San Antonio West Nursing and Rehab

Nursing Home

San Antonio West Nursing and Rehab

636 Cupples Rd, San Antonio, TX 78237 View Map
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Overview of San Antonio West Nursing and Rehab

Nestled in San Antonio, Texas, San Antonio West Nursing and Rehab is a senior care community committed to providing the best possible care for aging adults. The facility’s prime location allows residents to easily access the local activities and entertainment that the vibrant city has to offer. San Antonio West Nursing and Rehab offers a range of services, including skilled nursing and short-term respite care, to ensure that seniors get the most out of their retirement years. The community’s roomy, well-designed units and comfortable, secure atmosphere are complemented by dedicated staff who work hard to maintain the dignity and independence of each resident.

Residents enjoy a diverse array of amenities, including freshly prepared meals, private dining options, and a full schedule of social, educational, and entertaining activities. The facility’s structured program helps residents maintain a high quality of life, encouraging them to socialize and develop meaningful friendships with their peers.

(210) 434-0611

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Texas average: 2.8/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Texas average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Texas average: 2.1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5
Texas average: 3.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
2h 55m per day

This home provides 20% less nursing time per resident than the state average.

Texas average: 3h 38m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 18m per day 26m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 48m per day 57m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 1h 37m per day 2h 1m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 23m per day 2h 59m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 4m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 13m per day 21m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 135

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Texas average
Occupancy rate 54.4%
Residents per day (avg) 86
Occupancy rate
54.4%
Residents per day (avg)
86

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

3% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

63% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Governmental home
Facility District
Home revenue
$8.8M
Surplus of revenue
$386.0K
Governmental home Facility District
Home revenue
$8,823,818.00
Surplus of revenue
$385,959.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1
0% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.8M
Total costs $8.8M
Bed community size
135-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
53 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 53 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Services

MEDICARE/MEDICAID

About this community

License Status
Active
Facility Type
Nursing
License Date
January 8, 2025
License Expiration
January 8, 2028

Additional licensing details

License number: 308716
Year opened: 3/1/1973
County: BEXAR

Ownership & operating entity

San Antonio West Nursing and Rehab is administrated by DENISE C RIOS.

Management company: SAN ANTONIO NURSING AND REHAB CENTER LLC
Owner: MAVERICK COUNTY HOSPITAL BOARD
Ownership type: HOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicare
15 units
Medicaid and Medicare
120 units
Total beds
135 units

Staffing

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

Leadership

Administrator email: [email protected]

Care Services

Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Programs & Activities

Specific Programs
Skilled Nursing, Rehabilitation Therapy, Long-Term & Short-Term Care

Pricing & Financial Information

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Building type icon
Building type icon

Building Type: Single-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at San Antonio West Nursing and Rehab

Nursing Home

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare Long-term care insurance

Compare Nursing Homes around San Antonio

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

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

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SNF

Nursing Homes 24/7 care needed

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SNF

Nursing Homes 24/7 care needed

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2
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San Antonio West Nursing and Rehab
SNF

Nursing Homes 24/7 care needed

San Antonio (Edgewood)
139
No
53
MAVERICK COUNTY HOSPITAL DISTICT
54.4%
$7,979,377.00
$1.00
0%
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1/5
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1/5
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49
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Pleasanton North Nursing and Rehab
HC

Hospice Care

SNF

Nursing Homes 24/7 care needed

Pleasanton
46
No
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PLEASANTON NURSING AND REHAB CENTER, LLC
87.0%
$2,927,585.00
$1.00
0%
33.90
1/5
2.8576
1/5
1/5
2/5
2
45
5
+45%
-21%
+37%

Places of interest near San Antonio West Nursing and Rehab

Address 5.1 miles from city center — 3.29 miles to nearest hospital (CHRISTUS Children's)

