Heritage Creek

Q: What neighborhood is Heritage Creek in?

Heritage Creek is in the Northwest Side neighborhood of San Antonio.

Q: Who is the owner of Heritage Creek?

The legal owner and operator of Heritage Creek is Heritage Creek Assisted Living Inc.

Q: Is Heritage Creek in a walkable area?

Heritage Creek has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.

Q: What is the license number of Heritage Creek?

According to TX state health department records, Heritage Creek's license number is 148410.

Q: When does Heritage Creek's license expire?

According to TX state health department records, Heritage Creek's license expires on January 11, 2028.

Q: What is the occupancy rate at Heritage Creek?

Heritage Creek's occupancy is 35%.

Q: Does Heritage Creek operate as a for-profit or non-profit?

Heritage Creek is registered as a for-profit in TX.

Overview of Heritage Creek

Heritage Creek, located in San Antonio, Texas, is assisted living at its best, fostering a community where luxuries and accommodations meet personalized, friendly service. As a family-owned facility, the community values creating a warm and fulfilling environment for residents and maintaining good staff-to-resident ratios for individualized assisted living. Heritage Creek aims to provide a seamless, family-oriented experience, ensuring residents receive the care they need precisely when needed.

The assisted living community distinguishes itself through various amenities and facilities that enhance residents’ lives. The community offers chef-prepared dining options with a full-time executive chef., ensuring delicious and nutritious meals. An on-site salon and barber shop provide convenient grooming services, adding to the overall experience. The living spaces are spacious and serene, promoting peaceful and cozy living. Heritage Creek emphasizes creating a family, treating residents with the utmost care, and providing them an exciting life full of activities.

Facility Direct Line (210) 446-2120

Staffing hours breakdown

Hours per resident per day — compared to Texas state averages

Total nursing care / resident

3h 54m per day

This facility Texas avg (3h 38m per day)

vs Texas avg

+7%

2 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +91% above state avg

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.	49m per day	▲ 91% State avg: 25m 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.	43m per day	▼ 24% 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.	3h 10m per day	▲ 57% State avg: 2h 1m per day · National avg: 2h 20m 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.	4h 19m per day	▲ 44% State avg: 3h 0m per day · National avg: 3h 27m 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.	2m per day	▼ 58% 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.	32m per day	▲ 59% State avg: 20m per day · National avg: 29m per day

Capacity and availability

278 days

52-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

13 years in operation

A community with a solid operating history and experience delivering ongoing care.

Walk Score: 9 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

BBB Rating: A+ (Accredited)

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About this community

Occupancy

Occupancy rate

35%

Lower than the Texas average: 63.5%

Occupied beds

18 / 52

Average occupied beds in Texas homes 75 beds

Facility TypeType B

StatusLicensed

ExpirationJanuary 11, 2028

CountyBexar

License Number148410

Year Opened11/1/2013

Heritage Creek is legally operated by Heritage Creek Assisted Living Inc, and administered by Christina Varga.

OwnerHERITAGE CREEK ASSISTED LIVING INC

Ownership TypeFOR-PROFIT CORPORATION

Staffing

Key information about the people who lead and staff this community.

ContactMs. Christina Varga, President

Administrator Email[email protected]

Does not accept Medicare

Licensed Nurses/CNAs

24-Hour Staffing

Staff-to-Resident Ratio: 1 to 8

No Alzheimer's certification

Chef-Prepared Dining Options

On-Site Hair Salon And Barber Shop

Spacious Living Spaces

Custom Movie Theater

Fitness Center

Peaceful Outdoor Settings

Food DescriptionChef-prepared dining options with a custom menu for breakfast, lunch, and dinner.

Since 2022 · 4 years of data 4 citations 1 inspection

Inspection Scorecard 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.

Since 2022 vs. Texas state average

Overall vs. TX average

Latest Inspection June 24, 2022

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	TX Average	vs. TX Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	4	6	This facility has 33% fewer total citations than a typical Texas assisted living residence (4 vs. TX avg 6).↓ 33% better
Health citations Citations related to resident care, clinical practices, and day-to-day operations.	4	2	This facility has 100% more health citations than a typical Texas assisted living residence (4 vs. TX avg 2).↑ 100% worse
Citations per year Average citations per year since 2022.	1	1.5	This facility has 33% fewer citations per year than a typical Texas assisted living residence (1 vs. TX avg 1.5).↓ 33% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	TX Average	vs. TX Avg
Inspections with citations Inspections that resulted in at least one regulatory citation.	1	1	This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

June 24, 2022 inspection cited three deficiencies related to staff continuing education, annual record searches, and tuberculosis screening.
No Life Safety Code violations or enforcement actions were found during the June 24, 2022 inspection.
Deficiencies showed failure to document required continuing education, annual NAR and EMR searches, and timely tuberculosis screening of employees.

