Sedona Trace Health and Wellness Center
Austin · 2.2 mi · 119 beds
Citations0Substantiated0
Legend Oaks Healthcare and Rehabilitation - North
11020 DESSAU RD, Austin, TX, 78754
Nursing home124 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 11 deficiencies against Legend Oaks Healthcare and Rehabilitation - North in Austin, Texas at its most recent standard inspection on 2026-04-23, 5 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $41,890. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
124certified beds
11deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $41,890
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.2
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.22
Potential for minimal harmThe least serious band.0
Most recentEEEDDDJJDDDDEEDEDEEE
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0803 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · F0919 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · F0687 · 2026-04-23 · 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 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-09-17 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2025-09-17 · from a complaint · Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-09-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-09-17 · from a complaint · No actual harm, potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2025-09-17 · 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 · 2025-04-28 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-02-20 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-02-20 · standard survey · No actual harm, potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · F0919 · 2025-02-20 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-02-05 · 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 · 2025-02-05 · from a complaint · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2025-01-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-11-08 · from a complaint · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2024-09-13 · from a complaint · 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 below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.17251
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$41,890
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Legend Oaks Healthcare and Rehabilitation - North
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 |
|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 100% | since 04/01/2017 |
| QUINTERO, JOSELYN | Individual | NOT APPLICABLE | since 06/27/2018 |
| RATHI, ANIL | Individual | NOT APPLICABLE | since 04/10/2025 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 04/01/2017 |
| GANN, KODY | Individual | NOT APPLICABLE | since 02/01/2021 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| DESSAU HEALTHCARE INC | Organization | NOT APPLICABLE | since 04/01/2017 |
| QUINTERO, JOSELYN | Individual | NOT APPLICABLE | since 06/27/2018 |
| RATHI, ANIL | Individual | NOT APPLICABLE | since 04/10/2025 |
| DESSAU HEALTHCARE INC | Organization | NOT APPLICABLE | since 10/07/2025 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 05/01/2016 |
| NATIONAL HEALTH INVESTORS, INC. | 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.
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Austin · 2.9 mi · 110 beds
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Avir at Park Bend
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Oakcrest Nursing and Rehabilitation Center
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Coral Rehabilitation and Nursing of Austin
Austin · 4.3 mi · 157 beds
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Contact
Ask Legend Oaks Healthcare and Rehabilitation - North a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676238.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction