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Complaint Investigation

Legend Oaks Healthcare And Rehabilitation - New Br

September 10, 2025 · New Braunfels, TX · 2468 Fm 1101
Citations 2
CMS Rating 3/5
Beds 126
Provider ID 676392
Healthcare Facility
Legend Oaks Healthcare And Rehabilitation - New Br
New Braunfels, TX  ·  View full profile →
Inspection Summary

LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR in NEW BRAUNFELS, TX — inspection on September 10, 2025.

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.

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Inspection Findings

FF0804
Nutrition and Dietary Deficiencies
Potential for More Than Minimal Harm

Observation on 9/9/2025 at 12:18 PM in the Dining room revealed Resident # 4 was sitting down and [NAME] his lunch and had the alternate hamburger, the bread was not burned.

Interview on 9/9/2025 at 12:19 PM in the Dining room Resident #4 stated the residents often have burned food and does not eat it or ask for an alternative.

Interview on 9/10/2025 at 2:39 PM DON had no response when discussed the bread was burned at bottom for lunch.

Interview on 9/10/2025 at 2:44 PM FSM stated she did help the cook with the lunch meal but did not see any burned bread or get complaints.

Policy requested from Administrator on 09/10/2025, Administrator provided surveyor with Texas Food Establishment Rules, dated August 2021

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/10/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Legend Oaks Healthcare and Rehabilitation - New Br

2468 Fm 1101 New Braunfels, TX 78130

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR in NEW BRAUNFELS, TX for a deficiency under regulatory tag F-F0887 during a complaint investigation conducted on 2025-09-10.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-15.

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 NEW BRAUNFELS, 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 - NEW BR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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