Deficiency timeline

LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR

Dated inspection findings, penalties, and correction notes for this nursing home in New Braunfels, TX. Newest events first.

38 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (E)cms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected May 27, 2026

  2. Class IIIPotential for more than minimal harm (D)cms

    F0655: Resident Assessment and Care Planning

    Assessment & care planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected Jun 11, 2026

  3. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Jun 11, 2026

  4. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Jun 11, 2026

  5. Class IIIPotential for more than minimal harm (D)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jun 11, 2026

  6. Class IIIPotential for more than minimal harm (D)cms

    F0813: Nutrition and Dietary

    Nutrition & dietary

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected Jun 11, 2026

  7. Class IIIPotential for more than minimal harm (D)cms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Jun 11, 2026

  8. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected May 6, 2026

  9. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0804: Nutrition and Dietary

    Nutrition & dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected Sep 15, 2025

  10. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0887: Infection Control

    Infection control

    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.

    Corrected Sep 15, 2025

  11. Class IIIPotential for more than minimal harm (E)cms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 2, 2025

  12. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Apr 2, 2025

  13. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Mar 29, 2025

  14. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Mar 31, 2025

  15. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Mar 31, 2025

  16. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Apr 3, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0700: Quality of Life and Care

    Quality of life & care

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected Mar 31, 2025

  18. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Mar 31, 2025

  19. Class IIIPotential for more than minimal harm (D)cms

    F0940: Administration

    Administration

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected Apr 3, 2025

  20. Class IIIPotential for more than minimal harm (D)cms

    F0941: Administration

    Administration

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Corrected Apr 3, 2025

  21. Class IIIPotential for more than minimal harm (D)cms

    F0943: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected Apr 3, 2025

  22. Class IIIPotential for more than minimal harm (D)cms

    F0944: Administration

    Administration

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected Apr 3, 2025

  23. Class IIIPotential for more than minimal harm (D)cms

    F0945: Infection Control

    Infection control

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Corrected Apr 3, 2025

  24. Class IIIPotential for more than minimal harm (D)cms

    F0946: Administration

    Administration

    Provide training in compliance and ethics.

    Corrected Apr 3, 2025

  25. Class IIIPotential for more than minimal harm (D)cms

    F0949: Administration

    Administration

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Corrected Apr 3, 2025

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0602: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected Feb 7, 2025

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Feb 7, 2025

  28. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected Feb 12, 2025

  29. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Feb 7, 2025

  30. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Aug 4, 2024

  31. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Aug 4, 2024

  32. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Feb 27, 2024

  33. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Feb 16, 2024

  34. Class IIIPotential for more than minimal harm (D)cms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Feb 16, 2024

  35. Class IIIPotential for more than minimal harm (D)cms

    F0636: Resident Assessment and Care Planning

    Assessment & care planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected Feb 29, 2024

  36. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Feb 29, 2024

  37. Class IIIPotential for more than minimal harm (D)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jan 29, 2024

  38. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected Mar 20, 2024

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile