Legend Oaks Healthcare and Rehabilitation-Kyle

1640 Fairway, Kyle, TX 78640

Phone: 5122681003

CMS ratings and facility information

Legend Oaks Healthcare and Rehabilitation-Kyle is a Medicare-certified nursing facility in Kyle, Hays County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating3 of 5 stars
Health inspection rating3 of 5
Staffing rating2 of 5
Quality measures rating3 of 5
Certified beds126
OwnershipFor profit - Limited Liability company
CMS certification number676272

Staffing

Total nurse hours per resident day3.38
RN hours per resident day0.36
Nurse aide hours per resident day2.06
Total nursing staff turnover percent38.1
RN turnover percent60

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.51events_per_1000_resident_days20250101-20251231
Emergency-department visits1.25events_per_1000_resident_days20250101-20251231
Falls with major injury3.91percent2025Q2-2026Q1
Pressure ulcers2.39percent2025Q2-2026Q1
Urinary tract infections1.14percent2025Q2-2026Q1
Antipsychotic medication use3.72percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-12-120686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-12-120812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-12-120636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D
2025-12-120880Provide and implement an infection prevention and control program.D
2024-09-050550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2024-09-050583Keep residents' personal and medical records private and confidential.E
2024-09-050812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-09-050578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D
2024-09-050677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-09-050791Provide or obtain dental services for each resident.D
2024-09-050919Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-06-300755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-06-300812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-06-300578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D
2023-06-300684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-06-300698Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2023-06-300758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D
2023-06-300805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2023-06-300814Dispose of garbage and refuse properly.D

Penalties

DateTypeAmount
2025-12-12Fine,407

Ownership records

NameTypeRole
GUADALUPE COUNTY HOSPITAL BOARDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
FOWERS, MATTHEWIndividualMANAGING CONTROL - GOVERNING BODY
KROL, MICHAELIndividualMANAGING CONTROL - GOVERNING BODY
BURNAM, SOONIndividualCORPORATE OFFICER
GANN, KODYIndividualCORPORATE OFFICER
KEETCH, CHADIndividualCORPORATE OFFICER
TREATY HEALTHCARE, INCOrganizationOPERATIONAL/MANAGERIAL CONTROL
FOWERS, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL
KROL, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL
ENSIGN SERVICES INCOrganizationADP OF THE SNF
NATIONAL HEALTH INVESTORS, INC.OrganizationADP OF THE SNF
TEXAS NHI INVESTORS, LLCOrganizationADP OF THE SNF
TREATY HEALTHCARE, INCOrganizationADP OF THE SNF
FOWERS, MATTHEWIndividualADP OF THE SNF
KROL, MICHAELIndividualADP OF THE SNF

Compare nursing homes in Hays County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.