Nursing homeActive

Legend Oaks Healthcare And Rehabilitation - North

11020 Dessau Rd, Austin, TX 787545128732244124 certified beds · 110 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
10
since 2023
Deficiencies
24
0222
Penalties · 3 yrs
$42,726
1 fine
Last survey
2026-04-23
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-23Standard060CMS-2567 (Care Compare)
2025-09-17Complaint032CMS-2567 (Care Compare)
2025-04-28Complaint010CMS-2567 (Care Compare)
2025-02-20Standard030CMS-2567 (Care Compare)
2025-02-05Complaint020CMS-2567 (Care Compare)
2025-01-17Complaint010CMS-2567 (Care Compare)
2024-11-08Complaint010CMS-2567 (Care Compare)
2024-09-13Complaint020CMS-2567 (Care Compare)
2024-01-06Infection control010CMS-2567 (Care Compare)
2023-12-13Standard020CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-23Standard survey · 6 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-27Record 676238-20260423-F550
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-27Record 676238-20260423-F677
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-27Record 676238-20260423-F687
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-27Record 676238-20260423-F761
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-27Record 676238-20260423-F803
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-27Record 676238-20260423-F919
2025-09-17Complaint survey · 5 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-09-18Record 676238-20250917-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-09-18Record 676238-20250917-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-18Record 676238-20250917-F609
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-18Record 676238-20250917-F684
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-18Record 676238-20250917-F925
2025-04-28Complaint survey · 1 deficiencyOfficial report
F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-28Record 676238-20250428-F573
2025-02-20Standard survey · 3 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 676238-20250220-F550
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 676238-20250220-F677
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 676238-20250220-F919
2025-02-05Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-06Record 676238-20250205-F689
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-06Record 676238-20250205-F880
2025-01-17Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-20Record 676238-20250117-F580
2024-11-08Complaint survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-11Record 676238-20241108-F880
2024-09-13Complaint survey · 2 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-14Record 676238-20240913-F558
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-14Record 676238-20240913-F689
2024-01-06Infection control survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-07Record 676238-20240106-F880
2023-12-13Standard survey · 2 deficienciesOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-14Record 676238-20231213-F695
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-14Record 676238-20231213-F880

Penalties & enforcement

DateActionAmountSource
2025-09-17Civil money penalty$42,726CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.66
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.17
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.68
Facility
Texas
National
Texas 2.98 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.9%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.7%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
5.1%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.1%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
30.0%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.5%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.5%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Guadalupe County Hospital Board
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Dessau Healthcare Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Quintero, Joselyn
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rathi, Anil
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burnam, Soon
Individual
CORPORATE OFFICERNOT APPLICABLE
Dessau Healthcare Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Ensign Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Gann, Kody
Individual
CORPORATE OFFICERNOT APPLICABLE
Keetch, Chad
Individual
CORPORATE OFFICERNOT APPLICABLE
National Health Investors, Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Quintero, Joselyn
Individual
ADP OF THE SNFNOT APPLICABLE
Quintero, Joselyn
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Rathi, Anil
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Rathi, Anil
Individual
ADP OF THE SNFNOT APPLICABLE
Texas Nhi Investors, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
The Ensign Group342 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Travis.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Sedona Trace Health and Wellness Center
Austin
2.3 mi2026-05-120111
Gracy Woods II Living Center
Austin
2.9 mi2025-03-20080
Gracy Woods Nursing Center
Austin
3.0 mi2026-06-041528
Avir at Park Bend
Austin
3.4 mi2026-04-290211
Oakcrest Nursing And Rehabilitation Center
Austin
4.0 mi2026-03-120123
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01