Legend Oaks Healthcare And Rehabilitation West San Antonio
222 BERTETTI DR, San Antonio, TX, 78227
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
- 124 · avg 108 residents/day
- Total nursing staff turnover
- 32.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 35.7% — 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 · $8,632 total
State licensing & capacity
- License number
- 149068
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 4 Medicare-only · 120 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- May 31, 2012
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dewitt Medical District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Bertetti Healthcare, Inc
- Administrator
- Robert Gray
Texas HHS licensing registry · as of April 16, 2026
About this community
Legend Oaks Healthcare and Rehabilitation – West San Antonio is a 124-bed nursing home in San Antonio's Bexar County, operated under management by Bertetti Healthcare, Inc. CMS rates it 5 stars overall, with 5-star quality-of-care ratings for both long-stay and short-stay residents and a 4-star health inspection score. Staffing comes in at 3 stars. About 108 residents are in the facility on an average day, leaving some open beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — each resident receives about 209 minutes of nursing care per day, roughly 32 minutes less than at a 4-star-staffing facility in Texas. Around 19% of Texas nursing homes fall at this staffing level or below, so this facility sits in the lower fifth of the state on that measure alone.
Nursing staff turnover runs exceptionally low: roughly 3 in 10 nursing staff left in the past year. Texas nursing homes at the 25th percentile see about 42% annual turnover, so this facility is well below that cutoff — better than about three-quarters of nursing homes in the state. Residents who stay long-term are less likely to cycle through multiple primary caregivers.
CMS recorded one fine totaling $8,632. For context, the median fine among Texas nursing homes that received any fine at all is about $20,699, and about 30% of Texas facilities have no fines on record.
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 here run about 3.1 hours per resident per day — lower than the weekday average — so ask how staffing is scheduled on evenings and weekends.
How the 3-star staffing gap is managed
With daily nursing care about 32 minutes below the Texas 4-star threshold, ask which tasks or care routines are prioritized when staff are stretched.
RN coverage during off-hours
Reported RN hours average about 28 minutes per resident per day; ask how many registered nurses are on-site overnight and on weekends.
Current bed availability and wait time
The facility averages about 108 residents against 124 licensed beds; ask whether the beds that match your loved one's care needs are currently open or have a wait.
Resident Council activity
The facility has a Resident Council but no Family Council; ask how families receive updates on concerns raised in those meetings.
Management company's role in daily operations
The licensed owner is a hospital district, but day-to-day management is handled by Bertetti Healthcare — ask which entity sets staffing ratios and care policies.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.