Show Inspection Reports

Inspections since 2024

Total health inspections 35

Texas average 7.4

Last Health inspection on Sep 2025

Total health citations

110

Texas average 25.9

Citations per inspection

3.14

Texas average 3.67

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

27 of 110 citations resulted from standard inspections; 73 of 110 resulted from complaint investigations; and 10 of 110 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 2 years)

Critical health citations

450% worse than Texas average

Texas average: 2

Serious health citations

400% worse than Texas average

Texas average: 0.4

11 critical citations Texas average: 2

2 serious citations Texas average: 0.4

97 moderate citations Texas average: 23

0 minor citations Texas average: 0.4

Citations history (last 2 years)

Abuse/Neglect moderate citation Sep 16, 2025

Corrected

Infection Control moderate citation Sep 16, 2025

Corrected

Nutrition moderate citation Sep 16, 2025

Corrected

Pharmacy moderate citation Sep 16, 2025

Corrected

Total staff 135

Employees 135

Contractors 0

Staff to resident ratio 1.93 : 1

30% more staff per resident than Texas average

Avg staff/day 43

Average shift 8 hours

0% compared with Texas average

Total staff hours (quarter) 31,583

Nursing staff breakdown

7.9 hours

7.6 hours

7.9 hours

Contractor staffing

Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category


Certified Nursing Assistant	60	60	15,427	92	100%	7.9
Licensed Practical Nurse	23	23	3,929	92	100%	7.6
Medication Aide/Technician	11	11	3,603	92	100%	9.3
Registered Nurse	13	13	2,941	92	100%	7.9
Nurse Practitioner	6	6	1,019	65	71%	7.8
Clinical Nurse Specialist	7	7	899	71	77%	8
Administrator	2	2	632	64	70%	7.9
Dental Services Staff	3	3	515	57	62%	7.8
Speech Language Pathologist	2	2	501	61	66%	8
Dietitian	1	1	457	65	71%	7
Respiratory Therapist	1	1	453	57	62%	7.9
RN Director of Nursing	2	2	416	26	28%	8
Other Dietary Services Staff	1	1	281	38	41%	7.4
Qualified Social Worker	1	1	174	24	26%	7.2
Physical Therapy Assistant	1	1	169	16	17%	10.6
Respiratory Therapy Technician	1	1	168	32	35%	5.2

