Federal inspection record · CMS data as of October 1, 2026
Legend Oaks Healthcare And Rehabilitation - North
11020 Dessau Rd, Austin, TX · (512) 873-2244
- Certified beds
- 124
- Residents per day
- 106
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 20, 2009
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Legend Oaks Healthcare And Rehabilitation - North carries 85.5 inspection points. That is fewer than 43% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
24 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Everything else, by area of care
Quality of Life and Care7E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights5E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Reasonably accommodate the needs and preferences of each resident.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental3E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nutrition and Dietary1E
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Pharmacy Service1D
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-04-23
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-02-20
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2023-12-13
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 10 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$28,064 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-17 | Fine | $28,064 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 98.7% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.3 pts better | 2.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 1.9% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.9 pts better | 13.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.4 pts better | 5.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.1 pts worse | 21.0% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts worse | 20.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 0.8% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts worse | 17.7% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 1.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine42.1 pts worse | 46.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better | 10.8% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine38.6 pts worse | 46.8% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8 pts worse | 33.5% | 25.5% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Guadalupe County Hospital Board | 5% Or Greater Direct Ownership Interest · Organization | 100% | 27 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Dessau Healthcare Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Dessau Healthcare Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Gann, Kody | Corporate Officer · Individual | 0% | 27 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| National Health Investors, Inc. | Adp Of The SNF · Organization | 0% | 31 facilities |
| Quintero, Joselyn | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Quintero, Joselyn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Quintero, Joselyn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rathi, Anil | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Rathi, Anil | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Rathi, Anil | Adp Of The SNF · Individual | 0% | 3 facilities |
| Texas Nhi Investors, LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
·
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