Nursing Home in San Antonio, TX · CMS Data August 2026

Legend Oaks Healthcare and Rehabilitation - West S

How Does Legend Oaks Healthcare and Rehabilitation - West S Rate?

Legend Oaks Healthcare and Rehabilitation - West S is a 124-bed for-profit nursing home in San Antonio, TX. CMS rates it 3 out of 5 stars overall (August 2026), with 3 for health inspections, 3 for staffing and 4 for quality measures. Residents got an average of 3.6 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on January 29, 2026, cited 11 health deficiencies.

CMS overall rating: 3 of 5
Nursing per resident per day: 3.6 hours
Deficiencies at last inspection: 11
Certified beds: 124

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

222 Bertetti Dr
San Antonio, TX 78227

3 of 5 CMS overall · Average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

Loading map…

Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for Legend Oaks Healthcare and Rehabilitation - West S
Rating	Stars	CMS label
Overall rating	3 of 5	Average
Health inspections	3 of 5	Average
Staffing	3 of 5	Average
Quality measures	4 of 5	Above average
Quality for long-stay residents	4 of 5	Above average
Quality for short-stay residents	5 of 5	Much above average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at Legend Oaks Healthcare and Rehabilitation - West S and the national median
Measure	This home	National median
Total nursing hours per resident per day	3.6 hours	3.7 hours
Registered nurse hours per resident per day	0.5 hours	0.6 hours
Nurse aide hours per resident per day	2.1 hours	2.2 hours
Total nursing hours per resident on weekends	3.2 hours	3.3 hours
Nursing staff turnover (past year)	21%	45%
Registered nurse turnover (past year)	18%	42%

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for Legend Oaks Healthcare and Rehabilitation - West S
Last standard health inspection	January 29, 2026
Health deficiencies cited at that inspection	11
Deficiencies from complaint inspections (same rating cycle)	5
Citations from infection control inspections	0
Fines in the past 3 years	1 totaling $8,632
Payment denials in the past 3 years	0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at Legend Oaks Healthcare and Rehabilitation - West S who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for Legend Oaks Healthcare and Rehabilitation - West S
Residents who	This home	National median	Compared
Received an antipsychotic medication	3.6%	13%	Lower than the national median
Received an antianxiety or hypnotic medication	12%	18%	Lower than the national median
Had a fall with major injury	0.0%	2.8%	Lower than the national median
Have pressure ulcers	1.6%	4.2%	Lower than the national median
Lost too much weight	3.9%	4.7%	Lower than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	3.9%	3.6%	Higher than the national median
Needed more help with daily activities over time	13%	13%	Higher than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about Legend Oaks Healthcare and Rehabilitation - West S
Certified beds	124
Average residents per day	109
Ownership	For profit - Corporation
Legal business name	DEWITT MEDICAL DISTRICT
Chain or affiliated group	THE ENSIGN GROUP (342 homes)
Certified for	Medicare and Medicaid
First certified	May 2012
Councils	Resident council

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Texas's State Long-Term Care Ombudsman (800-252-2412) can answer questions about residents' rights. See all nursing homes and senior care in Texas.