Legend Oaks Healthcare And Rehabilitation-kyle
Legend Oaks Healthcare and Rehabilitation-Kyle in Kyle, TX — inspection on January 29, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/29/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Legend Oaks Healthcare and Rehabilitation-Kyle
1640 Fairway Kyle, TX 78640
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID: