Legend Oaks Healthcare and Rehabilitation - New Br
2468 Fm 1101 · New Braunfels, TX · 78130 · 8304206500
126 certified beds Government - Hospital district Chain: The Ensign Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (36 in the current record)
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Potential for harm · D April 29, 2026 · found via complaint
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.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · E September 10, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 15, 2025 · Nutrition and Dietary
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Potential for harm · D September 10, 2025 · found via complaint
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.
Corrected September 15, 2025 · Infection Control
-
Potential for harm · D March 28, 2025
Ensure each resident receives an accurate assessment.
Corrected March 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 3, 2025 · Quality of Life and Care
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Potential for harm · E March 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 2, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 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.
Corrected March 31, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 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.
Corrected March 31, 2025 · Pharmacy Service
-
Potential for harm · E March 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 29, 2025 · Nutrition and Dietary
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Potential for harm · D March 28, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected April 3, 2025 · Administration
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Potential for harm · D March 28, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected April 3, 2025 · Administration
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Potential for harm · D March 28, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected April 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 28, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected April 3, 2025 · Administration
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Potential for harm · D March 28, 2025
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected April 3, 2025 · Infection Control
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Potential for harm · D March 28, 2025
Provide training in compliance and ethics.
Corrected April 3, 2025 · Administration
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Potential for harm · D March 28, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected April 3, 2025 · Administration
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Potential for harm · E March 28, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 2, 2025 · Pharmacy Service
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Potential for harm · D February 6, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 6, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 12, 2025 · Quality of Life and Care
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Potential for harm · D February 6, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 4, 2024 · Quality of Life and Care
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Potential for harm · D August 3, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 29, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 27, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676392 · certified since October 16, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.