Legend Oaks Healthcare And Rehabilitation New Braunfels
2468 FM 1101, New Braunfels, TX, 78130
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
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 126 · avg 107 residents/day
- Total nursing staff turnover
- 50.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 46.2% — 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
State licensing & capacity
- License number
- 307212
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 16 Medicare-only · 110 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- October 16, 2015
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Riverwalk Healthcare, Inc
- Administrator
- Garrett Newsome
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)
- Riverwalk Healthcare Inc
Adp of The Snf · since 2025
- Kody Gann
Corporate Officer · since 2021
- Garrett Newsome
Operational/managerial Control · since 2020
- Guadalupe County Hospital Board
5% or Greater Direct Ownership Interest · 100% · since 2019
- National Health Investors, Inc.
Adp of The Snf · since 2019
- Soon Burnam
Corporate Officer · since 2019
+ 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 35)
- D0887·Sep 10, 2025Complaint
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E0804·Sep 10, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0755·Mar 28, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0949·Mar 28, 2025
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D0946·Mar 28, 2025
Administration Deficiencies
Provide training in compliance and ethics.
- D0945·Mar 28, 2025
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- D0944·Mar 28, 2025
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D0943·Mar 28, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Mar 28, 2025. 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 – New Braunfels is a 126-bed nursing home in Comal County, TX, licensed through April 2028 and managed by Riverwalk Healthcare, Inc. under a hospital district licensee. CMS rates it 3 stars overall, with a 2-star staffing rating. Residents average 211 minutes of nursing care per day — 30 minutes below the Texas threshold for a 4-star staffing facility — and the facility serves a resident population that needs more hands-on care than the state average.
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, with about 31% of facilities statewide sharing that rating. Each resident receives approximately 211 minutes of total nursing care per day, about 30 minutes less than at a 4-star-staffing facility in Texas. Of that, roughly 22 minutes involve a registered nurse, compared to 37 minutes at the 4-star threshold. Residents here need more hands-on care than at a typical facility — more dependent on average — so the same staffing hours stretch thinner than the raw minutes suggest.
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
Reported weekend nursing hours average 3.06 per resident per day, below the weekday figure — ask how many nurses and aides are scheduled on a typical Saturday night.
RN coverage during your shift
Reported RN hours average about 22 minutes per resident per day; ask whether a registered nurse is on-site around the clock or only during day shifts.
Residents' council participation
The facility has a Resident Council but no Family Council — ask how families are currently notified of care changes or given a structured channel to raise concerns.
Riverwalk Healthcare's role day-to-day
The licensee is a hospital district, but day-to-day management runs through Riverwalk Healthcare, Inc. — ask which entity sets staffing levels, care policies, and handles complaints.
Waitlist and bed availability
With 107 residents in 126 licensed beds — about 85% occupancy — ask whether the specific bed type you need (Medicare or Medicaid) has current availability or a wait.
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.