Avir at San Antonio
San Antonio · 0.8 mi · 119 beds
Citations0Substantiated0
Legend Oaks Healthcare and Rehabilitation Center -
2003 W HUTCHINS PLACE, San Antonio, TX, 78224
Nursing home126 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 15 deficiencies against Legend Oaks Healthcare and Rehabilitation Center - in San Antonio, Texas at its most recent standard inspection on 2025-12-04, 7 of them arising from complaints. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
126certified beds
15deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.30
Potential for minimal harmThe least serious band.2
Most recentDDDDDBBEDDDDDDDEEEDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2026-05-15 · from a complaint · No actual harm, potential for more than minimal harm
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies · F0573 · 2026-05-15 · from a complaint · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2026-05-15 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-05-15 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2026-05-15 · from a complaint · No actual harm, potential for more than minimal harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · F0577 · 2026-05-15 · from a complaint · No actual harm, potential for minimal harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · F0693 · 2026-05-15 · from a complaint · No actual harm, potential for minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2024-09-27 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0700 · 2024-09-27 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-09-27 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · F0578 · 2024-09-27 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2024-09-27 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.62085
Nursing staff turnoverShare of nursing staff who left in a year46.2%
Ownership
Who owns Legend Oaks Healthcare and Rehabilitation Center -
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| MARTINEZ, FERNANDO | Individual | NOT APPLICABLE | since 08/16/2017 |
| YAMSANI, PRADEEP | Individual | NOT APPLICABLE | since 05/30/2019 |
| ALEXANDER, ALMA | Individual | NOT APPLICABLE | since 05/27/2020 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| HUTCHINS HEALTHCARE INC | Organization | NOT APPLICABLE | since 04/01/2017 |
| MARTINEZ, FERNANDO | Individual | NOT APPLICABLE | since 08/16/2017 |
| YAMSANI, PRADEEP | Individual | NOT APPLICABLE | since 05/30/2019 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 05/01/2016 |
| HUTCHINS HEALTHCARE INC | Organization | NOT APPLICABLE | since 10/24/2025 |
| NATIONAL HEALTH INVESTORS, INC. | Organization | NOT APPLICABLE | since 04/01/2017 |
| TEXAS NHI INVESTORS, LLC | Organization | NOT APPLICABLE | since 04/01/2017 |
Part of the THE ENSIGN GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
San Jose Nursing Center
San Antonio · 1.8 mi · 55 beds
Citations0Substantiated0
Hunters Pond Rehabilitation and Healthcare
San Antonio · 1.8 mi · 128 beds
Citations0Substantiated0
Windsor Mission Oaks
San Antonio · 3.6 mi · 150 beds
Citations0Substantiated0
San Antonio West Nursing and Rehabilitation
San Antonio · 4.3 mi · 135 beds
Citations0Substantiated0
Harbor Valley Health and Rehabilitation
San Antonio · 4.6 mi · 120 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676113.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction