Legend Oaks Healthcare and Rehabilitation-Kyle
Nursing Home · Kyle, TX
CMS certification number676272
Contact & location
1640 FairwayKyle, TX 78640
Hays County
- Phone
- (512) 268-1003
- ZIP code
- 78640 – all care providers
Facility details
- Certified beds
- 126
- Residents per day
- 115.9 (92% 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
- February 8, 2011
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.38 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.36 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.96 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.06 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.74 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 38.1 (state 55.3 · U.S. 45.8)%
- RN turnover
- 60.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- December 12, 2025
- Health deficiencies (last cycle)
- 8.0 (state 9.3 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 29 health · 5 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-26 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-01-29 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-19 |
| 2026-01-29 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-19 |
| 2025-12-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-12-18 |
| 2025-12-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2025-12-12 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-18 |
| 2025-12-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2024-11-20 | 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 2024-11-21 |
| 2024-11-20 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-21 |
| 2024-09-05 | 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 2024-09-06 |
| 2024-09-05 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-06 |
| 2024-09-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-06 |
| 2024-09-05 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-06 |
| 2024-09-05 | 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 2024-09-06 |
| 2024-09-05 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-07 |
| 2024-09-05 | 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 2024-09-06 |
| 2023-11-21 | 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 2024-01-26 |
| 2023-08-10 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-10 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-08-10 | 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. F0758 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-22 |
| 2023-06-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-28 |
| 2023-06-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-28 |
| 2023-06-30 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-28 |
| 2023-06-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-28 |
| 2023-06-30 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-28 |
| 2023-06-30 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-28 |
| 2023-06-30 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-28 |
| 2023-06-30 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-28 |
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 $8,407 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-12 | Fine | $8,407 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Guadalupe County Hospital Board (organization) | 5%+ Direct Ownership Interest · 100% | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Fowers, Matthew (individual) | Administrator · NOT APPLICABLE | |
| Krol, Michael (individual) | Administrator · NOT APPLICABLE | |
| National Health Investors, INC. (organization) | Administrator · NOT APPLICABLE | |
| Texas Nhi Investors, LLC (organization) | Administrator · NOT APPLICABLE | |
| Treaty Healthcare, INC (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 | |
| Fowers, Matthew (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Krol, Michael (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Fowers, Matthew (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Krol, Michael (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Treaty Healthcare, INC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Legend Oaks Healthcare and Rehabilitation-Kyle?
Legend Oaks Healthcare and Rehabilitation-Kyle has a 3-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-Kyle have?
It has 126 certified beds and cares for about 116 residents per day.
Has Legend Oaks Healthcare and Rehabilitation-Kyle been fined?
Yes. CMS lists 1 penalty totaling $8,407 in the last three years.
Who owns Legend Oaks Healthcare and Rehabilitation-Kyle?
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-Kyle?
(512) 268-1003. The facility is located at 1640 Fairway, Kyle, TX 78640.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.