PlainNursing
CMS Nursing Home Compare · August 2026

Legend Oaks Healthcare and Rehabilitation - North

11020 Dessau Rd, Austin, TX 78754 · All homes in Austin

Legend Oaks Healthcare and Rehabilitation - North, a 124-bed for profit - limited liability company nursing facility in Austin, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,072 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5128732244

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1 / 5
Much below average · CMS overall · nat'l 3.0
#1,072 of 1,165
In-state rank among rated TX homes
3.17
Well below average · nurse hrs/day · nat'l 3.86
24
Inspection findings · 2 serious

The verdict

Legend Oaks Healthcare and Rehabilitation - North, a 124-bed for profit - limited liability company nursing facility in Austin, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,072 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#1,072 of 1,165
In-state rank among rated TX homes
3.17
Nurse hrs/resident-day · national 3.86
24
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
676238
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
124
Residents
110
In Hospital
No
County
Travis
Last Inspection
Apr 23, 2026
Abuse citation on record

Staffing Data

How the 3.17 total nursing hours per resident-day are staffed:

RN Hours
0.66 (nat'l avg: 0.69)
LPN Hours
0.41
CNA Hours
2.10
Total Nursing Hours
3.17 (nat'l avg: 3.86)
PT Hours
0.13

What the CMS Record Reveals About Legend Oaks Healthcare and Rehabilitation - North

According to CMS Nursing Home Compare, Legend Oaks Healthcare and Rehabilitation - North ranks #1,072 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Legend Oaks Healthcare and Rehabilitation - North operates 124 certified beds in Austin, TX with approximately 110 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 3★).

The inspection file contains 24 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $43K against this provider. Reported nurse staffing runs 3.17 total hours per resident day (national average 3.86); RN hours specifically are 0.66 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Legend Oaks Healthcare and Rehabilitation - North falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (24 most recent)

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Apr 23, 2026 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 27, 2026

E - Pattern - Minimal harm Apr 23, 2026 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Apr 27, 2026

E - Pattern - Minimal harm Apr 23, 2026 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 27, 2026

E - Pattern - Minimal harm Apr 23, 2026 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Apr 27, 2026

D - Isolated - Minimal harm Sep 17, 2025 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Sep 18, 2025

D - Isolated - Minimal harm Sep 17, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 18, 2025

D - Isolated - Minimal harm Sep 17, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 18, 2025

J - Isolated - Jeopardy Sep 17, 2025 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 18, 2025

J - Isolated - Jeopardy Sep 17, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 18, 2025

D - Isolated - Minimal harm Apr 28, 2025 Tag: 0573

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Category: Resident Rights Deficiencies

Corrected: Apr 28, 2025

D - Isolated - Minimal harm Feb 20, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Feb 21, 2025

E - Pattern - Minimal harm Feb 20, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 21, 2025

E - Pattern - Minimal harm Feb 20, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Feb 21, 2025

D - Isolated - Minimal harm Feb 5, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 6, 2025

E - Pattern - Minimal harm Feb 5, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 6, 2025

E - Pattern - Minimal harm Jan 17, 2025 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Jan 20, 2025

E - Pattern - Minimal harm Nov 8, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 11, 2024

D - Isolated - Minimal harm Sep 13, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 14, 2024

E - Pattern - Minimal harm Sep 13, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Sep 14, 2024

E - Pattern - Minimal harm Jan 6, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 7, 2024

D - Isolated - Minimal harm Dec 13, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 14, 2023

D - Isolated - Minimal harm Dec 13, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 14, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 30.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.1% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 29.1% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.5% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.9% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 46.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 65.7% No

Penalty History 1 penalties totaling $43K

Date Type Amount
Sep 17, 2025 Fine $43K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Legend Oaks Healthcare and Rehabilitation - North, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Legend Oaks Healthcare and Rehabilitation - North

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 124 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Legend Oaks Healthcare and Rehabilitation - North?
Legend Oaks Healthcare and Rehabilitation - North has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (3★).
Where does Legend Oaks Healthcare and Rehabilitation - North rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Legend Oaks Healthcare and Rehabilitation - North ranks 1,072nd among 1,165 rated nursing homes in TX (#1,072 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Legend Oaks Healthcare and Rehabilitation - North?
Legend Oaks Healthcare and Rehabilitation - North reports 3.17 total nursing hours per resident day (national average: 3.86). RN hours are 0.66 per resident day (national average: 0.69).
How many beds does Legend Oaks Healthcare and Rehabilitation - North have?
Legend Oaks Healthcare and Rehabilitation - North has 124 certified beds with approximately 110 residents. The facility is located at 11020 Dessau Rd, Austin, TX 78754.
Does Legend Oaks Healthcare and Rehabilitation - North have any deficiencies on record?
Yes, Legend Oaks Healthcare and Rehabilitation - North has 24 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Legend Oaks Healthcare and Rehabilitation - North received any fines or penalties?
Yes, Legend Oaks Healthcare and Rehabilitation - North has received 1 penalties totaling $43K.
Who owns Legend Oaks Healthcare and Rehabilitation - North?
Legend Oaks Healthcare and Rehabilitation - North is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Legend Oaks Healthcare and Rehabilitation - North last inspected?
The most recent health inspection for Legend Oaks Healthcare and Rehabilitation - North was on Apr 23, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Legend Oaks Healthcare and Rehabilitation - North?
Legend Oaks Healthcare and Rehabilitation - North is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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