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Medicare-certifiedSkilled Nursing

Legend Oaks Healthcare and Rehabilitation - New Br

New Braunfels, Texas3 of 5 Medicare stars
(830) 420-6500

About Legend Oaks Healthcare and Rehabilitation - New Br

LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR is a government - hospital district nursing home in NEW BRAUNFELS, TX with 126 certified beds, holding a 3-star overall CMS rating.

Community at a glance

Capacity

126 residents

Medicare rating

3 of 5 stars

Location

New Braunfels, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

2468 FM 1101, New Braunfels, Texas 78130

(830) 420-6500

Medicare inspection and quality record

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 Legend Oaks Healthcare and Rehabilitation - New Br 3 out of 5 stars overall, which it describes as average. The average across Texas's nursing homes is 2.7 stars.

At its most recent standard inspection, on May 20, 2026, state inspectors cited 10 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 18 minutes with each resident a day, about the same as the Texas average.

Medicare has not fined Legend Oaks Healthcare and Rehabilitation - New Br in the last three years.

Overall

3 of 5

average

Combines the three ratings below

Health inspections

3 of 5

average

Results of state inspections over three years

Staffing

2 of 5

below average

Nurse hours per resident and staff turnover

Quality of resident care

4 of 5

above average

Outcomes like falls, pressure ulcers and rehospitalization

Texas average: 2.7 stars across 1,177 nursing homes. National average: 3.0 stars.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 18 minutes
Registered nurse time per resident, per day27 minutes
Nursing staff who left in the past year50%Below the Texas average

Inspections

38 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 20, 2026 · Standard inspection · 7 citations

  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 27, 2026
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 11, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 11, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 11, 2026
  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 11, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 11, 2026
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 11, 2026

April 29, 2026 · Complaint investigation · 1 citation

  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 6, 2026
September 10, 2025 · Complaint investigation · 2 citations+
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Sep 15, 2025
  • Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Sep 15, 2025
March 28, 2025 · Standard inspection · 15 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Apr 2, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 2, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 29, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 31, 2025
  • Provide training in compliance and ethics.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 3, 2025
  • Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 3, 2025
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 3, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 31, 2025
  • Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 3, 2025
  • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 31, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 31, 2025
  • Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 3, 2025
  • Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 3, 2025
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 3, 2025
  • Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 3, 2025
February 6, 2025 · Complaint investigation · 4 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 7, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 12, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 7, 2025
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 7, 2025
August 3, 2024 · Complaint investigation · 2 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 4, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 4, 2024
February 29, 2024 · Complaint investigation · 1 citation+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Feb 27, 2024
January 27, 2024 · Standard inspection · 5 citations+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 16, 2024
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 29, 2024
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 16, 2024
  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 29, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jan 29, 2024
January 20, 2024 · Complaint investigation · 1 citation+
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 20, 2024

Fines and payment denials

No fines or Medicare payment denials in the last three years.

About the home, per Medicare

Ownership
Government - Hospital district
Legal business name
Guadalupe County Hospital Board
Medicare-certified beds
126
Average residents per day
115
Accepts
Medicare and Medicaid
First certified
October 16, 2015
Part of a chain
The Ensign Group, 344 homes (chain average 3.2 stars)
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
676392

Location

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2468 FM 1101New Braunfels, TX 78130

12 other communities within 10 miles

Senior living near New Braunfels

Questions about Legend Oaks Healthcare and Rehabilitation - New Br

What is Legend Oaks Healthcare and Rehabilitation - New Br's Medicare star rating?+

Medicare rates Legend Oaks Healthcare and Rehabilitation - New Br 3 out of 5 stars overall (average). Health inspections: 3 stars. Staffing: 2 stars. Quality of resident care: 4 stars. Source: CMS Care Compare, data as of September 1, 2026.

How did Legend Oaks Healthcare and Rehabilitation - New Br do on its last inspection?+

State inspectors visited on May 20, 2026 and cited 10 health deficiencies, 3 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Legend Oaks Healthcare and Rehabilitation - New Br?+

Nurses and aides spend 3 hours 18 minutes with each resident per day, including 27 minutes from registered nurses. 50% of nursing staff left over the past year.

Has Legend Oaks Healthcare and Rehabilitation - New Br been fined by Medicare?+

Medicare's records show no fines against Legend Oaks Healthcare and Rehabilitation - New Br in the last three years.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in New Braunfels Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026