Legend Oaks Healthcare and Rehabilitation - North

Nursing Home · Austin, TX

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number676238
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

11020 Dessau RD
Austin, TX 78754
Travis County
Phone
(512) 873-2244
ZIP code
78754 – all care providers

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Facility details

Certified beds
124
Residents per day
109.9 (89% occupied)
Ownership
For profit - Limited Liability company
Legal name
Guadalupe County Hospital Board
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
October 20, 2009
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.17 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.66 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.41 (state 0.95 · U.S. 0.86)
Nurse aides
2.10 (state 2.00 · U.S. 2.32)
Weekend total
2.68 (state 2.98 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
April 23, 2026
Health deficiencies (last cycle)
11.0 (state 9.3 · U.S. 9.3)
From complaints
5
Infection control citations
1
Citations on record (3 years)
24 health · 0 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-23 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-04-23 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.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-04-23 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-04-23 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-04-23 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2026-04-23 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-27
2025-09-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-09-18
2025-09-17 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-09-18
2025-09-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-18
2025-09-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-18
2025-09-17 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-18
2025-04-28 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F0573 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-28
2025-02-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-20 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-20 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-06
2025-02-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-06
2025-01-17 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-20
2024-11-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-11
2024-09-13 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-14
2024-09-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-14
2024-01-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-07
2023-12-13 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-14
2023-12-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-14

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $42,726 in fines.

DateTypeAmount
2025-09-17Fine$42,726

Ownership & management

NameRoleSince
Guadalupe County Hospital Board (organization)5%+ Direct Ownership Interest · 100%
Dessau Healthcare INC (organization)Administrator · NOT APPLICABLE
Ensign Services INC (organization)Administrator · NOT APPLICABLE
National Health Investors, INC. (organization)Administrator · NOT APPLICABLE
Quintero, Joselyn (individual)Administrator · NOT APPLICABLE
Rathi, Anil (individual)Administrator · NOT APPLICABLE
Texas Nhi Investors, LLC (organization)Administrator · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Gann, Kody (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Quintero, Joselyn (individual)Managing Control - Governing Body · NOT APPLICABLE
Rathi, Anil (individual)Managing Control - Governing Body · NOT APPLICABLE
Dessau Healthcare INC (organization)Operational/managerial Control · NOT APPLICABLE
Quintero, Joselyn (individual)Operational/managerial Control · NOT APPLICABLE
Rathi, Anil (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Legend Oaks Healthcare and Rehabilitation - North?

Legend Oaks Healthcare and Rehabilitation - North has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Legend Oaks Healthcare and Rehabilitation - North have?

It has 124 certified beds and cares for about 110 residents per day.

Has Legend Oaks Healthcare and Rehabilitation - North been fined?

Yes. CMS lists 1 penalty totaling $42,726 in the last three years.

Who owns Legend Oaks Healthcare and Rehabilitation - North?

It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Legend Oaks Healthcare and Rehabilitation - North?

(512) 873-2244. The facility is located at 11020 Dessau RD, Austin, TX 78754.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.