B81

LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE

Grade B 81/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
3/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

126

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

1640 FAIRWAY, KYLE, TX 78640
5122681003

Get Pricing & Availability for LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE

Request current pricing, availability, and tour information from LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE in KYLE, Texas.

Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.32h
LPN
1.02h
CNA
2.10h
Total
3.44h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

GUADALUPE COUNTY HOSPITAL BOARD

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2017

100%

TREATY HEALTHCARE, INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2017

FOWERS, MATTHEW

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2019

KROL, MICHAEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2016

BURNAM, SOON

IndividualCORPORATE OFFICERSince Apr 2017

GANN, KODY

IndividualCORPORATE OFFICERSince Feb 2021

KEETCH, CHAD

IndividualCORPORATE OFFICERSince Mar 2011

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (24)

November 20, 2024Health2 deficiencies
0600DMinimal harm, Isolated

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

Corrected Nov 21, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 21, 2024
September 5, 2024Health7 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Sep 6, 2024
0578DMinimal harm, Isolated

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

Corrected Sep 6, 2024
0583EMinimal harm, Pattern

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Sep 6, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 6, 2024
0791DMinimal harm, Isolated

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Oct 7, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 6, 2024
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Sep 6, 2024
November 21, 2023Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 26, 2024
August 10, 2023Health3 deficiencies
0552EMinimal harm, Pattern

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Aug 22, 2023
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 22, 2023
0758EMinimal harm, Pattern

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Aug 22, 2023
June 30, 2023Health8 deficiencies
0578DMinimal harm, Isolated

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

Corrected Jul 28, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 28, 2023
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jul 28, 2023
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jul 28, 2023
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Jul 28, 2023
0805DMinimal harm, Isolated

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies

Corrected Jul 28, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jul 28, 2023
0814DMinimal harm, Isolated

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Jul 28, 2023
June 13, 2023Health3 deficiencies
0800EMinimal harm, Pattern

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Nutrition and Dietary Deficiencies

Corrected Jun 22, 2023
0803EMinimal harm, Pattern

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

Corrected Jun 22, 2023
0806EMinimal harm, Pattern

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected Jun 22, 2023

Request Information from LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE

Get pricing, schedule a tour, or ask about availability.

Request information from LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE

Frequently Asked Questions

What is the CareGrader rating for LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE?

LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE in KYLE, Texas has a CareGrader grade of B (Good), with a composite score of 81.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE?

LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE has an overall CMS star rating of 4 out of 5, a health inspection rating of 3/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE have?

LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE have?

LEGEND OAKS HEALTHCARE AND REHABILITATION-KYLE has 126 certified beds with approximately 112 current residents (89% occupancy). The facility is located at 1640 FAIRWAY, KYLE, Texas 78640. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.