Nursing home in Austin, Texas
Legend Oaks Healthcare and Rehabilitation - North
Medicare and Medicaid
11020 DESSAU RD, Austin, TX 78754
(512) 873-2244
- CMS shows its abuse icon for this nursing home: it was cited for abuse or neglect at the harm level or above on the most recent inspection cycle, or at the potential-harm level on both of the last two cycles.
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home1
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home3
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Apr 23, 2026. CMS counts 11 health deficiencies in rating cycle 1.
- This nursing home11
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 24 health deficiencies on 10 inspection dates since Sep 30, 2023. By level of harm: 2 immediate jeopardy, 22 potential for harm.
- 2 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 22 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Apr 23, 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 27, 2026 |
| Apr 23, 2026 | F0803 | 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.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 27, 2026 |
| Apr 23, 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area.Environmental Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 27, 2026 |
| Apr 23, 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 27, 2026 |
| Apr 23, 2026 | F0687 | Provide appropriate foot care.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 27, 2026 |
| Apr 23, 2026 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 27, 2026 |
| Sep 17, 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Sep 18, 2025 |
| Sep 17, 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Sep 18, 2025 |
| Sep 17, 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Sep 18, 2025 |
| Sep 17, 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Sep 18, 2025 |
Show the other 14 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Sep 17, 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Sep 18, 2025 |
| Apr 28, 2025 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Apr 28, 2025 |
| Feb 20, 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 21, 2025 |
| Feb 20, 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 21, 2025 |
| Feb 20, 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 21, 2025 |
| Feb 5, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Feb 6, 2025 |
| Feb 5, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 6, 2025 |
| Jan 17, 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jan 20, 2025 |
| Nov 8, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Nov 11, 2024 |
| Sep 13, 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Sep 14, 2024 |
| Sep 13, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Sep 14, 2024 |
| Jan 6, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Complaint, Infection control | Deficient, Provider has date of correction Jan 7, 2024 |
| Dec 13, 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 14, 2023 |
| Dec 13, 2023 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 14, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.17 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.66 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.[27]
- This nursing homeNot available
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 1 penalty for this nursing home: 1 fine totaling $28,064, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 124 |
|---|---|
| Average residents per day | 109.9 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | The Ensign Group (344 facilities) |
| Legal business name | GUADALUPE COUNTY HOSPITAL BOARD |
| First approved for Medicare and Medicaid | Oct 20, 2009 |
| County | Travis |
| CMS certification number | 676238 |
Also in Austin
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Gracy Woods II Living Center | 110 | Government - Hospital district | ||
| Barton Valley Rehabilitation and Healthcare Center | 126 | Government - Hospital district | ||
| Sage Park Austin | 46 | For profit - Partnership | ||
| Stonebridge Health Rehab | 116 | For profit - Limited Liability company | ||
| Windsor Nursing and Rehabilitation Center of Duval | 206 | Government - Hospital district | ||
| Avir at Park Bend | 124 | Government - Hospital district | ||
| Brookdale Westlake Hills | 90 | For profit - Corporation | ||
| Heritage Park Rehabilitation and Skilled Nursing C | 197 | Government - Hospital district | ||
| Austin Wellness & Rehabilitation | 120 | For profit - Corporation | ||
| Brush Country Nursing and Rehabilitation | 118 | For profit - Corporation | ||
| Gracy Woods Nursing Center | 118 | For profit - Corporation | ||
| Coral Rehabilitation and Nursing of Austin | Not available | Not available | 157 | Government - Hospital district |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Ascension Seton Northwest | Acute Care Hospitals | Yes | |
| Dell Seton Med Center at the University of TX | Acute Care Hospitals | No | |
| St David's Medical Center | Acute Care Hospitals | Yes | |
| Ascension Seton Medical Center Austin | Acute Care Hospitals | Yes | |
| North Austin Medical Center | Acute Care Hospitals | Yes | |
| St David's South Austin Medical Center | Acute Care Hospitals | Yes | |
| Ascension Seton Southwest | Not available | Acute Care Hospitals | Yes |
| Northwest Hills Surgical Hospital | Not available | Acute Care Hospitals | Yes |
CMS footnotes on this page
- [27]
- This facility submitted staffing data that did not meet the criteria required to calculate a turnover measure. This measure will be excluded from the staffing rating and the staffing score will be rescaled.