Skilled nursing facility · CMS certification number 676113
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -
SAN ANTONIO, Texas · Medicare and Medicaid · 126 certified beds in Care Compare
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on August 29, 2025.
- Net patient revenue rose from $14.8M in fiscal year 2023 to $16.4M in fiscal year 2024.
- Its result from service to patients: $1.8M (2022), $1.8M (2023), $2.5M (2024).
- Its cost reports on file run from fiscal year 2006 to fiscal year 2024.
- Its net patient revenue of $16.4M ranks 15th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -: Medicare cost reports
| Form CMS-2540-10 | 2024 · report 1438414 | 2023 · report 1446251 | 2022 · report 1374267 | 2021 · report 1314653 | 2020 · report 1283973 | 2019 · report 1253342 | 2018 · report 1222348 | 2017 · report 1189254 | 2016 · report 1174767 | 2015 · report 1186202 | 2014 · report 1149114 | 2013 · report 1115991 | 2012 · report 1080375 | 2011 · report 1014933 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | October 1, 2023 | October 1, 2022 | October 1, 2021 | October 1, 2020 | October 1, 2019 | October 1, 2018 | October 1, 2017 | April 1, 2017 | May 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | September 30, 2024 | September 30, 2023 | September 30, 2022 | September 30, 2021 | September 30, 2020 | September 30, 2019 | September 30, 2018 | September 30, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | — | — | 182 | 244 | — | — | — | — | — |
| Report status | settled | reopened | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled |
| Processed by CMS | August 29, 2025 | January 8, 2026 | March 2, 2024 | April 22, 2022 | May 14, 2021 | March 26, 2020 | April 17, 2019 | May 2, 2018 | August 24, 2017 | March 29, 2018 | December 15, 2016 | December 21, 2015 | November 18, 2014 | October 26, 2012 |
| Total patient revenue | $14,970,155 | $14,508,539 | $13,268,903 | $9,872,726 | $9,946,987 | $9,696,295 | $8,029,780 | $3,725,082 | $5,527,446 | $12,874,411 | $12,825,321 | $14,192,410 | $13,841,392 | $12,121,474 |
| Contractual allowances and discounts | −$1,463,280 | −$258,820 | −$1,003,903 | −$1,695,083 | −$233,803 | −$473,199 | −$450,734 | −$146,787 | $222,455 | $3,716,938 | $4,248,616 | $5,017,041 | $4,765,257 | $3,022,226 |
| Net patient revenue | $16,433,435 | $14,767,359 | $14,272,806 | $11,567,809 | $10,180,790 | $10,169,494 | $8,480,514 | $3,871,869 | $5,304,991 | $9,157,473 | $8,576,705 | $9,175,369 | $9,076,135 | $9,099,248 |
| Total operating expenses | $13,944,307 | $12,956,198 | $12,480,133 | $10,095,950 | $9,269,937 | $9,136,598 | $8,190,499 | $4,064,977 | $5,482,123 | $8,998,031 | $8,161,463 | $8,746,338 | $8,686,508 | $8,127,025 |
| Net income from service to patients | $2,489,128 | $1,811,161 | $1,792,673 | $1,471,859 | $910,853 | $1,032,896 | $290,015 | −$193,108 | −$177,132 | $159,442 | $415,242 | $429,031 | $389,627 | $972,223 |
| Total other income | $3,751 | $2,629 | $1,320 | $998 | $2,492 | $2,555 | $11,835 | $60 | $202 | $1,948 | $19,642 | $277 | $1,275 | $1,337 |
| Net income after other income | $2,492,879 | $1,813,790 | $1,793,993 | $1,472,857 | $913,345 | $1,035,451 | $301,850 | −$193,048 | −$176,930 | $161,390 | $434,884 | $429,308 | $390,902 | $973,560 |
| Net income | $2,492,861 | $1,813,790 | $1,793,413 | $1,472,857 | $913,093 | $1,035,451 | $301,850 | −$193,048 | −$176,930 | $151,882 | $434,884 | $423,251 | $385,253 | $968,044 |
| Total facility beds, all components | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 |
| Bed days available, all components | 46,116 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 4,851 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 21,128 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 15,761 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 41,740 | 41,978 | 39,931 | 31,181 | 31,648 | 36,790 | 35,810 | 16,960 | 24,824 | 38,251 | 37,966 | 38,504 | 38,487 | 39,421 |
