B81

LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST S

Grade B 81/100 composite score

For profit - Corporation

CMS Star Ratings

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

Certified Beds

124

Ownership

For profit - Corporation

Total Fines

$8,632

Last Survey

N/A

222 BERTETTI DR, SAN ANTONIO, TX 78227
2106731700

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.48h
LPN
1.10h
CNA
2.03h
Total
3.61h
Facility
State Average

Turnover Rates

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

Ownership

DEWITT MEDICAL DISTRICT

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2017

100%

BERTETTI HEALTHCARE, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2017

GRAY, ROBERT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2017

MANSOOR, SAAD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2023

ALEXANDER, ALMA

IndividualCORPORATE OFFICERSince May 2020

BURNAM, SOON

IndividualCORPORATE OFFICERSince Apr 2017

KEETCH, CHAD

IndividualCORPORATE OFFICERSince Mar 2011

Penalties & Fines (1)

$8,632total fines
DateTypeDescriptionAmount
Apr 12, 2024Fine$8,632

Health Inspection Deficiencies (11)

October 31, 2024Health2 deficiencies
0576FMinimal harm, Widespread

Ensure residents have reasonable access to and privacy in their use of communication methods.

Resident Rights Deficiencies

Corrected Nov 22, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 22, 2024
April 12, 2024Health2 deficiencies1 severe
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 Apr 15, 2024
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 15, 2024
September 15, 2023Health5 deficiencies
0638DMinimal harm, Isolated

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 12, 2023
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 12, 2023
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Oct 12, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 12, 2023
0812DMinimal harm, Isolated

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 Oct 12, 2023
July 15, 2022Health2 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 22, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 11, 2022

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Frequently Asked Questions

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

LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST S in SAN ANTONIO, Texas has a CareGrader grade of B (Good), with a composite score of 80.5 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 - WEST S?

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

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

LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST S has 11 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.

Has LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST S been fined?

Yes. LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST S has $8,632 in total fines from CMS enforcement actions across 1 penalty.

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

LEGEND OAKS HEALTHCARE AND REHABILITATION - WEST S has 124 certified beds with approximately 108 current residents (87% occupancy). The facility is located at 222 BERTETTI DR, SAN ANTONIO, Texas 78227. 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.