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    Nursing home · San Antonio, TX

    Legend Oaks Healthcare and Rehabilitation - West S

    222 Bertetti Dr, San Antonio, TX 78227

    CMS certification number: 676312 · Updated October 1, 2026

    Request care assistance2106731700Directions

    At a glance

    Official CMS profile

    CMS overall rating

    3 / 5

    Certified beds

    124

    Residents / day

    101.5

    Ownership

    For profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Corporation
    County
    Bexar
    Certified beds
    124
    Average residents per day
    101.5
    First certified
    May 31, 2012

    CMS quality ratings

    Overall
    3 / 5
    Health inspections
    3 / 5
    Staffing
    3 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Bexar, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    3.00
    County peers
    2.48
    n=61
    State peers
    2.75

    Nurse hours / resident / day

    This home
    3.55
    County peers
    3.44
    n=60
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    3.10
    County peers
    2.97
    n=60
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    25.90
    County peers
    48.15
    n=58
    State peers
    50.83
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 12.9% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 25.9% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    3
    Health citations
    20
    Resident measures
    17
    Ownership records
    15
    Penalties
    1
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.55293
    Reported RN Staffing Hours per Resident per Day
    0.47876
    Reported LPN Staffing Hours per Resident per Day
    0.99472
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.07946
    Total number of nurse staff hours per resident per day on the weekend
    3.09519
    Registered Nurse hours per resident per day on the weekend
    0.35155
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.15511
    Total nursing staff turnover
    25.9
    Registered Nurse turnover
    30.8
    Number of administrators who have left the nursing home
    0
    Chain Name
    THE ENSIGN GROUP
    Number of Facilities in Chain
    347
    Chain Average Overall 5-star Rating
    3.3
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    Y
    Chain ID
    507
    Latitude
    29.3998
    Location
    222 Bertetti Dr,San Antonio,TX,78227
    ZIP Code
    78227
    City/Town
    San Antonio
    Longitude
    -98.652
    QM Rating
    4
    Abuse Icon
    N
    Chain Name
    THE ENSIGN GROUP
    County/Parish
    Bexar
    Provider Name
    Legend Oaks Healthcare and Rehabilitation - West S
    Provider Type
    Medicare and Medicaid
    Overall Rating
    3
    Ownership Type
    For profit - Corporation
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    222 Bertetti Dr
    Telephone Number
    2106731700
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    DEWITT MEDICAL DISTRICT
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    4
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.45799
    Chain Average QM Rating
    4.4
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    3
    Number of Certified Beds
    124
    Provider SSA County Code
    130
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    30.8
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.03385
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    25.9
    Chain Average Staffing Rating
    2.8
    Number of Facilities in Chain
    347
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    676312
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    8632.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    68
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    75.750
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    101.5
    Chain Average Overall 5-star Rating
    3.3
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    99
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.8
    Rating Cycle 1 Health Deficiency Score
    68
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    99
    Rating Cycle 1 Standard Survey Health Date
    2026-01-29
    Rating Cycle 2 Standard Health Survey Date
    2024-10-31
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.45945
    Case-Mix RN Staffing Hours per Resident per Day
    0.71505
    Reported RN Staffing Hours per Resident per Day
    0.47876
    Adjusted LPN Staffing Hours per Resident per Day
    0.95460
    Case-Mix LPN Staffing Hours per Resident per Day
    0.89104
    Reported LPN Staffing Hours per Resident per Day
    0.99472
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    11
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    4
    Rating Cycle 1 Number of Standard Health Deficiencies
    6
    Rating Cycle 2 Number of Standard Health Deficiencies
    2
    Reported Licensed Staffing Hours per Resident per Day
    1.47348
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    5
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.99559
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.42681
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.07946
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.40963
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    4.03290
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    2
    Reported Total Nurse Staffing Hours per Resident per Day
    3.55293
    Registered Nurse hours per resident per day on the weekend
    0.35155
    Date First Approved to Provide Medicare and Medicaid Services
    2012-05-31
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.15511
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.97035
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.54924
    Total number of nurse staff hours per resident per day on the weekend
    3.09519

    COMMUNITY EXPERIENCE

    Reviews of Legend Oaks Healthcare and Rehabilitation - West S

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026