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.
Conveniently nestled in San Antonio, TX, Westover Hills Rehabilitation and Healthcare Center is a warm and dependable community designed to support residents with their recovery. They collaborate closely with residents, their families, and healthcare providers in creating an effective care plan tailored to their needs. The community also features an in-house therapy team that uses advanced therapeutic approaches to help residents regain their strength and overall functionality.
Residents’ schedules are packed with an array of fun and enriching activities tailored to their preferences and skills for an active lifestyle. In addition to nutritionally balanced meals, the community provides the convenience of housekeeping services for residents’ comfort. Here, residents are guaranteed to maintain their highest functionality to continue enjoying life.
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.
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.
This home is ranked 81st out of 296 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 34m per day | ▲ 32% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 59m per day | ▲ 3% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 5m per day | ▲ 3% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
| 3h 10m per day | ▲ 6% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 4m per day | ▲ 8% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 37m per day | ▲ 78% State avg: 21m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with 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 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 27 LPN Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 47 CNA Staff are full-time employees. No contractors work on this role.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 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 | 47 | 0 | 47 | 16,451 | 92 | 100% | 8 |
| Licensed Practical Nurse | 27 | 0 | 27 | 7,271 | 92 | 100% | 8.1 |
| Registered Nurse | 13 | 0 | 13 | 4,344 | 92 | 100% | 9.3 |
| Medication Aide/Technician | 7 | 0 | 7 | 3,163 | 92 | 100% | 8.4 |
| Speech Language Pathologist | 14 | 0 | 14 | 3,106 | 90 | 98% | 7.2 |
| RN Director of Nursing | 7 | 0 | 7 | 2,136 | 74 | 80% | 8.6 |
| Physical Therapy Aide | 12 | 0 | 12 | 1,987 | 80 | 87% | 6.6 |
| Dental Services Staff | 4 | 0 | 4 | 1,460 | 73 | 79% | 7.9 |
| Qualified Social Worker | 6 | 0 | 6 | 1,366 | 77 | 84% | 7 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,363 | 80 | 87% | 7.6 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 697 | 81 | 88% | 6.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 619 | 61 | 66% | 8.7 |
| Nurse Practitioner | 1 | 0 | 1 | 549 | 61 | 66% | 9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Nurse Aide in Training | 3 | 0 | 3 | 417 | 54 | 59% | 7.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 253 | 74 | 80% | 3.4 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 62 | 8 | 9% | 7.8 |
Includes penalties issued in 2023-2024
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.
Nov 8, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 10, 2023Last 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.
5.7
33% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
19% better 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
13.9%
14% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
5.4%
67% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.0%
27% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
17% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.9%
36% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.7%
11% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.8%
19% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.4%
87% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
0.7%
91% 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
98.7%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.68
21% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.39
33% 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
0.5%
68% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
9% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.7%
7% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.2%
10% worse 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.
57.9%
8% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.7%
6% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
106Residents 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 Westover Hills Rehabilitation and Healthcare Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #51 / 304Payroll — State benchmarkedThis home is ranked 51st out of 304 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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 #89 / 304Payroll % — State benchmarkedThis home is ranked 89th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State 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).
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (75% 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.
15.1 miles from city center
Estimated distance in miles from San Antonio's city center to Westover Hills Rehabilitation and Healthcare Center's address, calculated via Google Maps.
Add your location
The information below is reported by the Texas Health and Human Services Commission.
