleanliness of the side of the stove, stove burners, oven, wall on behind the stove, microwave, toaster, top of prep tables, side of steamer, inside of the utensil drawer, three-shelf rolling cart and the uncleanliness of the floor and mat in the freezer. 2. Dietary Staff failed to zip up 1 plastic bag of grated cheese, 1 plastic bag of sliced cheese and to ensure the a bowl of cherry tomatoes were not left opened while stored in the freezer. 3. […]
- No harm, potential for more than minimal, widespreadF802Sep 23, 2021
Based on observation, interview and record review the facility did not provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service in 1 of 1 kitchen. Dietary Staff failed to maintain the kitchen in a sanitary condition as evidenced by the uncleanliness of the side of the stove, stove burners, oven, wall on behind the stove, microwave, toaster, top of prep tables, side of steamer, inside of the utensil drawer, three-shelf rolling cart and the uncleanliness of the floor and mat in the freezer. These deficient practices could contribute to the spread of food borne illnesses and diseases. […]
- No harm, potential for more than minimal, widespreadF812Sep 23, 2021
Based on observation, interview and record review revealed the facility failed to store, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen. 1. Dietary Staff failed to maintain the kitchen in a sanitary condition as evidenced by the uncleanliness of the side of the stove, stove burners, oven, wall on behind the stove, microwave, toaster, top of prep tables, side of steamer, inside of the utensil drawer, three-shelf rolling cart and the uncleanliness of the floor and mat in the freezer. 2. Dietary Staff failed to zip up 1 plastic bag of grated cheese, 1 plastic bag of sliced cheese and to ensure the a bowl of cherry tomatoes were not left opened while stored in the freezer. 3. […]
- No harm, potential for more than minimal, patternF695May 20, 2026
Based on observation, interviews, and record review, the facility failed to ensure that residents who needed respiratory care were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 3 of 7 (Resident #11, #32, and #92) residents reviewed for respiratory care. 1. The facility failed to ensure Resident #11's oxygen was administered at the correct setting of 5 liters per minute on 05/20/2026 as ordered by the physician. 2. The facility failed to ensure Resident #32's oxygen concentrator had a clean filter on 5/17/2026. 3. The facility failed to ensure Resident #92's oxygen concentrator had a clean filter on 5/17/2026. […]
Read 23 findings in full →The most serious and the most recent: 23 of 119 on record.
Every survey on record
FindingsAt actual harm or above
- May 20, 2026Standard7 findings
- Apr 29, 2026Complaint1 finding
- Sep 10, 2025Complaint2 findings
- Mar 28, 2025Standard and complaint15 findings
- Feb 6, 2025Complaint4 findings
- Aug 3, 2024Complaint2 findings
- Feb 29, 2024Complaint1 finding
- Jan 27, 2024Standard and complaint5 findings
Show the 13 earlier surveys
- Jan 20, 2024Complaint1 finding
- Nov 18, 2022Standard and complaint5 findings
- Jun 1, 2022Complaint2 findings
- Sep 24, 2021Standard and complaint8 findings
- Sep 23, 2021Standard8 findings
- Aug 10, 2021Complaint2 findings
- Oct 13, 2020Complaint3 findings
- Mar 11, 2020Complaint1 finding
- Nov 9, 2019Standard and complaint15 findings · 3 harm
- Nov 9, 2018Standard18 findings
- Nov 10, 2017Standard14 findings
- May 10, 2017Complaint2 findings
- Nov 16, 2016Standard3 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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