Legend Oaks Healthcare And Rehabilitation North Austin
11020 DESSAU RD, Austin, TX, 78754
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: The Ensign Group
- Certified beds
- 124 · avg 115 residents/day
- Total nursing staff turnover
- 27.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 23.1% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $41,890 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 149117
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 16 Medicare-only · 108 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- October 20, 2009
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Dessau Healthcare, Inc
- Administrator
- Edelmiro Garza Iii
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (10 on record)
- Dessau Healthcare Inc
Adp of The Snf · since 2025
- Anil Rathi
Operational/managerial Control · since 2025
- Kody Gann
Corporate Officer · since 2021
- Joselyn Quintero
Operational/managerial Control · since 2018
- Guadalupe County Hospital Board
5% or Greater Direct Ownership Interest · 100% · since 2017
- National Health Investors, Inc.
Adp of The Snf · since 2017
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 28)
- D0925·Sep 17, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0684·Sep 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0609·Sep 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- J0607·Sep 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- J0600·Sep 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0573·Apr 28, 2025Complaint
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- D0919·Feb 20, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0677·Feb 20, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal penalties
By year
- 20251 fine · $42K
Most recent events
- Sep 17, 2025Fine · $42K
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Legend Oaks Healthcare and Rehabilitation – North Austin is a 124-bed nursing home in Austin's Travis County, operating under The Ensign Group and managed by Dessau Healthcare, Inc. CMS rates it 2 stars overall. CMS has substantiated findings of resident abuse or neglect here within the past 36 months, and the facility received one fine totaling $41,890. Quality-of-care measures rate 4 stars for long-stay residents. The license is active through April 2029.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This flag appears on Care Compare when a deficiency involving abuse or neglect has been cited during a standard health inspection in that window.
CMS rates staffing 3 stars here. Each resident receives about 187 minutes of nursing care per day — roughly 54 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
Nursing staff turnover runs exceptionally low: roughly 3 in 10 nursing staff left in the past year, below Texas's 25th-percentile cutoff — better than about three-quarters of nursing homes in the state. RN turnover is also low, at about 2 in 10. A stable team is notable against a backdrop of below-peer staffing hours and a substantiated abuse finding.
One CMS fine totaling $41,890 has been assessed here. About 30% of facilities in Texas have no fines at all; this fine is roughly double the Texas state median of $20,699.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Nature of the abuse finding
Ask what the substantiated abuse or neglect citation involved, when it occurred, and what specific policy or staffing changes followed the finding.
What the $41,890 fine covered
Ask which deficiency triggered the fine and whether the cited practice has been corrected and independently re-inspected.
Staffing hours on nights and weekends
Reported weekend nursing hours are 2.68 minutes per resident per day — ask how many nurses and aides are on a typical overnight or weekend shift.
How low turnover is maintained
Nursing staff turnover is exceptionally low for Texas; ask what scheduling, compensation, or management practices account for that stability.
Resident Council participation and access
The facility has a Resident Council but no Family Council — ask how families are formally notified of concerns raised at Resident Council meetings.
Management company role day to day
The licensee is a hospital district authority, while Dessau Healthcare manages operations — ask which entity sets staffing levels and handles complaints.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.