Legend Oaks Healthcare and Rehabilitation Center -
2003 W HUTCHINS PLACE, San Antonio, TX 78224
San Antonio, Texas · CMS verdict
Legend Oaks Healthcare and Rehabilitation Center -'s CMS overall star rating stands at 5 of 5, above the Texas state average (2.8) and reflecting above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Legend Oaks Healthcare and Rehabilitation Center - in San Antonio, Texas holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 65 of 100 (grade D). The 126-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 65 is built
Each segment is a dimension's weighted points toward the score, summing to 65.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Legend Oaks Healthcare and Rehabilitation Center - carries an overall CMS quality rating of 5 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (4/5), staffing (2/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in San Antonio, Texas, this facility operates 126 certified beds with an average daily census of roughly 115 residents - an occupancy rate of about 91%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 91%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within Texas, Legend Oaks Healthcare and Rehabilitation Center - is one of 313 for profit - limited liability company nursing homes CMS rates. Its 5-star overall rating sits above the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 90% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (21 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Legend Oaks Healthcare and Rehabilitation Center - compares to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Legend Oaks Healthcare and Rehabilitation Center - ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Legend Oaks Healthcare and Rehabilitation Center -’s 5-star overall rating is higher than 87% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
155 Texas homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 126 |
| Residents | 115 |
| Ownership | For profit - Limited Liability company |
| County | Bexar |
| Penalties | 0 |
| Deficiencies | 21 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Legend Oaks Healthcare and Rehabilitation Center -? ▾
5 out of 5 stars is Legend Oaks Healthcare and Rehabilitation Center -'s current CMS overall rating, built from a health inspection rating of 4/5, a staffing rating of 2/5, and a quality measures rating of 5/5.
How much does a nursing home cost per month in Texas? ▾
The median cost for a semi-private nursing home room in Texas is $5,627 per month ($67,525 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does Legend Oaks Healthcare and Rehabilitation Center - offer? ▾
Legend Oaks Healthcare and Rehabilitation Center - is a skilled nursing facility with 126 beds with approximately 115 current residents. It operates under for profit - limited liability company ownership. The facility has recorded 21 deficiencies and 0 penalties in CMS inspections.
Does Legend Oaks Healthcare and Rehabilitation Center - have any deficiencies or penalties? ▾
Legend Oaks Healthcare and Rehabilitation Center - has multiple deficiencies (21 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Texas elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 676113.
Read our methodology - how this data is sourced, computed, and verified.