Occupancy rate
39%
In line with Texas averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in San Antonio
CMS overall rating
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.
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.
Wurzbach Nursing and Rehabilitation
Nursing Home in San Antonio
CMS overall rating
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.
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.
Wurzbach Nursing and Rehabilitation
Wurzbach Nursing and Rehab is a highly skilled nursing home in San Antonio that boasts a secure and safe environment that enhances the quality of life for each of its residents. The nursing home promotes a list of comprehensive programs and engaging activities– designed for residents to cultivate their emotional, mental, and physical aspects. Residents at Wurzbach Nursing and Rehab are guaranteed to get personalized care that is catered to their needs in an inviting community with fine hospitality.
A Careday Healthcare community, Wurzbach is ensured to be a relaxing and convenient nursing home. Their skilled care services focus on individualized treatments– physical, occupational, and speech therapy; joint replacement therapy, spine and back therapy; wound care, dysphagia management, and palliative care. They have an in-house respiratory therapist, extensive clinical service, 24-hour medical and nursing services, and continual tracheostomy care.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
140
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
38.6%
Residents per day
54
Occupancy rate
38.6%
Residents per day
54
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
18% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
52% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
31% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Home revenue
$8.3M
Profit
$166.9K
Privately-owned community
Home revenue
$8.3M
Profit
$166.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.2M
140-bed community
A larger shared setting that may offer more common spaces and organized community services.
43 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 75 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating: C (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Services
About this community
Occupancy
In line with Texas averageOccupied beds
54 / 140
Average residents
75 per day
Facility TypeNursing
StatusActive
IssuanceJanuary 1, 2024
ExpirationJanuary 1, 2027
CountyBEXAR
License Number307662
Year Opened8/1/1982
CMS Certification Number455824
Wurzbach Nursing and Rehabilitation is administrated by Jose Ruiz.
Management CompanyCARADAY MANAGEMENT LLC
OwnerCARADAY WURZBACH LLC
Ownership TypeLimited Liability Company (LLC)
Medicare
10 units
Medicaid and Medicare
130 units
Total beds
140 units
Staffing
Key information about the people who lead and staff this community.
ContactCustomer Contact, Customer Contact
Administrator Email
[email protected]
Inspection History
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.
15 visits/inspections
9 visits/inspections triggered by complaints
5 routine inspections
Results
13 with issues
2 without issues
Show Inspection Reports
Latest inspection
Date
June 13, 2025
Routine56 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Health Inspection History
Inspections
Total health inspections
13
Texas average 7.4
Last Health inspection on Jun 2025
Total health citations
57
Texas average 25.9
Citations per inspection
4.38
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
35 of 57 citations resulted from standard inspections; 18 of 57 resulted from complaint investigations; and 4 of 57 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
50% worse than Texas averageTexas average: 2
Serious Health citations
1
1
150% worse than Texas averageTexas average: 0.4
3 critical citations
1 serious citation
53 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 13, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 13, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 13, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 13, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 13, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 13, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 13, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around San Antonio The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Blue Skies of Texas East
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
San Antonio (Valley High North)
80
68.3%
+8%
6.51
+79%
2
31
3.1
2
46
-
47
Air Force Village Inc
$15.2M
$4.6M
30%
676041
Wurzbach Nursing and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
San Antonio (Northwest Side)
140
62.0%
-2%
3.23
-11%
4
57
4.4
4
86
C
75
E&R Cunningham Investments Lp
$7.8M
$3.3M
42%
455824
Brookdale Hamilton Wolfe
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
San Antonio
32
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Desert Sands Assisted Living LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
San Antonio
42
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Discovery Village Stone Oak
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
San Antonio
125
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Places of interest near Wurzbach Nursing and Rehabilitation
8.0 miles from city center — 0.43 miles to nearest hospital (St. Luke's Baptist Hospital)
Calculate Travel Distance to Wurzbach Nursing and Rehabilitation
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
203
Employees
64
Contractors
139
Staff to resident ratio
1.45:1
0% compared with Texas averageTexas average ratio: 1.51:1
Avg staff/day
39
Average shift
8 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
28,242
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
61
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
103
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
30.8%
8,706 contractor hours this quarter
Certified Nursing Assistant: 77
Licensed Practical Nurse: 48
Medication Aide/Technician: 12
Medical Director: 2
Staff by category
| Certified Nursing Assistant | 26 | 77 | 103 | 10,826 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 13 | 48 | 61 | 6,502 | 91 | 100% | 8 |
| Physical Therapist | 10 | 0 | 10 | 4,612 | 91 | 100% | 7.9 |
| Medication Aide/Technician | 1 | 12 | 13 | 2,084 | 85 | 93% | 9.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,021 | 88 | 97% | 7.6 |
| RN Director of Nursing | 2 | 0 | 2 | 967 | 74 | 81% | 7.6 |
| Registered Nurse | 5 | 0 | 5 | 707 | 57 | 63% | 10.4 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 502 | 59 | 65% | 8.5 |
| Dietitian | 1 | 0 | 1 | 471 | 62 | 68% | 7.6 |
| Medical Director | 0 | 2 | 2 | 18 | 6 | 7% | 3 |
| Nurse Practitioner | 1 | 0 | 1 | 15 | 1 | 1% | 15 |
103 Certified Nursing Assistant
% of Days
100%
61 Licensed Practical Nurse
% of Days
100%
10 Physical Therapist
% of Days
100%
13 Medication Aide/Technician
% of Days
93%
3 Clinical Nurse Specialist
% of Days
97%
2 RN Director of Nursing
% of Days
81%
5 Registered Nurse
% of Days
63%
1 Administrator
% of Days
71%
1 Other Dietary Services Staff
% of Days
65%
1 Dietitian
% of Days
68%
2 Medical Director
% of Days
7%
1 Nurse Practitioner
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
140 residents
Residents by payment source
Medicare
8 residents (5.7%)
Medicaid
132 residents (94.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
9% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
23% worse than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
23.7%
Percent of long-stay residents whose need for help with daily activities has increased
23.7%
46% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.6%
Percent of long-stay residents whose ability to move independently worsened
10.6%
35% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
60% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
92% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.8%
Percent of long-stay high risk residents with pressure ulcers
0.8%
82% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.2%
Percent of long-stay residents with a urinary tract infection
1.2%
50% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.6%
Percent of long-stay residents who lose too much weight
5.6%
62% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.9%
Percent of long-stay residents who have depressive symptoms
2.9%
In line with Texas averageTexas average: 2.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.9%
10% worse than Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
5.25
Number of hospitalizations per 1,000 long-stay resident days.
5.25
146% worse than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.17
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.17
43% better than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
23.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
23.5%
74% worse than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
28% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
31.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
31.3%
64% worse than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.1%
12% worse than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.7%
14% worse than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$130K
62% higher than Texas averageTexas average: $80K
Number of fines
4
61% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
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
Fines amount comparison
Fines amount comparison
This facility
$130K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 9, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 9, 2025
$10K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 1, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 1, 2023
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 2023
$15K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 3, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 3, 2023
$95K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Wurzbach Nursing and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
62.0%
↑ 4.5pp vs 2022
Net Income
$166.9K
↓ ~$498.3K vs 2022
Total Payroll
$3.8M
↑ ~$57.5K vs 2022
Profit Margin
2.1%
↓ 7.3pp vs 2022
Loading trend charts...
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