All states › Texas › Austin › Legend Oaks Healthcare and Rehabilitation - North
11020 Dessau Rd Austin, TX 78754 · Travis County
All 25 nursing homes in Austin, TX (21 take Medicaid)
CMS certification number 676238 · See this home on Medicare Care Compare
Is Legend Oaks Healthcare and Rehabilitation - North a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Legend Oaks Healthcare and Rehabilitation - North as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.16 hours per resident per day at Legend Oaks Healthcare and Rehabilitation - North, below the Texas median of 3.30 (US median: 3.72). About 0.68 of those hours are from registered nurses. On weekends it falls to 2.68 hours, 15% below its all-week average. Ask how weekends are staffed.
About this nursing home
Paying for care at Legend Oaks Healthcare and Rehabilitation - North: Medicare and Medicaid
Legend Oaks Healthcare and Rehabilitation - North is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 23, 2026 and found 6 deficiencies. In total, inspectors issued 24 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 24 citations at Legend Oaks Healthcare and Rehabilitation - North across 10 inspection dates, 13 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 17, 2025 (complaint inspection). The most common areas cited were quality of life and care (7) and resident rights (5). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, September 17, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
April 23, 2026 · 6 citations
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure 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.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate foot care.
DEnsure 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.
September 17, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
April 28, 2025 · 1 citation · includes complaint inspection
DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
February 20, 2025 · 3 citations
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
February 5, 2025 · 2 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 17, 2025 · 1 citation · includes complaint inspection
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
November 8, 2024 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
September 13, 2024 · 2 citations · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 6, 2024 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
December 13, 2023 · 2 citations
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Legend Oaks Healthcare and Rehabilitation - North
- Inspectors cited the home at the immediate-jeopardy level on September 17, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 17, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $28,064 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 17, 2025 | Fine | $28,064 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Legend Oaks Healthcare and Rehabilitation - North
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 2.3 mi
-
3.7 mi
North Austin Medical Center AustinEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 43m for patients treated and sent home
- 5.1 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
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- Oakcrest Nursing and Rehabilitation Center · Austin · 4 stars · 4.0 mi
- Pflugerville Nursing and Rehabilitation Center · Pflugerville · 4 stars · 5.6 mi
Other The Ensign Group nursing homes in Texas
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- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.