Legend Oaks Healthcare and Rehabilitation – West S – San Antonio, TX

CMS Verified | 2026-03-01

Legend Oaks Healthcare And Rehabilitation – West S

222 Bertetti Dr, San Antonio, TX 78227
(210) 673-1700
124 beds
All San Antonio facilities
5.0*
Overall
4.0*
Health Inspection
5.0*
Quality Care
3.0*
Staffing
81.36
Score /100
#3089
National Rank

#3089
of 14703 facilities
National
79.0% position
#133
of 1177 in TX
State Rank
#13
of 62 in Bexar
County Rank
#13
of 58 in San Antonio
City Rank
#1
of 2 in ZIP 78227
ZIP Rank






About Legend Oaks Healthcare And Rehabilitation – West SLegend Oaks Healthcare And Rehabilitation – West S is located at 222 Bertetti Dr, San Antonio, TX, reachable at (210) 673-1700. This For profit – Corporation facility operates 124.0 certified beds and serves an average of 108 residents per day. It is part of the The Ensign Group network (329 facilities nationwide). Medicare and Medicaid services have been provided since 2012-05-31. The facility currently holds a excellent (5-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Legend Oaks Healthcare And Rehabilitation – West S

Address

222 Bertetti Dr, San Antonio, TX 78227

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 124 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: THE ENSIGN GROUP

Quick Verdict

Overall Quality
✅ Excellent (5★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 11 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
81.36
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#3089 of 14703 nationally – #133 of 1177 in Texas

Who Is This Facility Best For?

Legend Oaks Healthcare And Rehabilitation – West S is a strong choice for families in the San Antonio, TX area seeking a well-inspected, high-quality care environment. It scores well for both long-term residents and short-stay rehabilitation patients.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

5 / 5
Health Inspection

4 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

5 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightLegend Oaks Healthcare And Rehabilitation – West S currently provides 3 hours 29 minutes of total nurse staffing per resident per day, including 28 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover is 32.5%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 29 minutes
Nurse Aide Hours1 hour 58 minutes
Licensed Practical Nurse (LPN) Hours1 hour 4 minutes
Registered Nurse (RN) Hours28 minutes
Physical Therapist Hours6 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 6 minutes
Weekend Registered Nurse (RN) Hours21 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $8,632. 12 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $8632.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 42.75 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#3,089
of 14,703
National
Top 21%
#133
TX State
Top 11% in TX
#13
of 62
️ Bexar County
#13 of 62
#13
of 58
️ San Antonio
#13 of 58
#1
of 2
ZIP 78227
Best in ZIP

Nationally, Legend Oaks Healthcare And Rehabilitation – West S ranks 3089th out of 14,703 facilities (composite score: 81.4/100), placing it in the top 25% nationwide. Within TX, it ranks 133rd out of 1,177 nursing homes. In San Antonio, it ranks 13th out of 58 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #9,237 nationally and RN hours rank #9,604 nationally (#362 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.43 #8,468 / 14,703 #417 / 1,177 Below average
2023 3.36 #9,036 / 14,703 #449 / 1,177 Below average
2024 3.28 #10,334 / 14,703 #463 / 1,177 Below average
2025 3.15 #12,022 / 14,703 #672 / 1,177 ⚠️ Bottom 25%
2026 3.49 #9,237 / 14,703 #327 / 1,177 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.51 #8,592 / 14,703 #243 / 1,177 Below average
2023 0.68 #4,824 / 14,703 #65 / 1,177 Above average
2024 0.53 #7,545 / 14,703 #154 / 1,177 Below average
2025 0.42 #10,160 / 14,703 #383 / 1,177 Below average
2026 0.46 #9,604 / 14,703 #362 / 1,177 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Legend Oaks Healthcare And Rehabilitation – West S is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2012-05-31. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 673-1700 or your local Medicaid office to verify current eligibility.

Legend Oaks Healthcare And Rehabilitation – West S holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (3★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 81.4/100, placing it #3089 of 14703 facilities nationally and #133 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Legend Oaks Healthcare And Rehabilitation – West S receives a reported average of 3 hours 29 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 28 minutes; Licensed Practical Nurse (LPN) — 1 hour 4 minutes; Nurse Aide — 1 hour 58 minutes. On weekends, total nurse staffing is 3 hours 6 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 32.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $8,632. 12 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $8,632, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 42.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Legend Oaks Healthcare And Rehabilitation – West S ranks 3089th out of 14,703 facilities (composite score: 81.4/100), placing it in the top 25% nationwide. Within TX, it ranks 133rd out of 1,177 nursing homes. In San Antonio, it ranks 13th out of 58 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #9,237 nationally and RN hours rank #9,604 nationally (#362 in TX). Our composite quality score of 81.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Antonio, visit: https://nursinghomesnearme.org/texas/san-antonio/

Contact and Location

ADR
Address

222 Bertetti Dr, San Antonio, TX 78227
Get directions on Google Maps

TEL
LLC
Legal Name

DEWITT MEDICAL DISTRICT

MAP
Browse by Location

All Texas ·
Bexar County ·
San Antonio ·
ZIP 78227

Facility Details

Number of Certified Beds 124
Average Residents / Day 108 (87% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Bexar County, TX
City San Antonio, TX
ZIP Code 78227
Approved Since May 31, 2012
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676312
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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