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Nursing HomeMedicaid

Legend Oaks Healthcare and Rehabilitation West San Antonio

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

222 Bertetti Dr, Rainbow Hills · San Antonio, TX 78227124 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 237 Google reviews

5
4
3
2
1

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What this means for your family

This facility is an excellent choice for short-term rehabilitation, particularly for wound care and physical therapy. However, if your loved one requires high-dependency nursing, you should closely monitor call-bell response times and verify that medication protocols are strictly followed.

Google Reviews

Google Reviews

237 reviews on Google
Families considering Legend Oaks will find a facility highly praised for its cleanliness, professional rehabilitation therapy, and a welcoming, friendly front-desk atmosphere. However, there are serious, recurring allegations regarding nursing responsiveness, medication administration errors, and instances of neglect during night shifts. While many residents thrive in the rehab program, some families report distressing lack of communication from case managers and clinical staff.

Quality Themes

Tap a score for details
Food6.0Staff7.0Clean8.0Activities7.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Exceptional rehabilitation and physical therapy teams
  • Friendly and welcoming reception staff
  • Professional and compassionate wound care

Concerns

  • Slow nursing response to call buttons (mentioned by 4 reviewers)
  • Inconsistent communication from case managers and doctors (mentioned by 3 reviewers)
  • Issues with hygiene and unpleasant odors in certain areas (mentioned by 2 reviewers)
  • Staff attitude and unprofessionalism (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.02021(3)2.02022(4)3.92023(14)4.32024(69)4.62025(98)4.42026(24)

Distribution · 212 analyzed

5
169
4
11
3
4
2
2
1
26

How They Respond to Reviews

37%response rate
Good

The owner provides personalized responses that mirror the specific details and sentiment of the reviewer's comments. For negative reviews, they use a consistent empathetic template that acknowledges the distress and invites direct communication to resolve issues.

Questions for Your Tour

  • 1It's wonderful to see how clean and well-maintained the facility looks; what steps do you take to ensure that high standard of cleanliness is consistent throughout all the resident areas?
  • 2We've heard great things about your rehabilitation and physical therapy teams; could you tell us more about how the therapists work with residents to meet their specific recovery goals?
  • 3How does the nursing team manage call buttons and response times to ensure residents feel supported and attended to throughout the night?
  • 4What is your process for ensuring clear and consistent communication between the doctors, case managers, and our family members regarding changes in care?
  • 5Can you walk us through your protocols for medication management to ensure everything is handled accurately and timely?
  • 6What kind of daily activities or social events do you have planned to keep the residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy team are awesome ! China is so helpful and offering different exercises and solutions to strengthening.

Rehab patient's family · 2024★★★★★

My mother was at this rehab facility for 3 weeks. She asked me to give reviews for some outstanding care she received from the following Earth angels : Ana Rosales, Amanda Perez, Christina Perez, and Gracie!

Long-term rehab patient's family · 2026★★★☆☆

The nurses have been responsive and actually call you back when you leave a message (as long as your phone call doesn't get dropped).

Rehab patient's family · 2025★★★★★
Source: 237 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
58%
Registered nurses for medical care
Total Nursing
3.48hrs
85%
All nurses + aides combined
Staff Turnover
28%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility40.3%
Worse than Avg
Here
40.3%
US
15.3%
TX
14.9%
Bexar
14.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
15.4%
TX
9.4%
Bexar
10.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.9%
Better than Avg
Here
10.9%
US
19.5%
TX
18.4%
Bexar
21.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.3%
Mixed vs Avgs
Here
4.3%
US
12.1%
TX
2.5%
Bexar
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
TX
96.9%
Bexar
94.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Bexar
98.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
79.7%
TX
88.0%
Bexar
84.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
81.8%
TX
89.2%
Bexar
81.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.1%
Better than Avg
Here
0.1%
US
1.6%
TX
1.5%
Bexar
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Near state avg (9.1)
5 complaint-triggered
$8,632 in fines

Three families filed complaints triggering federal investigations, including concerns about accident prevention and infection control. The facility shows recurring issues with resident care planning, safety supervision, and infection prevention across multiple surveys from 2022 to 2024. While all deficiencies have correction dates, the pattern of repeated problems in core care areas suggests ongoing quality challenges that families should carefully consider.

Jan 29, 2026Routine
8
0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Dec 9, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 31, 2024Routine
3
0576Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Apr 12, 2024Complaint
4
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Sep 15, 2023Routine
5
0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Federal Penalties

Fine

Apr 12, 2024

$8,632

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dewitt Medical District

Organization Type

for profit

Management Company

BERTETTI HEALTHCARE, INC

Administrator

ROBERT GRAY

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 10 of 84 (Best)

Ownership & Management

Owners

Dewitt Medical District

Owner (parent company) · Organization

100%

Key personnel

Gray, RobertManaging Control - Governing BodyMansoor, SaadManaging Control - Governing BodyAlexander, AlmaOfficer / DirectorBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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