Legend Oaks Healthcare and Rehabilitation - New Br
Medicare-certified2468 FM 1101, New Braunfels, TX 78130
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Kirkwood Manor brings skilled nursing and rehabilitation services to New Braunfels families with compassionate, personalized care. Our Texas team focuses on recovery and wellness, helping residents regain independence through expert medical support and therapeutic programs tailored to individual needs.
Capacity
162 residents
Medicare rating
2 of 5 stars
Location
New Braunfels, TX
Status
Listed in a public registry
2590 Loop 337 N, New Braunfels, Texas 78130
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
Medicare rates Kirkwood Manor 2 out of 5 stars overall, which it describes as below average. The average across Texas's nursing homes is 2.7 stars.
At its most recent standard inspection, on April 10, 2026, state inspectors cited 14 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 10 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Kirkwood Manor once in the last three years, $29,026 in total.
Overall
below average
Combines the three ratings below
Health inspections
below average
Results of state inspections over three years
Staffing
below average
Nurse hours per resident and staff turnover
Quality of resident care
average
Outcomes like falls, pressure ulcers and rehospitalization
Texas average: 2.7 stars across 1,177 nursing homes. National average: 3.0 stars.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 10 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 26 minutes |
| Nursing staff who left in the past year | 42%Below the Texas average |
51 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 17, 2026 · Complaint investigation · 2 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 10, 2026 · Standard inspection · 12 citations
Ensure each resident receives an accurate assessment.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Provide and implement an infection prevention and control program.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
PASARR screening for Mental disorders or Intellectual Disabilities
Provide safe and appropriate respiratory care for a resident when needed.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that residents are free from significant medication errors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Provide training in compliance and ethics.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Provide safe and appropriate respiratory care for a resident when needed.
Reasonably accommodate the needs and preferences of each resident.
Provide enough food/fluids to maintain a resident's health.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure each resident receives an accurate assessment.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that residents are fully informed and understand their health status, care and treatments.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
1 fine totaling $29,026 in the last three years.
2590 Loop 337 NNew Braunfels, TX 78130
2468 FM 1101, New Braunfels, TX 78130
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Prices not published
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Medicare rates Kirkwood Manor 2 out of 5 stars overall (below average). Health inspections: 2 stars. Staffing: 2 stars. Quality of resident care: 3 stars. Source: CMS Care Compare, data as of September 1, 2026.
State inspectors visited on April 10, 2026 and cited 14 health deficiencies, 3 of them from complaint investigations. The Texas average is 9.4.
Nurses and aides spend 3 hours 10 minutes with each resident per day, including 26 minutes from registered nurses. 42% of nursing staff left over the past year.
Yes. Medicare fined Kirkwood Manor once in the last three years, totaling $29,026.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.