Legend Oaks Healthcare And Rehabilitation-kyle
Inspection Findings
F-Tag F0552
F 0552 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
oriented, they would be notified as well and their RP. During an exit conference interview on 01/29/2026 at 3:45 PM, DON B stated that Resident #1 was notified by the nurse practitioner that Tamiflu was being started. The DON stated that the nurse practitioner did not notify all residents, only some. The DON stated that Resident #1 had a BIMs of 12 and that his RP/FM was notified to start the medication. The DON stated that residents did not have to have a MPOA in place to notify the FM. Review of the facility policy titled ‘Resident Rights and Responsibilities, Notice of with revision date of 04/2025 reflected should a resident be found incompetent by a court of law, the resident's representative shall act on behalf of the resident.
Note: The nursing home is disputing this citation.
FORM CMS-2567 (02/99) Previous Versions Obsolete
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
01/29/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Legend Oaks Healthcare and Rehabilitation-Kyle
1640 Fairway Kyle, TX 78640
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
date of 12/31/2026 and close date of 01/2/2026. Review of work order log reflected request for Resident #1's curtain to be changed with note privacy curtain has BM on it with an open date of 01/08/2026 and close date of 01/15/2026. Review of work order log reflected request for Resident #1's curtain needed to be cleaned with an open date of 01/10/2026 and close date of 01/12/2026 with a note of repeat. Review of work order log reflected request for Resident #1's room with note privacy curtain needs to be washed with
an open date of 1/14/2026 and close date of 1/15/2026. Review of work order log reflected request for Resident #1's curtain to be changed with note curtain has poop on it please change it with an open date of 01/27/2026 and close date of 01/29/2026. Review of facility policy titled Physical Environment with revision date of 05/2023 reflected the facility utilized TELS to track and document maintenance and regular tasks.
Review reflected that it was the policy of the facility to establish procedures to ensure the facility remains in good working order for resident and staff safety.
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Legend Oaks Healthcare and Rehabilitation-Kyle in Kyle, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Kyle, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Legend Oaks Healthcare and Rehabilitation-Kyle or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.