Legend Oaks Healthcare And Rehabilitation Center San Antonio
2003 W HUTCHINS PLACE, San Antonio, TX, 78224
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 - Individual · Chain: The Ensign Group
- Certified beds
- 126 · avg 115 residents/day
- Total nursing staff turnover
- 43% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 33.3% — 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
State licensing & capacity
- License number
- 149723
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 126 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- November 12, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dewitt Medical District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hutchins Healthcare, Inc
- Administrator
- Peter Tierney
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)
- Hutchins Healthcare Inc
Adp of The Snf · since 2025
- Alma Alexander
Corporate Officer · since 2020
- Pradeep Yamsani
Operational/managerial Control · since 2019
- Fernando Martinez
Operational/managerial Control · since 2017
- Dewitt Medical District
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
Recent health-deficiency citations (most recent 8 of 25)
- D0842·Dec 4, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0812·Dec 4, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Dec 4, 2025
Pharmacy Service Deficiencies
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.
- D0759·Dec 4, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0690·Dec 4, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0641·Dec 4, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0583·Dec 4, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0554·Dec 4, 2025
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Dec 4, 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 Center San Antonio is a 126-bed nursing home in Bexar County licensed for Medicare and Medicaid, managed by Hutchins Healthcare under licensee Dewitt Medical District. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and 4-star health inspection score. Staffing comes in at 2 stars — the one area below peer performance. The facility carried zero CMS fines as of the March 2026 data pull.
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. Each resident receives about 211 minutes of nursing care per day — roughly 30 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Residents here also tend to need more hands-on help than at a typical facility — less mobile or more medically complex on average — so those 211 minutes stretch thinner in practice than the number alone suggests.
RN turnover runs low: about 3 in 10 registered nurses left in the past year, below Texas's 25th-percentile cutoff, meaning RN retention here is better than roughly three-quarters of nursing homes in the state. Total nursing staff turnover sits at 43%, just above the Texas median of 50% — in the better half of the state.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 3.02 per resident per day here — lower than the weekday figure; 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 at a typical facility on average; ask how care plans are reviewed and updated as a resident's needs change.
Role of Hutchins Healthcare day to day
The facility is licensed under Dewitt Medical District but managed by Hutchins Healthcare; ask which entity makes staffing and care decisions and who administrator Peter Tierney reports to.
Resident Council meeting frequency
CMS records a Resident Council but no Family Council; ask how often the Resident Council meets and how family members can raise concerns outside of that channel.
Current bed availability
With 114.9 residents on an average day in a 126-bed facility — about 91% occupancy — ask whether there is a current waitlist and what the typical admission timeline looks like.
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.