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Legend Oaks Healthcare And Rehabilitationkyle

1640 FAIRWAY, Kyle, TX, 78640

Type
Nursing home
State-licensedCMS certified · CCN 676272

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.

Full report →

CMS Star Ratings

Overall4/5
Health inspections3/5
Staffing2/5
Quality measures5/5

Facility & Staffing

Ownership
For profit - Corporation · Chain: The Ensign Group
Certified beds
126 · avg 112 residents/day
Total nursing staff turnover
32.6%lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
RN turnover
54.5%near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Administrators who left
0 departednear the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $12,735 total

State licensing & capacity

License number
147275
Service type
Medicare/medicaid
Licensed capacity
126 beds
Bed type breakdown
126 Medicaid/Medicare
Current license effective
April 1, 2023
Current license expires
April 1, 2026
Initial license date
February 8, 2011

Texas HHSC licensing registry · as of April 16, 2026

Ownership & operations

Licensee
Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
Operator / manager
Treaty Healthcare Inc
Administrator
Gabriel Barraza

Texas HHSC licensing registry · as of April 16, 2026

Federal ownership record

Non-profitOther

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)

  • Treaty Healthcare, Inc

    Adp of The Snf · since 2025

  • Kody Gann

    Corporate Officer · since 2021

  • Matthew Fowers

    Managing Control - Governing Body · since 2019

  • Guadalupe County Hospital Board

    5% or Greater Direct Ownership Interest · 100% · since 2017

  • National Health Investors, Inc.

    Adp of The Snf · since 2017

  • Soon Burnam

    Corporate Officer · 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

26 health citations on file11 from complaints1 federal fine totalling $13K

Recent health-deficiency citations (most recent 8 of 26)

  • E0584·Jan 29, 2026Complaint

    Resident Rights Deficiencies

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • D0552·Jan 29, 2026Complaint

    Resident Rights Deficiencies

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • E0880·Nov 20, 2024Complaint

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • D0600·Nov 20, 2024Complaint

    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.

  • D0919·Sep 5, 2024

    Environmental Deficiencies

    Make sure that a working call system is available in each resident's bathroom and bathing area.

  • E0812·Sep 5, 2024

    Nutrition and Dietary Deficiencies

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

  • D0791·Sep 5, 2024

    Quality of Life and Care Deficiencies

    Provide or obtain dental services for each resident.

  • D0677·Sep 5, 2024

    Quality of Life and Care Deficiencies

    Provide care and assistance to perform activities of daily living for any resident who is unable.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $13K

Most recent events

  • Dec 12, 2025Fine · $13K

Fire-safety citations

4 Life-Safety-Code citations on file. Most recent: Sep 5, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

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 – Kyle is a 126-bed nursing home in Hays County, Texas, operated by Treaty Healthcare Inc under a Hospital District license. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 2-star staffing rating. All 126 beds are Medicare- and Medicaid-certified. The facility averages 112 residents per day and carries one CMS fine of $12,735.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

What the data says

CMS rates staffing here at 2 stars — roughly the bottom third of Texas nursing homes on this measure. Each resident receives about 195 minutes of nursing care per day, approximately 46 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — so the same staffing hours stretch thinner than the raw minutes suggest.

Total nursing staff turnover runs at roughly 3 in 10 over the past year — below the Texas 25th-percentile cutoff, meaning better than about three-quarters of nursing homes in the state. A long-stay resident is less likely to cycle through multiple primary caregivers here than at most Texas facilities.

CMS recorded one fine of $12,735 since the current data period. About 30% of Texas nursing homes have zero fines; a single fine at this dollar level falls below the Texas median fine of $20,699.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

Questions to ask when you tour

  1. Staffing on nights and weekends

    With a 2-star staffing rating and weekend hours averaging 2.78 hours per resident per day, ask how many nurses and aides are on duty overnight and on weekends.

  2. How care plans account for resident complexity

    Residents here require more hands-on care than average, yet staffing is below peers — ask how often care plans are reviewed and who leads those reviews.

  3. RN coverage during off-hours

    Reported RN hours average about 18 minutes per resident per day; ask whether a registered nurse is on-site around the clock or on-call after hours.

  4. The 2023 fine and corrective steps

    CMS recorded one fine of $12,735 — ask what the citation involved and what changes were made in response.

  5. Family Council availability

    The facility has a Resident Council but no Family Council listed; ask whether families have a structured forum to raise concerns and how often it meets.

  6. Current bed availability

    With 112 of 126 beds occupied on average, ask whether there is a current waitlist and how long placement typically takes.

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.