Legend Oaks Healthcare And Rehabilitationkyle
1640 FAIRWAY, Kyle, TX, 78640
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 Star Ratings
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 departed — near 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
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
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.
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
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.
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.
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.
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.
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.
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.