| Westover Hills Rehabilitation and Healthcare Center | NH MC | San Antonio (Far West Side) | 124
Facility
124
TX AVG
80
Rank
#178 / 988 |
81.0%
Facility
81.0%
TX AVG
63.5%
Rank
#62 / 304 | +28% | 3.87
Facility
3.87
TX AVG
3.63
Rank
#81 / 296 | +6% | +7% | $20.2k
Facility
$20.2k
TX AVG
$81.8k
Rank
#136 / 301 | 29
Facility
29
TX AVG
25.9
Rank
#214 / 299 | 2.6
Facility
2.6
TX AVG
3.7
Rank
#73 / 299 | 2 | 105 | - |
32
Facility
32
TX AVG
41
Rank
#902 / 1391 | Sage Terrace Healthcare LLC | $13.1M
Facility
$13.1M
TX AVG
$8.4M
Rank
#69 / 304 | $7.8M
Facility
$7.8M
TX AVG
$3.5M
Rank
#51 / 304 | 60.1%
Facility
60.1%
TX AVG
47%
Rank
#89 / 304 | 676281 | ||||
| Mystic Park Nursing and Rehabilitation Center | NH MC | San Antonio (Far West Side) | 119
Facility
119
TX AVG
80
Rank
#258 / 988 |
81.8%
Facility
81.8%
TX AVG
63.5%
Rank
#53 / 304 | +29% | 3.50
Facility
3.50
TX AVG
3.63
Rank
#146 / 296 | -5% | -4% | $111.1k
Facility
$111.1k
TX AVG
$81.8k
Rank
#260 / 301 | 21
Facility
21
TX AVG
25.9
Rank
#152 / 299 | 4.2
Facility
4.2
TX AVG
3.7
Rank
#228 / 299 | 2 | 108 | - |
59
Facility
59
TX AVG
41
Rank
#311 / 1391 | Fox Sparrow Healthcare, Inc | $10.8M
Facility
$10.8M
TX AVG
$8.4M
Rank
#81 / 304 | $6.7M
Facility
$6.7M
TX AVG
$3.5M
Rank
#70 / 304 | 62%
Facility
62%
TX AVG
47%
Rank
#153 / 304 | 676012 | ||||
| San Pedro Manor | NH MC | San Antonio (Monte Vista) | 150
Facility
150
TX AVG
80
Rank
#63 / 988 | - | - | 3.63
Facility
3.63
TX AVG
3.63
Rank
#128 / 296 | +2% | 0% | $24.3k
Facility
$24.3k
TX AVG
$81.8k
Rank
#155 / 301 | 43
Facility
43
TX AVG
25.9
Rank
#260 / 299 | 3.9
Facility
3.9
TX AVG
3.7
Rank
#210 / 299 | 5 | 19 | A+ |
79
Facility
79
TX AVG
41
Rank
#38 / 1391 | West Ashby Healthcare, Inc | $9.5M
Facility
$9.5M
TX AVG
$8.4M
Rank
#120 / 304 | $6.1M
Facility
$6.1M
TX AVG
$3.5M
Rank
#93 / 304 | 64.8%
Facility
64.8%
TX AVG
47%
Rank
#100 / 304 | 455689 | ||||
| River City Care Center | NH | San Antonio (Eastside Promise Neighborhood) | 92
Facility
92
TX AVG
80
Rank
#410 / 988 |
45.7%
Facility
45.7%
TX AVG
63.5%
Rank
#259 / 304 | -28% | 3.63
Facility
3.63
TX AVG
3.63
Rank
#128 / 296 | +37% | 0% | $23.4k
Facility
$23.4k
TX AVG
$81.8k
Rank
#152 / 301 | 32
Facility
32
TX AVG
25.9
Rank
#230 / 299 | 5.3
Facility
5.3
TX AVG
3.7
Rank
#274 / 299 | 2 | 47 | - |
68
Facility
68
TX AVG
41
Rank
#158 / 1391 | - | $3.0M
Facility
$3.0M
TX AVG
$8.4M
Rank
#292 / 304 | $2.1M
Facility
$2.1M
TX AVG
$3.5M
Rank
#294 / 304 | 69.7%
Facility
69.7%
TX AVG
47%
Rank
#128 / 304 | 675896 | ||||
| Buena Vida Nursing and Rehab Center San Antonio | NH MC | San Antonio (East Side) | 222
Facility
222
TX AVG
80
Rank
#10 / 988 |
27.6%
Facility
27.6%
TX AVG
63.5%
Rank
#286 / 304 | -57% | 3.48
Facility
3.48
TX AVG
3.63
Rank
#146 / 296 | +31% | -4% | $269.1k
Facility
$269.1k
TX AVG
$81.8k
Rank
#293 / 301 | 44
Facility
44
TX AVG
25.9
Rank
#263 / 299 | 4.4
Facility
4.4
TX AVG
3.7
Rank
#241 / 299 | 3 | 61 | - |
26
Facility
26
TX AVG
41
Rank
#1005 / 1391 | West Wharton County Hospital District | $4.3M
Facility
$4.3M
TX AVG
$8.4M
Rank
#260 / 304 | $3.2M
Facility
$3.2M
TX AVG
$3.5M
Rank
#261 / 304 | 73.8%
Facility
73.8%
TX AVG
47%
Rank
#141 / 304 | 455390 |
Westover Hills Rehabilitation and Healthcare Center is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Westover Hills Rehabilitation and Healthcare Center is in the Far West Side neighborhood.
Westover Hills Rehabilitation and Healthcare Center has a walk score of 32. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Westover Hills Rehabilitation and Healthcare Center's occupancy is 81.0%.
Yes — there are 12 photos of Westover Hills Rehabilitation and Healthcare Center in the photo gallery on this page.
Westover Hills Rehabilitation and Healthcare Center is located at 9922 Tx-151, San Antonio, TX 78251.
(210) 546-2273 will put you in contact with the team at Westover Hills Rehabilitation and Healthcare Center.
Yes — Westover Hills Rehabilitation and Healthcare Center is a CMS-certified provider of Medicare and Medicaid.
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