60 Certified Nursing Assistant

% of Days 100%

23 Licensed Practical Nurse

% of Days 100%

11 Medication Aide/Technician

% of Days 100%

13 Registered Nurse

% of Days 100%

6 Nurse Practitioner

% of Days 71%

7 Clinical Nurse Specialist

% of Days 77%

2 Administrator

% of Days 70%

3 Dental Services Staff

% of Days 62%

2 Speech Language Pathologist

% of Days 66%

1 Dietitian

% of Days 71%

1 Respiratory Therapist

% of Days 62%

2 RN Director of Nursing

% of Days 28%

1 Other Dietary Services Staff

% of Days 41%

1 Qualified Social Worker

% of Days 26%

1 Physical Therapy Assistant

% of Days 17%

1 Respiratory Therapy Technician

% of Days 35%

View All Staffing Data in San Antonio

Total fines amount $463K

476% higher than Texas average

Texas average: $80K

Number of fines 6

141% more fines than Texas average

Texas average: 2.5

Payment Denials 3

1261% more payment denials than Texas average

Texas average: 0.2

Fines amount comparison

This facility $463K

Texas average $80K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

7 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Jul 3, 2025

$307K

Payment Denial Jul 3, 2025

13 days

Civil Money Penalty Nov 19, 2024

$28K

Civil Money Penalty Aug 14, 2024

$46K

Last updated: Jan 2026

High-risk clinical events score 7.7

11% better than Texas average

Texas average: 8.6

Functional decline score 13.2

18% better than Texas average

Texas average: 16.0

Long-stay resident measures

Need for Help with Daily Activities Increased 13.4%

17% better than Texas average

Texas average: 16.2%

Walking Ability Worsened 16.1%

In line with Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence 10.0%

36% better than Texas average

Texas average: 15.7%

Falls with Major Injury 1.1%

66% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers 4.8%

9% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection 0.4%

53% better than Texas average

Texas average: 0.8%

Lost Too Much Weight 2.8%

19% better than Texas average

Texas average: 3.5%

Depressive Symptoms 2.1%

26% better than Texas average

Texas average: 2.9%

Antipsychotic Use 7.9%

In line with Texas average

Texas average: 7.9%

Pneumococcal Vaccine 99.6%

In line with Texas average

Texas average: 97.3%

Influenza Vaccine 96.4%

In line with Texas average

Texas average: 97.9%

Short-stay resident measures

Pneumococcal Vaccine 96.6%

7% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase 2.1%

47% worse than Texas average

Texas average: 1.4%

Influenza Vaccine 98.3%

12% better than Texas average

Texas average: 88.0%

Breakdown by payment type

Medicare

16% of new residents, usually for short-term rehab.

Typical stay 3 - 4 months

Private pay

28% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

56% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 70

Medicare

7.1% of residents

Medicaid

67.1% of residents

Private pay or other

25.7% of residents

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.

Financial Trends

Historical financial and operational data for Heritage Creek from 2012–2023, based on CMS SNF Cost Reports.

Occupancy Rate 137.5% ↑ 106.2pp vs 2022

Net Patient Income -$1.3M ↓ ~$573.5K vs 2022

Payroll Costs $4.3M ↑ ~$2.3M vs 2022

Operating Margin -21.9% ↑ 5.6pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	67.7%	58.6%	53.3%	54.3%	50.5%	50.5%	48.8%	47.6%	37.5%	27.7%	31.3%	137.5%
Beds	204	204	204	204	204	204	204	204	204	204	204	52
Net Income	-$239,413	-$675,828	-$743,192	-$901,989	-$430,179	-$393,557	$727,703	-$509,515	-$1,575,174	-$1,798,633	-$629,073	-$1,092,363
Gross Revenue	$13,521,864	$12,849,870	$11,479,433	$12,407,970	$9,530,183	$9,135,366	$10,837,174	$9,978,646	$7,457,212	$5,566,503	$3,210,545	$7,348,422
Operating Expenses	$10,497,425	$9,848,383	$9,433,473	$10,097,799	$9,960,362	$9,416,820	$8,465,258	$9,045,712	$10,980,165	$7,372,461	$3,525,550	$7,433,898
Net Patient Income	-$241,873	-$676,821	-$744,774	-$904,185	-$430,179	-$393,557	$727,704	-$509,514	-$3,728,548	-$1,882,917	-$760,537	-$1,334,051
Net Patient Revenue	$10,255,552	$9,171,562	$8,688,699	$9,193,614	$9,530,183	$9,023,263	$9,192,962	$8,536,198	$7,251,617	$5,489,544	$2,765,013	$6,099,847
Payroll Costs	$4,722,843	$4,458,447	$4,479,963	$4,823,312	$5,019,362	$5,222,438	$4,609,916	$5,318,891	$4,319,463	$3,679,141	$2,011,606	$4,338,296
Operating Margin %	-2.4%	-7.4%	-8.6%	-9.8%	-4.5%	-4.4%	7.9%	-6.0%	-51.4%	-34.3%	-27.5%	-21.9%
Medicare %	9.8%	8.1%	9.4%	12.4%	16.1%	11.4%	10.1%	7.7%	5.6%	2.8%	7.5%	5.7%
Medicaid %	73.9%	71.0%	73.8%	70.9%	66.0%	68.0%	68.1%	69.3%	74.7%	79.2%	81.9%	74.3%
Private %	16.3%	20.9%	16.8%	16.7%	17.9%	20.6%	21.8%	23.0%	19.6%	18.0%	10.5%	20.0%
Net Patient Revenue/Day	$203	$210	$219	$227	$253	$240	$253	$241	$259	$266	$235	$234
Cost/Day	$208	$226	$238	$250	$264	$250	$233	$255	$393	$357	$300	$285
Avg Length of Stay	211.4 days	230.8 days	174.0 days	94.7 days	31.6 days	104.5 days	104.5 days	115.5 days	91.1 days	155.2 days	286.8 days	277.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.1M

Net patient income

-$1.3M

For-profit Operated by a single business entity.

Net patient revenue

$6.1M

Net patient income

-$1.3M

Other income

$241.7K

Payroll costs

$4.3M 71.1% of net patient revenue

Other operating costs

$3.1M

Total costs

$7.4M

What does this home offer?

