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Legend Oaks Healthcare And Rehabilitation - New Br

📍 2468 Fm 1101, New-braunfels, TX 78130 📞 (830) 420-6500 🛏️ 126 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $24,750

$15,000
Nov 18, 2022

Fine

$9,750
Nov 18, 2022

Fine

2019 1 penalties totaling $12,942

$12,942
Nov 9, 2019

Fine

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Health Violations by Year

2025 19 violations

Tag 0641 D Mar 28, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 31, 2025
Tag 0656 D Mar 28, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 31, 2025
Tag 0692 D Mar 28, 2025

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Apr 3, 2025
Tag 0695 E Mar 28, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Apr 2, 2025
Tag 0700 D Mar 28, 2025

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Mar 31, 2025
Tag 0755 E Mar 28, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 2, 2025
Tag 0761 D Mar 28, 2025

Ensure 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.

✓ Corrected: Mar 31, 2025
Tag 0812 E Mar 28, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 29, 2025
Tag 0940 D Mar 28, 2025

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

✓ Corrected: Apr 3, 2025
Tag 0941 D Mar 28, 2025

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

✓ Corrected: Apr 3, 2025
Tag 0943 D Mar 28, 2025

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

✓ Corrected: Apr 3, 2025
Tag 0944 D Mar 28, 2025

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

✓ Corrected: Apr 3, 2025
Tag 0945 D Mar 28, 2025

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

✓ Corrected: Apr 3, 2025
Tag 0946 D Mar 28, 2025

Provide training in compliance and ethics.

✓ Corrected: Apr 3, 2025
Tag 0949 D Mar 28, 2025

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

✓ Corrected: Apr 3, 2025
Tag 0602 D Feb 6, 2025

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: Feb 7, 2025
Tag 0657 D Feb 6, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 7, 2025
Tag 0695 D Feb 6, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 12, 2025
Tag 0842 D Feb 6, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Feb 7, 2025

2024 9 violations

Tag 0684 D Aug 3, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 4, 2024
Tag 0842 D Aug 3, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 4, 2024
Tag 0677 D Feb 29, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 29, 2024
Tag 0609 D Jan 27, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 16, 2024
Tag 0623 D Jan 27, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Feb 16, 2024
Tag 0636 D Jan 27, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Feb 29, 2024
Tag 0756 D Jan 27, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Feb 29, 2024
Tag 0812 D Jan 27, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 29, 2024
Tag 0695 D Jan 20, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 11, 2024
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2022 7 violations

Tag 0578 D Nov 18, 2022

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: Dec 12, 2022
Tag 0685 D Nov 18, 2022

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Dec 31, 2022
Tag 0690 D Nov 18, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Dec 15, 2022
Tag 0880 E Nov 18, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 19, 2022
Tag 0944 E Nov 18, 2022

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

✓ Corrected: Dec 31, 2022
Tag 0609 D Jun 1, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 1, 2022
Tag 0610 D Jun 1, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Sep 1, 2022

2021 10 violations

Tag 0641 D Sep 24, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Oct 16, 2021
Tag 0686 D Sep 24, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 16, 2021
Tag 0697 D Sep 24, 2021

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Oct 16, 2021
Tag 0755 D Sep 24, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Oct 16, 2021
Tag 0802 F Sep 24, 2021

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

✓ Corrected: Oct 16, 2021
Tag 0804 E Sep 24, 2021

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Oct 16, 2021
Tag 0812 F Sep 24, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 16, 2021
Tag 0842 D Sep 24, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Oct 16, 2021
Tag 0636 D Aug 10, 2021

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Tag 0842 D Aug 10, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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2020 4 violations

Tag 0607 D Oct 13, 2020

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Oct 14, 2020
Tag 0609 D Oct 13, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 14, 2020
Tag 0610 D Oct 13, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Oct 14, 2020
Tag 0880 E Mar 11, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 12, 2020

2019 15 violations

Tag 0600 J Nov 9, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Nov 10, 2019
Tag 0607 J Nov 9, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Nov 10, 2019
Tag 0638 D Nov 9, 2019

Assure that each resident’s assessment is updated at least once every 3 months.

✓ Corrected: Nov 14, 2019
Tag 0656 E Nov 9, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 14, 2019
Tag 0689 J Nov 9, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 14, 2019
Tag 0690 D Nov 9, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Nov 14, 2019
Tag 0695 E Nov 9, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Nov 14, 2019
Tag 0697 D Nov 9, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Nov 14, 2019
Tag 0700 E Nov 9, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Nov 14, 2019
Tag 0726 E Nov 9, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Nov 25, 2019
Tag 0759 D Nov 9, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Nov 25, 2019
Tag 0806 D Nov 9, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Nov 19, 2019
Tag 0812 F Nov 9, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 19, 2019
Tag 0842 D Nov 9, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Nov 14, 2019
Tag 0880 E Nov 9, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 25, 2019
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2018 11 violations

Tag 0580 D Nov 9, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Nov 30, 2018
Tag 0659 E Nov 9, 2018

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Nov 30, 2018
Tag 0679 D Nov 9, 2018

Provide activities to meet all resident's needs.

✓ Corrected: Nov 30, 2018
Tag 0690 D Nov 9, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Nov 30, 2018
Tag 0692 D Nov 9, 2018

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Nov 30, 2018
Tag 0695 D Nov 9, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Nov 30, 2018
Tag 0700 E Nov 9, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Nov 30, 2018
Tag 0755 D Nov 9, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Nov 30, 2018
Tag 0756 D Nov 9, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Nov 30, 2018
Tag 0805 E Nov 9, 2018

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Nov 30, 2018
Tag 0812 D Nov 9, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 30, 2018

2017 16 violations

Tag 0164 D Nov 10, 2017

Keep residents' personal and medical records private and confidential.

✓ Corrected: Nov 13, 2017
Tag 0241 D Nov 10, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Nov 13, 2017
Tag 0278 E Nov 10, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Nov 17, 2017
Tag 0279 E Nov 10, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 13, 2017
Tag 0282 D Nov 10, 2017

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Nov 13, 2017
Tag 0285 E Nov 10, 2017

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

✓ Corrected: Nov 13, 2017
Tag 0309 E Nov 10, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Nov 13, 2017
Tag 0371 F Nov 10, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Nov 13, 2017
Tag 0431 F Nov 10, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Nov 13, 2017
Tag 0465 E Nov 10, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Nov 13, 2017
Tag 0469 E Nov 10, 2017

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Nov 13, 2017
Tag 0497 F Nov 10, 2017

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.

✓ Corrected: Nov 13, 2017
Tag 0514 E Nov 10, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Nov 13, 2017
Tag 0518 F Nov 10, 2017

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

✓ Corrected: Nov 13, 2017
Tag 0278 E May 10, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: May 29, 2017
Tag 0328 E May 10, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: May 29, 2017
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