Legend Oaks Healthcare and Rehabilitation - North
11020 Dessau Rd · Austin, TX · 78754 · 5128732244
124 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $41,890 |
Inspection citations (28 in the current record)
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Immediate jeopardy · J September 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 17, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 18, 2025 · Environmental
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Potential for harm · D April 28, 2025 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · E February 20, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 21, 2025 · Resident Rights
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Potential for harm · E February 20, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 21, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 21, 2025 · Environmental
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Potential for harm · D February 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 6, 2025 · Quality of Life and Care
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Potential for harm · E February 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 6, 2025 · Infection Control
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Potential for harm · E January 17, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 20, 2025 · Resident Rights
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Potential for harm · E November 8, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 11, 2024 · Infection Control
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Potential for harm · E September 13, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 14, 2024 · Resident Rights
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Potential for harm · D September 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 14, 2024 · Quality of Life and Care
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Potential for harm · E January 6, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 7, 2024 · Infection Control
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Potential for harm · D December 13, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 14, 2023 · Quality of Life and Care
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Potential for harm · D December 13, 2023
Provide and implement an infection prevention and control program.
Corrected December 14, 2023 · Infection Control
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Immediate jeopardy · J October 16, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 28, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 16, 2022
Keep residents' personal and medical records private and confidential.
Corrected November 28, 2022 · Resident Rights
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Potential for harm · E October 16, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 28, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 16, 2022
Assess the resident when there is a significant change in condition
Corrected November 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 16, 2022
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · E October 16, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 28, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 16, 2022
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 November 28, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 17, 2025 | Fine | $41,890 |
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 676238 · certified since October 20, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.