4949 RAVENSWOOD DR, San Antonio, TX 78227
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Medicare-certifiedSkilled Nursing
Legend Oaks Healthcare and Rehabilitation - West S
San Antonio, TexasMedicare inspection record
About Legend Oaks Healthcare and Rehabilitation - West S
When recovery matters most, families in San Antonio, Texas turn to Legend Oaks Healthcare and Rehabilitation - West S for compassionate skilled nursing and rehabilitation care. Our dedicated team supports healing with personalized attention and clinical expertise, helping residents regain strength and independence.
Community at a glance
Capacity
124 residents
Location
San Antonio, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
222 Bertetti Dr, San Antonio, Texas 78227
Medicare inspection 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
At its most recent standard inspection, on January 29, 2026, state inspectors cited 11 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 38 minutes with each resident a day, above the Texas average of 3 hours 23 minutes.
Medicare fined Legend Oaks Healthcare and Rehabilitation - West S once in the last three years, $8,632 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 38 minutesAbove the Texas average |
| Registered nurse time per resident, per day | 32 minutesAbove the Texas average |
| Nursing staff who left in the past year | 21%Below the Texas average |
Inspections
15 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 12, 2026 · Complaint investigation · 2 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 pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 3, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 3, 2026
April 23, 2026 · Complaint investigation · 2 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 14, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 14, 2026
January 29, 2026 · Standard inspection · 6 citations+
Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 18, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 18, 2026Procure 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 Feb 18, 2026Ensure 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 pattern (level E)Pharmacy ServiceCorrected Feb 18, 2026Provide 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 Feb 18, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 18, 2026
December 9, 2025 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Dec 10, 2025
October 31, 2024 · Standard inspection · 2 citations+
Ensure residents have reasonable access to and privacy in their use of communication methods.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Nov 22, 2024Develop 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 PlanningCorrected Nov 22, 2024
April 12, 2024 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Apr 15, 2024Timely 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 Apr 15, 2024
Fines and payment denials
1 fine totaling $8,632 in the last three years.
- April 12, 2024Fine: $8,632
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Dewitt Medical District
- Medicare-certified beds
- 124
- Average residents per day
- 109
- Accepts
- Medicare and Medicaid
- First certified
- May 31, 2012
- Part of a chain
- The Ensign Group, 344 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676312
Location
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222 Bertetti DrSan Antonio, TX 78227
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The Mission at Blue Skies of Texas East
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Arnold House At Blue Skies Of Texas East
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Questions about Legend Oaks Healthcare and Rehabilitation - West S
How did Legend Oaks Healthcare and Rehabilitation - West S do on its last inspection?+
State inspectors visited on January 29, 2026 and cited 11 health deficiencies, 5 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 - West S?+
Nurses and aides spend 3 hours 38 minutes with each resident per day, including 32 minutes from registered nurses. 21% of nursing staff left over the past year.
Has Legend Oaks Healthcare and Rehabilitation - West S been fined by Medicare?+
Yes. Medicare fined Legend Oaks Healthcare and Rehabilitation - West S once in the last three years, totaling $8,632.
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 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.