| Medicare discharges | 115 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 28 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 940 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 1,083 | 928 | 891 | 754 | 608 | 712 | 525 | 231 | 277 | 502 | 415 | 559 | 645 | 623 |
| Average length of stay, Medicare, in days | 42.18 | 45.58 | 43.19 | 40.65 | 51.38 | 32.25 | 24.76 | 27.9 | 34.51 | 31.08 | 32.04 | 29.92 | 28.3 | 25.74 |
| Average length of stay, Medicaid, in days | 754.57 | 501.72 | 524.12 | 569.48 | 341.55 | 245.78 | 488.63 | 312.25 | 440.82 | 214.66 | 448.22 | 234.8 | 173.23 | 345.49 |
| Average length of stay, all patients, in days | 38.54 | 45.23 | 44.82 | 41.35 | 52.05 | 51.67 | 68.21 | 73.42 | 89.62 | 76.2 | 91.48 | 68.88 | 59.67 | 63.28 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 433038 | 2009 · report 391520 | 2008 · report 358845 | 2007 · report 325366 | 2006 · report 289776 |
|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | October 10, 2006 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 |
| Days, where not a full year | — | — | — | — | 82 |
| Processed by CMS | October 26, 2012 | December 20, 2010 | November 5, 2009 | September 9, 2008 | July 26, 2007 |
| Net patient revenue | $8,937,916 | $9,287,476 | $7,271,581 | $6,108,624 | $616,138 |
| Total operating expenses | $7,924,751 | $7,659,635 | $6,463,685 | $5,691,484 | $959,341 |
| Net income from service to patients | $1,013,165 | $1,627,841 | $807,896 | $417,140 | −$343,203 |
| Total other income | $809 | $38 | $754 | $4,693 | $24 |
| Total other expenses | $5,804 | $5,373 | $1,816 | $1,491 | $234 |
| Net income | $1,008,170 | $1,622,506 | $806,834 | $420,342 | −$343,413 |
| Total facility beds, all components | 126 | 126 | 126 | 126 | 125 |
| Total patient days, all components | 39,803 | 40,540 | 38,954 | 32,804 | 3,213 |
| Total discharges, all components | 420 | 538 | 477 | 452 | 57 |
| Average length of stay, Medicare, in days | 29.42 | 25.34 | 28.82 | 33.95 | 29.49 |
| Average length of stay, Medicaid, in days | 209.95 | 237.59 | 259.43 | 158.78 | 185.44 |
| Average length of stay, all patients, in days | 94.77 | 75.35 | 81.66 | 72.58 | 56.37 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006. Checked against the form’s own arithmetic: what that check shows.
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -: nurse staffing hours by quarter →
Who owns LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -, as filed with CMS
Care Compare
- Ownership Data Not Available: No owner named in the filing
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of DEWITT MEDICAL DISTRICT (enrollment ID O20170602000295).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: DEWITT MEDICAL DISTRICT (organization), 100.00%, since 04/01/2017
- ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 05/01/2016; FERNANDO MARTINEZ (individual), since 08/16/2017; HUTCHINS HEALTHCARE INC (organization), since 10/24/2025; NATIONAL HEALTH INVESTORS, INC. (organization), since 04/01/2017; PRADEEP YAMSANI (individual), since 05/30/2019; TEXAS NHI INVESTORS, LLC (organization), since 04/01/2017
- CORPORATE OFFICER: ALMA ALEXANDER (individual), since 05/27/2020; CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), since 04/01/2017
- MANAGING CONTROL - GOVERNING BODY: FERNANDO MARTINEZ (individual), since 08/16/2017; PRADEEP YAMSANI (individual), since 05/30/2019
- OPERATIONAL/MANAGERIAL CONTROL: FERNANDO MARTINEZ (individual), since 08/16/2017; HUTCHINS HEALTHCARE INC (organization), 100.00%, since 04/01/2017; PRADEEP YAMSANI (individual), 0.00%, since 05/30/2019
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: DEWITT MEDICAL DISTRICT; ENSIGN SERVICES INC; HUTCHINS HEALTHCARE INC; NATIONAL HEALTH INVESTORS, INC.; TEXAS NHI INVESTORS, LLC; HUTCHINS HEALTHCARE INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: FERNANDO MARTINEZ; PRADEEP YAMSANI; ALMA ALEXANDER; CHAD KEETCH; SOON BURNAM; FERNANDO MARTINEZ; PRADEEP YAMSANI; FERNANDO MARTINEZ; PRADEEP YAMSANI.
