Legend Oaks Healthcare and Rehabilitation-Kyle
1640 Fairway · Kyle, TX · 78640 · 5122681003
126 certified beds For profit - Limited Liability company Chain: The Ensign Group
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | 1 · $8,278 |
Inspection citations (30 in the current record)
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Potential for harm · D January 29, 2026 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 19, 2026 · Resident Rights
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Potential for harm · E January 29, 2026 · found via complaint
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.
Corrected February 19, 2026 · Resident Rights
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Actual harm · G December 12, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 18, 2025 · Quality of Life and Care
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Potential for harm · D December 12, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · F December 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 15, 2025 · Nutrition and Dietary
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Potential for harm · D December 12, 2025
Provide and implement an infection prevention and control program.
Corrected December 15, 2025 · Infection Control
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Potential for harm · D November 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 20, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 21, 2024 · Infection Control
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Potential for harm · E September 5, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 6, 2024 · Resident Rights
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Potential for harm · D September 5, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 6, 2024 · Resident Rights
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Potential for harm · E September 5, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 6, 2024 · Resident Rights
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Potential for harm · D September 5, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 6, 2024 · Quality of Life and Care
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Potential for harm · D September 5, 2024
Provide or obtain dental services for each resident.
Corrected October 7, 2024 · Quality of Life and Care
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Potential for harm · E September 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 6, 2024 · Nutrition and Dietary
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Potential for harm · D September 5, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected September 6, 2024 · Environmental
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Potential for harm · D November 21, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 10, 2023 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 22, 2023 · Resident Rights
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Potential for harm · E August 10, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 10, 2023 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected August 22, 2023 · Pharmacy Service
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Potential for harm · D June 30, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 28, 2023 · Resident Rights
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Potential for harm · D June 30, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 28, 2023 · Quality of Life and Care
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Potential for harm · D June 30, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 28, 2023 · Quality of Life and Care
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Potential for harm · E June 30, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 28, 2023 · Pharmacy Service
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Potential for harm · D June 30, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 28, 2023 · Pharmacy Service
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Potential for harm · D June 30, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 28, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 12, 2025 | Fine | $8,278 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676272 · certified since February 8, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.