4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
San Pedro Manor is a distinguished community situated in the charming neighborhood of West Ashley Pl, San Antonio, TX, providing in-house therapy and skilled nursing. With its dedication to improving residents’ welfare, the community utilizes a holistic approach to care tailored to their unique needs. Keep peace of mind with a compassionate and specially trained team helping with your day-to-day activities 24/7.
Enjoy fun activities and engaging programs, aiming to keep residents active and socially connected. Physical, occupational, and speech therapy, alongside wound care, memory care, and pulmonary programs are provided to meet residents’ healthcare needs. Receive the utmost care and support you deserve with the community’s top-notch care and specially designed amenities.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Texas averages
Total nursing care
This home is ranked 105th out of 233 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 38m
At state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
2 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
San Pedro Manor is administered by Princess Hernandez.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 19 | 6 | This facility has 217% more total citations than a typical Texas nursing home (19 vs. TX avg 6).↑ 217% worse |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 19 | 2 | This facility has 850% more health citations than a typical Texas nursing home (19 vs. TX avg 2).↑ 850% worse |
|
Life safety citations
Citations related to building safety — fire prevention, emergency egress, and similar.
| 19 | 6 | This facility has 217% more life safety citations than a typical Texas nursing home (19 vs. TX avg 6).↑ 217% worse |
Texas average 7.4
Last Health inspection on Aug 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 43 citations resulted from standard inspections; 21 of 43 resulted from complaint investigations; and 5 of 43 came from combined inspections (standard and complaint).
50% better than Texas averageTexas average: 2
900% worse than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
11% fewer staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursAssists with medical care and medications.
All 22 LPN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 44 CNA Staff are full-time employees. No contractors work on this role.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 44 | 0 | 44 | 15,322 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 22 | 0 | 22 | 7,538 | 92 | 100% | 9.4 |
| Medication Aide/Technician | 8 | 0 | 8 | 3,409 | 92 | 100% | 9 |
| RN Director of Nursing | 8 | 0 | 8 | 2,121 | 78 | 85% | 8.9 |
| Physical Therapy Aide | 9 | 0 | 9 | 2,074 | 73 | 79% | 7 |
| Registered Nurse | 10 | 0 | 10 | 1,965 | 91 | 99% | 7.3 |
| Qualified Social Worker | 5 | 0 | 5 | 1,725 | 72 | 78% | 6.9 |
| Speech Language Pathologist | 7 | 0 | 7 | 1,673 | 78 | 85% | 7.2 |
| Dental Services Staff | 3 | 0 | 3 | 1,112 | 66 | 72% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 930 | 70 | 76% | 7.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 715 | 63 | 68% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 583 | 65 | 71% | 9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Aide in Training | 2 | 0 | 2 | 514 | 45 | 49% | 8 |
| Dietitian | 1 | 0 | 1 | 499 | 60 | 65% | 8.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 381 | 62 | 67% | 6.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 43 | 6 | 7% | 7.1 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
55% lower than Texas averageTexas average: $80K
21% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 27, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 27, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 17, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
26% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
43% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.3%
5% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
29.7%
83% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.9%
53% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.3%
89% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.6%
27% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.3%
58% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.5%
In line with Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.7%
76% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
3.3%
58% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.78
16% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.04
50% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
10% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
12% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.5%
36% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.7%
28% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.8%
52% worse than Texas averageTexas average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
35% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
28% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
98Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for San Pedro Manor from 2011–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #60 / 219Payroll costs — State benchmarkedThis home is ranked 60th out of 219 homes in Texas. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #63 / 200Payroll % of net patient revenue — State benchmarkedThis home is ranked 63rd out of 200 homes in Texas. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Housing Options: Private / Semi-Private Rooms
Building Type: 3-story
Housekeeping Services
Transportation Services
Recreational Activities
Exercise Programs
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (37% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.9 miles from city center
Estimated distance in miles from San Antonio's city center to San Pedro Manor's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| The Army Residence Community Health Care Center | NH AL IL MC SNF | San Antonio (Northeast Side) | 30
Facility
30
TX AVG
78
Rank
#766 / 981 | - | - | 4.74
Facility
4.74
TX AVG
3.63
Rank
#31 / 233 | -10% | +31% | $0
Facility
$0
TX AVG
$81.8k
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#1 / 238 | 18
Facility
18
TX AVG
25.9
Rank
#80 / 235 | 4.5
Facility
4.5
TX AVG
3.7
Rank
#196 / 235 | - | 59 | - |
6
Facility
6
TX AVG
42
Rank
#1287 / 1346 | Army Retirement Residence Foundation San Antonio | $33.5MFiscal year ending 06/2024
Facility
$33.5MFiscal year ending 06/2024
TX AVG
$9.3M
Rank
#1 / 219 | $16.5MFiscal year ending 06/2024
Facility
$16.5MFiscal year ending 06/2024
TX AVG
$5.4M
Rank
#5 / 219 | 49.4%Fiscal year ending 06/2024
Facility
49.4%Fiscal year ending 06/2024
TX AVG
71.6%
Rank
#157 / 200 | 675697 | ||||
| Blue Skies of Texas East | NH AL HOS IL MC SNF | San Antonio (Valley High North) | 24
Facility
24
TX AVG
78
Rank
#780 / 981 | - | - | 6.51
Facility
6.51
TX AVG
3.63
Rank
#2 / 233 | -7% | +79% | $17.3k
Facility
$17.3k
TX AVG
$81.8k
Rank
#102 / 238 | 31
Facility
31
TX AVG
25.9
Rank
#182 / 235 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#110 / 235 | 2 | 53 | - |
47
Facility
47
TX AVG
42
Rank
#586 / 1346 | Air Force Village Inc | $10.3MFiscal year ending 06/2024
Facility
$10.3MFiscal year ending 06/2024
TX AVG
$9.3M
Rank
#62 / 219 | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
TX AVG
$5.4M
Rank
#83 / 219 | 52.2%Fiscal year ending 06/2024
Facility
52.2%Fiscal year ending 06/2024
TX AVG
71.6%
Rank
#136 / 200 | 676041 | ||||
| Lakeside Nursing and Rehabilitation Center | NH SNF | San Antonio (Far West Side) | 120
Facility
120
TX AVG
78
Rank
#192 / 981 |
93.5%
Facility
93.5%
TX AVG
66.3
Rank
#12 / 175 | +41% | 3.42
Facility
3.42
TX AVG
3.63
Rank
#140 / 233 | +35% | -6% | $14.6k
Facility
$14.6k
TX AVG
$81.8k
Rank
#89 / 238 | 24
Facility
24
TX AVG
25.9
Rank
#141 / 235 | 3.4
Facility
3.4
TX AVG
3.7
Rank
#137 / 235 | 3 | 110 | - |
19
Facility
19
TX AVG
42
Rank
#1114 / 1346 | Crystal Lake Healthcare, Inc | $11.7MFiscal year ending 03/2024
Facility
$11.7MFiscal year ending 03/2024
TX AVG
$9.3M
Rank
#42 / 219 | $7.0MFiscal year ending 03/2024
Facility
$7.0MFiscal year ending 03/2024
TX AVG
$5.4M
Rank
#40 / 219 | 60.2%Fiscal year ending 03/2024
Facility
60.2%Fiscal year ending 03/2024
TX AVG
71.6%
Rank
#93 / 200 | 676325 | ||||
| Saint Francis Nursing Home | NH AL IL | San Antonio (Midtown) | 116
Facility
116
TX AVG
78
Rank
#258 / 981 | - | - | 3.93
Facility
3.93
TX AVG
3.63
Rank
#67 / 233 | - | +8% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 238 | - | - | - | 92 | - |
71
Facility
71
TX AVG
42
Rank
#124 / 1346 | - | - | - | - | 45F410 | ||||
| San Pedro Manor | NH MC SNF | San Antonio (Monte Vista) | 150
Facility
150
TX AVG
78
Rank
#58 / 981 | - | - | 3.63
Facility
3.63
TX AVG
3.63
Rank
#105 / 233 | +2% | 0% | $24.3k
Facility
$24.3k
TX AVG
$81.8k
Rank
#123 / 238 | 43
Facility
43
TX AVG
25.9
Rank
#207 / 235 | 3.9
Facility
3.9
TX AVG
3.7
Rank
#170 / 235 | 5 | 19 | A+ |
79
Facility
79
TX AVG
42
Rank
#38 / 1346 | West Ashby Healthcare, Inc | $9.5MFiscal year ending 06/2024
Facility
$9.5MFiscal year ending 06/2024
TX AVG
$9.3M
Rank
#85 / 219 | $6.1MFiscal year ending 06/2024
Facility
$6.1MFiscal year ending 06/2024
TX AVG
$5.4M
Rank
#60 / 219 | 64.8%Fiscal year ending 06/2024
Facility
64.8%Fiscal year ending 06/2024
TX AVG
71.6%
Rank
#63 / 200 | 455689 |
San Pedro Manor is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
San Pedro Manor is in the Monte Vista neighborhood of San Antonio.
San Pedro Manor is legally operated by Uvalde County Hospital Authority, and administered by Princess Hernandez.
San Pedro Manor has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to TX state health department records, San Pedro Manor's license number is 147967.
San Pedro Manor's occupancy is 54.9%.
San Pedro Manor has been operating for approximately 35 years, based on available licensing and registration records.
No, San Pedro Manor has a no-pet policy.
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