Nursing home / skilled nursing
Legend Oaks Healthcare And Rehabilitation - West S
Nursing home / skilled nursing in San Antonio, Texas
| Provider details | |
|---|---|
| Address | 222 Bertetti Dr |
| City | San Antonio |
| State | Texas |
| ZIP code | 78227 |
| County | Bexar |
| Phone | 210-673-1700 |
| Website | http://www.legendwestsanantonio.com/ |
| CMS certification number (CCN) | 676312 |
| Ownership | For profit - Corporation |
| Certified beds | 124 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | May 31, 2012 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services, in-house therapy, Music & Memory program, activities and excursions |
Legend Oaks Healthcare And Rehabilitation - West S is in 222 Bertetti Dr, San Antonio, TX 78227. Phone: 210-673-1700. Ownership: For profit - Corporation. CMS rates it 3 out of 5 stars overall (health inspection 3, staffing 3, quality measures 4).
Legend West Rehab in San Antonio has an in-house therapy team that offers short and long-term rehabilitation tailored to each resident. The facility is a Music & Memory Certified Care Organization and also provides skilled nursing care. A monthly activity calendar, including excursions, is packed with options from morning to night. CMS inspection and staffing detail: total weighted health survey score 75.750; 1 federal fines totaling $8632.00; total nursing staff turnover 25.9%.
More about this provider
| The homepage for Legend West Rehab in San Antonio describes its in-house therapy team, skilled nursing care, a Music & Memory certified care program, and activities and excursions, with a call to schedule a tour at (210) 673-1700. | |
| Services and programs | The in-house therapy team offers both short and long-term rehabilitation tailored to each resident, and the facility is a Music & Memory Certified Care Organization. Skilled nursing care is provided, and a monthly activity calendar with activities and excursions runs from morning to night. |
| Visiting and contact details | Call (210) 673-1700 to schedule a tour. |
| Website | http://www.legendwestsanantonio.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 3 of 5 |
| Health inspection rating | 3 of 5 |
| Staffing rating | 3 of 5 |
| Quality measure rating | 4 of 5 |
| Long-stay quality rating | 5 of 5 |
| Short-stay quality rating | 4 of 5 |
| RN staffing hours per resident per day | 0.48 |
| Total nurse staffing hours per resident per day | 3.55 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 68 |
| Total Weighted Health Survey Score | 75.750 |
| Rating Cycle 2/3 Total Health Score | 99 |
| Rating Cycle 1 Health Deficiency Score | 68 |
| Rating Cycle 2/3 Health Deficiency Score | 99 |
| Rating Cycle 1 Standard Survey Health Date | 2026-01-29 |
| Rating Cycle 1 Total Number of Health Deficiencies | 11 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 4 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 6 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 5 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.45799 |
| Registered Nurse turnover | 30.8 |
| Nursing Case-Mix Index Ratio | 1.03385 |
| Total nursing staff turnover | 25.9 |
| Reported LPN Staffing Hours per Resident per Day | 0.99472 |
| Reported Licensed Staffing Hours per Resident per Day | 1.47348 |
| Number of administrators who have left the nursing home | 0 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.07946 |
| Registered Nurse hours per resident per day on the weekend | 0.35155 |
| Total number of nurse staff hours per resident per day on the weekend | 3.09519 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 1 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Total Amount of Fines in Dollars | 8632.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 507 |
| Chain Name | THE ENSIGN GROUP |
| Legal Business Name | DEWITT MEDICAL DISTRICT |
| Chain Average QM Rating | 4.4 |
| Chain Average Staffing Rating | 2.8 |
| Number of Facilities in Chain | 347 |
| Chain Average Overall 5-star Rating | 3.3 |
| Chain Average Health Inspection Rating | 2.8 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 101.5 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Bexar County
- Army Residence Community — San Antonio
- Avir At Heritage — San Antonio
- Avir At San Antonio — San Antonio
Common questions about Legend Oaks Healthcare And Rehabilitation - West S
Where is Legend Oaks Healthcare And Rehabilitation - West S located?
Legend Oaks Healthcare And Rehabilitation - West S is at 222 Bertetti Dr, San Antonio, Texas 78227.
What care and services does Legend Oaks Healthcare And Rehabilitation - West S offer?
Legend Oaks Healthcare And Rehabilitation - West S offers skilled nursing, rehab services, skilled nursing care, rehabilitation services, in-house therapy, Music & Memory program, activities and excursions.
Is Legend Oaks Healthcare And Rehabilitation - West S Medicare-certified?
Yes. Legend Oaks Healthcare And Rehabilitation - West S is certified for both Medicare and Medicaid.
What is Legend Oaks Healthcare And Rehabilitation - West S's quality rating?
CMS gives Legend Oaks Healthcare And Rehabilitation - West S an overall star rating of 3 out of 5.
How do I contact Legend Oaks Healthcare And Rehabilitation - West S?
Call Legend Oaks Healthcare And Rehabilitation - West S at 210-673-1700.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.