Staff to Resident Ratio: 1:8

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (56% of admissions), and a typical Medicaid stay runs around 1 years.

Coverage residents most often arrive under.

Medicare 16%

Private pay 28%

Medicaid 56%

Coverage residents most often leave under.

Medicare 16%

Private pay 28%

Medicaid 56%

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The information below is reported by the Texas Health and Human Services Commission.


Heritage Creek	AL NH	San Antonio (Northwest Side)	-	52 Facility 52 TX AVG 80 Rank #664 / 988	A+	9 Facility 9 TX AVG 41 Rank #1241 / 1391	-
The Army Residence Community Health Care Center	AL IL MC NH	San Antonio (Northeast Side)	-	30 Facility 30 TX AVG 80 Rank #782 / 988	-	6 Facility 6 TX AVG 41 Rank #1286 / 1391	-
Saint Francis Nursing Home	AL IL NC NH	San Antonio (Midtown)	-	116 Facility 116 TX AVG 80 Rank #275 / 988	-	71 Facility 71 TX AVG 41 Rank #124 / 1391	-
Elmcroft of Windcrest	AL NH MC RC	San Antonio (Northeast Side)	-	113 Facility 113 TX AVG 80 Rank #296 / 988	-	14 Facility 14 TX AVG 41 Rank #1180 / 1391	-
Morningside at the Meadows	AL IL MC NH	San Antonio (Sunshine Estates)	-	147 Facility 147 TX AVG 80 Rank #75 / 988	-	46 Facility 46 TX AVG 41 Rank #610 / 1391	-

Nursing Home Explorer

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled

General Texas resident, Medicaid-eligible, care need (not always nursing home level).

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+

General Texas resident, at risk of decline.

Income Limits ~$2,000/month individual, varies

Asset Limits $5,000 individual

Limited funding; high demand in urban areas.

Benefits

In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+

General TX resident; no income/asset limits.

Income Limits (2025) None; donations encouraged.

Asset Limits Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Benefits

Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled

General TX resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —

General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year

Asset Limits Not assessed.

High rural demand; includes grandparent caregivers.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General TX resident, wartime service, ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth

High veteran population; supports rural/urban needs.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+

General TX resident, homeowner (homestead).

Income Limits (2025) None; tax-based eligibility.

Asset Limits Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits

Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+

General TX resident, low-income.

Income Limits (2025) ~$2,322/month 185% FPL

Asset Limits Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits

Vouchers (~$50/season) for produce at farmers’ markets

What neighborhood is Heritage Creek in?

Heritage Creek is in the Northwest Side neighborhood of San Antonio.

Who is the owner of Heritage Creek?

The legal owner and operator of Heritage Creek is Heritage Creek Assisted Living Inc.

Is Heritage Creek in a walkable area?

Heritage Creek has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Heritage Creek?

According to TX state health department records, Heritage Creek's license number is 148410.

When does Heritage Creek's license expire?

According to TX state health department records, Heritage Creek's license expires on January 11, 2028.

What is the occupancy rate at Heritage Creek?

Heritage Creek's occupancy is 35%.

Does Heritage Creek operate as a for-profit or non-profit?

Heritage Creek is registered as a for-profit in TX.

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Overview of Heritage Creek

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Payment & Insurance

Staffing & Medical

Memory & Specialized Care

Amenities & Lifestyle

Dining & Nutrition

Contact Heritage Creek

Inspection History

Inspection Scorecard 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 Citations are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2024

Breakdown of citation severity (last 2 years)

Citations history (last 2 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

60 Certified Nursing Assistant

23 Licensed Practical Nurse

11 Medication Aide/Technician

13 Registered Nurse

6 Nurse Practitioner

7 Clinical Nurse Specialist

2 Administrator

3 Dental Services Staff

2 Speech Language Pathologist

1 Dietitian

1 Respiratory Therapist

2 RN Director of Nursing

1 Other Dietary Services Staff

1 Qualified Social Worker

1 Physical Therapy Assistant

1 Respiratory Therapy Technician

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Heritage Creek

Calculate Travel Distance to Heritage Creek

Compare Assisted Living around San Antonio

Financial Assistance for Assisted Living in Texas

Community Care for the Aged and Disabled (CCAD)

Texas Community Care Services

Area Agency on Aging (AAA) Services

Financial Assistance for
Assisted Living in Texas