Legend Oaks Healthcare and Rehabilitation - New BR

Nursing Home · New Braunfels, TX

CMS overall rating 3/5 Government - Hospital district

CMS certification number676392

Contact & location

2468 FM 1101
New Braunfels, TX 78130
Comal County
Phone
(830) 420-6500
ZIP code
78130 – all care providers

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Facility details

Certified beds
126
Residents per day
115.1 (91% occupied)
Ownership
Government - Hospital district
Legal name
Guadalupe County Hospital Board
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
October 16, 2015
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.6
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 2/5

Staffing

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

Total nurse staffing
3.30 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.45 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.71 (state 0.95 · U.S. 0.86)
Nurse aides
2.15 (state 2.00 · U.S. 2.32)
Weekend total
2.87 (state 2.98 · U.S. 3.42)
Nursing staff turnover
49.5 (state 55.3 · U.S. 45.8)%
RN turnover
53.8 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 20, 2026
Health deficiencies (last cycle)
10.0 (state 9.3 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
38 health · 4 fire safety
DateCitationSeverityStatus
2026-05-20 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-27
2026-05-20 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-20 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 2026-06-11
2026-05-20 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-20 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-20 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-04-29 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-06
2025-09-10 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-15
2025-09-10 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-15
2025-03-28 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-02
2025-03-28 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-02
2025-03-28 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 2025-03-29
2025-03-28 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-31
2025-03-28 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-31
2025-03-28 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-03-28 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-31
2025-03-28 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 2025-03-31
2025-03-28 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-03-28 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-03-28 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-03-28 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-03-28 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
F0945 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-03-28 Provide training in compliance and ethics.
F0946 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-03-28 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-03
2025-02-06 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2025-02-06 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2025-02-06 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-12
2025-02-06 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-07
2024-08-03 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 2024-08-04
2024-08-03 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-04
2024-02-29 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-27
2024-01-27 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 2024-02-16
2024-01-27 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-16
2024-01-27 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 2024-02-29
2024-01-27 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-29
2024-01-27 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		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-29
2024-01-20 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-20

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

No federal fines or payment denials in the last three years.

Ownership & management

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

Frequently asked questions

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

Legend Oaks Healthcare and Rehabilitation - New BR 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 - New BR have?

It has 126 certified beds and cares for about 115 residents per day.

Has Legend Oaks Healthcare and Rehabilitation - New BR been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Legend Oaks Healthcare and Rehabilitation - New BR?

It is part of The Ensign Group and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

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

(830) 420-6500. The facility is located at 2468 FM 1101, New Braunfels, TX 78130.

Other nursing homes in New Braunfels

Compare all nursing homes in New Braunfels, TX →

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