Changes in ownership
- September 1, 2026, Care Compare ownership file; no longer listed: HUTCHINS HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL); YAMSANI, PRADEEP (OPERATIONAL/MANAGERIAL CONTROL); MARTINEZ, FERNANDO (OPERATIONAL/MANAGERIAL CONTROL); YAMSANI, PRADEEP (MANAGING CONTROL - GOVERNING BODY); MARTINEZ, FERNANDO (MANAGING CONTROL - GOVERNING BODY); KEETCH, CHAD (CORPORATE OFFICER); BURNAM, SOON (CORPORATE OFFICER); ALEXANDER, ALMA (CORPORATE OFFICER); TEXAS NHI INVESTORS, LLC (ADP OF THE SNF); NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF); HUTCHINS HEALTHCARE INC (ADP OF THE SNF); ENSIGN SERVICES INC (ADP OF THE SNF); YAMSANI, PRADEEP (ADP OF THE SNF); MARTINEZ, FERNANDO (ADP OF THE SNF); listed: a listing under Ownership Data Not Available with no owner named. NH_Ownership_Sep2026_2.csv
- December 1, 2025, enrollment ownership file; no longer listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL); PRADEEP YAMSANI (W-2 MANAGING EMPLOYEE); ALMA ALEXANDER (CORPORATE DIRECTOR); JOSE ROLANDO AMADO (OPERATIONAL/MANAGERIAL CONTROL); first listed: SOON BURNAM (CORPORATE OFFICER), associated since April 1, 2017; PRADEEP YAMSANI (ADP OF THE SNF), associated since May 30, 2019; PRADEEP YAMSANI (MANAGING CONTROL - GOVERNING BODY), associated since May 30, 2019; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; HUTCHINS HEALTHCARE INC (ADP OF THE SNF), associated since October 24, 2025; ALMA ALEXANDER (CORPORATE OFFICER), associated since May 27, 2020; ENSIGN SERVICES INC (ADP OF THE SNF), associated since May 1, 2016; FERNANDO MARTINEZ (ADP OF THE SNF), associated since August 16, 2017; FERNANDO MARTINEZ (MANAGING CONTROL - GOVERNING BODY), associated since August 16, 2017; FERNANDO MARTINEZ (OPERATIONAL/MANAGERIAL CONTROL), associated since August 16, 2017; TEXAS NHI INVESTORS, LLC (ADP OF THE SNF), associated since April 1, 2017; NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF), associated since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
Inspections of LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -
- Cycle 1: health December 4, 2025 (15 deficiencies), fire safety December 4, 2025 (2)
- Cycle 2: health September 27, 2024 (8 deficiencies), fire safety September 27, 2024 (3)
- Cycle 3: health July 28, 2023 (9 deficiencies), fire safety July 28, 2023 (0)
Deficiencies cited at LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -
32 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 9 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0558, resident rights: May 15, 2026 (D, from a complaint, corrected May 16, 2026); July 28, 2023 (D, corrected August 16, 2023).
- F 0573, resident rights: May 15, 2026 (D, from a complaint, corrected May 16, 2026).
- F 0577, resident rights: May 15, 2026 (B, from a complaint, corrected May 16, 2026).
- F 0583, resident rights: May 15, 2026 (D, from a complaint, corrected May 16, 2026); December 4, 2025 (D, corrected December 30, 2025).
- F 0689, quality of life and care: May 15, 2026 (D, from a complaint, corrected May 16, 2026); July 28, 2023 (D, corrected August 16, 2023).
- F 0693, quality of life and care: May 15, 2026 (B, from a complaint, corrected May 16, 2026).
- F 0805, nutrition and dietary: May 15, 2026 (D, from a complaint, corrected May 16, 2026).
- F 0554, resident rights: December 4, 2025 (D, corrected December 30, 2025).
- F 0641, resident assessment and care planning: December 4, 2025 (D, corrected December 30, 2025).
- F 0690, quality of life and care: December 4, 2025 (E, corrected December 30, 2025); September 27, 2024 (D, corrected October 20, 2024).
- F 0759, pharmacy service: December 4, 2025 (D, corrected December 30, 2025).
- F 0761, pharmacy service: December 4, 2025 (D, corrected December 30, 2025).
- F 0812, nutrition and dietary: December 4, 2025 (D, corrected December 30, 2025); September 27, 2024 (E, corrected October 20, 2024); July 28, 2023 (F, corrected August 16, 2023).
- F 0842, resident assessment and care planning: December 4, 2025 (D, corrected December 30, 2025).
- F 0578, resident rights: September 27, 2024 (D, corrected October 20, 2024).
- F 0655, resident assessment and care planning: September 27, 2024 (E, corrected October 20, 2024).
- F 0698, quality of life and care: September 27, 2024 (D, corrected October 20, 2024).
- F 0700, quality of life and care: September 27, 2024 (E, corrected October 20, 2024).
- F 0849, administration: September 27, 2024 (D, corrected October 20, 2024).
- F 0880, infection control: September 27, 2024 (D, corrected October 20, 2024).
- F 0656, resident assessment and care planning: March 22, 2024 (D, from a complaint, corrected March 26, 2024).
- F 0790, quality of life and care: March 22, 2024 (E, from a complaint, corrected March 26, 2024).
- F 0636, resident assessment and care planning: July 28, 2023 (D, corrected August 16, 2023).
- F 0657, resident assessment and care planning: July 28, 2023 (D, corrected August 16, 2023).
- F 0695, quality of life and care: July 28, 2023 (D, corrected August 16, 2023).
- F 0712, nursing and physician services: July 28, 2023 (D, corrected August 16, 2023).
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - in Care Compare
- Ownership Type: For profit - Individual
- Legal Business Name: Legal Business Name Not Available
- Date First Approved to Provide Medicare and Medicaid Services: 2006-10-10
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2109270800
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 112.0
- Overall Rating: 4
- Health Inspection Rating: 3
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -: no penalty in Care Compare.
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