Address 636 Cupples Rd, San Antonio, TX 78237

Calculate Travel Distance to San Antonio West Nursing and Rehab

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

152
Total Staff
99
Employees
53
Contractors
25,660
Total Hours (Quarter)
36
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse87.9 Yes
Licensed Practical Nurse258.2 Yes
Certified Nursing Assistant737.4 Yes
Staff by Category
Administration
2 staff
8hs shift avg
Nursing Staff
121 staff
7.9hs shift avg
Physicians & Practitioners
3 staff
7.1hs shift avg
Therapy Services
18 staff
7hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
6.2hs shift avg
Dietary Services
3 staff
8.1hs shift avg
Other Services
2 staff
8hs shift avg
Contractor Analysis
8%
of total hours from contractors
2,062 contractor hours this quarter
Certified Nursing Assistant: 31 Licensed Practical Nurse: 11 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Registered Nurse: 1 Medication Aide/Technician: 1 Feeding Assistant: 2 Occupational Therapy Aide: 1 Other Physician: 1 Occupational Therapy Assistant: 1 Physical Therapy Assistant: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4231738,60891100%7.4
Licensed Practical Nurse1411254,85091100%8.2
Medication Aide/Technician4152,21291100%10.1
Registered Nurse7181,79391100%7.9
Nurse Aide in Training6061,5848998%7.8
Speech Language Pathologist6061,3246774%7
RN Director of Nursing2021,0166470%8
Physical Therapy Aide4158327077%6.7
Other Dietary Services Staff3036886066%8.1
Mental Health Service Worker2025286167%8
Nurse Practitioner2024886167%8
Respiratory Therapy Technician2134796875%6.8
Qualified Social Worker3034746571%6.2
Administrator2023684651%8
Physical Therapy Assistant0221471921%7.7
Occupational Therapy Aide0111201314%9.2
Feeding Assistant022782629%3
Other Physician011391314%3
Occupational Therapy Assistant0113367%5.5

Health Inspection History

Inspections
Total health inspections 16

Texas average 7.4


Last Health inspection on Oct 2025

Total health citations 49
Citations per inspection
3.06

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

23 of 49 citations resulted from standard inspections; 24 of 49 resulted from complaint investigations; and 2 of 49 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 5
150% worse than Texas average

Texas average: 2


Serious Health citations More info 1
150% worse than Texas average

Texas average: 0.4

5 critical citations More info Texas average: 2

1 serious citation More info Texas average: 0.4

43 moderate citations More info Texas average: 23

0 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Environmental critical citation Oct 25, 2025
Corrected

Quality of Care serious citation Oct 25, 2025
Corrected

Care Planning moderate citation Sep 04, 2025
Corrected

Environmental moderate citation Aug 18, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Resident Census by Payment Source
83 Total Residents
Medicare 3 (3.6%)
Medicaid 80 (96.4%)
Programs & Services
Residents' Group
Family Member Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.2
17% better than Texas average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 11.6
27% better than Texas average

Texas average: 16.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.3%
24% better than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 6.1%
62% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.5%
5% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.6%
13% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.2%
17% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
60% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.7%
150% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.7%
27% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.3%
33% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.72
75% worse than Texas average

Texas average: 2.13

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.91
8% better than Texas average

Texas average: 2.07

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.7%
16% worse than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 74.2%
16% worse than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 33.9%
31% worse than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.6%
In line with Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.8%
132% worse than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 31.4%
41% worse than Texas average

Texas average: 53.7%

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 $373K
364% higher than Texas average

Texas average: $80K

Number of fines 4
61% more fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 2
807% more payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $373K
Texas average $80K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 4, 2025
$25K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 30, 2025
$162K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jan 30, 2025
16 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 10, 2025
$16K

Last updated: Jan 2026

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Financial Aid for Texas Seniors

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Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).

~$2,829/month (300% FBR, individual).

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

Large state; rural access challenges.

Texas Community Care Services

TX CCS

Age 60+, Texas resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; high demand in urban areas.

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+, TX resident; no income/asset limits.

None; donations encouraged.

Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled, TX resident, Medicare Part A/B.

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

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

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized, TX resident, low-income.

~$3,970/month (185% FPL).

Not assessed.

Priority for elderly/disabled; covers gas, electric, propane.

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

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

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

Not assessed.

High rural demand; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+, unemployed, low-income, TX resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

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

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.

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

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+, TX resident, homeowner (homestead).

None; tax-based eligibility.

Not assessed.

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

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+, TX resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

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

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