Legend Oaks Healthcare and Rehabilitation - West S
222 Bertetti Dr, San Antonio, TX 78227
Phone: 2106731700
CMS ratings and facility information
Legend Oaks Healthcare and Rehabilitation - West S is a Medicare-certified nursing facility in San Antonio, Bexar 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 rating | 3 of 5 stars |
|---|---|
| Health inspection rating | 3 of 5 |
| Staffing rating | 3 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 124 |
| Ownership | For profit - Corporation |
| CMS certification number | 676312 |
Staffing
| Total nurse hours per resident day | 3.64 |
|---|---|
| RN hours per resident day | 0.53 |
| Nurse aide hours per resident day | 2.12 |
| Total nursing staff turnover percent | 20.7 |
| RN turnover percent | 18.2 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 3.31 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 1.09 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 0 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 1.57 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 3.09 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 3.6 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-01-29 | 0641 | Ensure each resident receives an accurate assessment. | E |
| 2026-01-29 | 0761 | 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. | E |
| 2026-01-29 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-01-29 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2026-01-29 | 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2026-01-29 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-10-31 | 0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F |
| 2024-10-31 | 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2023-09-15 | 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D |
| 2023-09-15 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2023-09-15 | 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| 2023-09-15 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-09-15 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
Penalties
| Date | Type | Amount |
|---|---|---|
| 2024-04-12 | Fine | ,632 |
Ownership records
| Name | Type | Role |
|---|---|---|
| DEWITT MEDICAL DISTRICT | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| GRAY, ROBERT | Individual | MANAGING CONTROL - GOVERNING BODY |
| MANSOOR, SAAD | Individual | MANAGING CONTROL - GOVERNING BODY |
| ALEXANDER, ALMA | Individual | CORPORATE OFFICER |
| BURNAM, SOON | Individual | CORPORATE OFFICER |
| KEETCH, CHAD | Individual | CORPORATE OFFICER |
| BERTETTI HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| GRAY, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| MANSOOR, SAAD | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| BERTETTI HEALTHCARE, INC. | Organization | ADP OF THE SNF |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF |
| NATIONAL HEALTH INVESTORS, INC. | Organization | ADP OF THE SNF |
| TEXAS NHI INVESTORS, LLC | Organization | ADP OF THE SNF |
| GRAY, ROBERT | Individual | ADP OF THE SNF |
| MANSOOR, SAAD | Individual | ADP OF THE SNF |
Compare nursing homes in Bexar 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.