Total staff
146
Employees
139
Contractors
7
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Grandview of Westover Hills
Nursing Home, Assisted Living & Memory Care · San Antonio, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Grandview of Westover Hills
Nursing Home, Assisted Living & Memory Care · San Antonio, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Grandview of Westover Hills accepts Medicare, Medicaid, and private pay.
Conveniently located in the harmonious neighborhood of San Antonio, TX, Grandview of Westover Hills is a trusted community that offers assisted living and memory care. Residents, including those with cognitive conditions, enjoy the highest quality of care for their unique needs with a respectful and highly trained team available around the clock. The community strives to meet residents’ needs with a registered nurse on site.
Here, residents will not feel lonely with plenty of fun recreational activities and engaging programs for their leisure and wellness. Delightful and healthy meals are also served for residents to have the finest dining experience that caters to their dietary needs and preferences. Amenities include a barber shop, a fitness center, a theater, and a beauty parlor, creating the perfect setting for residents to live a worry-free retirement.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 184th out of 289 homes in Texas. 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.
This home is ranked 184th out of 289 homes in Texas. 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 19m per day
Rank #184 / 289Nurse hours — State benchmarkedThis home is ranked 184th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
-8%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 2h 56m per day | ■ Avg State avg: 2h 58m per day · National avg: 3h 25m per day |
Capacity and availability
This home usually has availability
Occupancy rate
80.1%
Rank #70 / 297Occupancy rate — State benchmarkedThis home is ranked 70th out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
71 days
Walk Score: 33 / 100 Rank #884 / 1392Walk Score — State benchmarkedThis home is ranked 884th out of 1392 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.38:1
7% worse than Texas average
Avg staff/day
54
Average shift
8 hours
0% compared with Texas average
Total staff hours (quarter)
39,668
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
18 total: 15 full-time employees and 3 contractors.
18
18 total: 15 full-time employees and 3 contractors.
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
31 total: 30 full-time employees and 1 contractor.
31
31 total: 30 full-time employees and 1 contractor.
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
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 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1.2%
492 contractor hours this quarter
Registered Nurse: 3
Licensed Practical Nurse: 1
Occupational Therapy Aide: 1
RN Director of Nursing: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 0 | 50 | 16,219 | 92 | 100% | 8 |
| Licensed Practical Nurse | 30 | 1 | 31 | 9,753 | 92 | 100% | 8.9 |
| Registered Nurse | 15 | 3 | 18 | 2,823 | 92 | 100% | 8.5 |
| RN Director of Nursing | 3 | 1 | 4 | 1,721 | 91 | 99% | 8.9 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,658 | 88 | 96% | 8.2 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,243 | 84 | 91% | 5.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,139 | 73 | 79% | 8.7 |
| Administrator | 2 | 0 | 2 | 1,025 | 65 | 71% | 8.9 |
| Physical Therapy Assistant | 6 | 0 | 6 | 958 | 67 | 73% | 7.4 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 716 | 87 | 95% | 5.4 |
| Physical Therapy Aide | 9 | 0 | 9 | 569 | 74 | 80% | 5.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 515 | 57 | 62% | 9 |
| Nurse Practitioner | 1 | 0 | 1 | 444 | 47 | 51% | 9.4 |
| Dietitian | 1 | 0 | 1 | 423 | 52 | 57% | 8.1 |
| Qualified Social Worker | 3 | 0 | 3 | 314 | 59 | 64% | 4.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 120 | 16 | 17% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 31 | 3 | 3% | 10.3 |
50 Certified Nursing Assistant
% of Days
100%
31 Licensed Practical Nurse
% of Days
100%
18 Registered Nurse
% of Days
100%
4 RN Director of Nursing
% of Days
99%
6 Medication Aide/Technician
% of Days
96%
6 Speech Language Pathologist
% of Days
91%
3 Clinical Nurse Specialist
% of Days
79%
2 Administrator
% of Days
71%
6 Physical Therapy Assistant
% of Days
73%
3 Respiratory Therapy Technician
% of Days
95%
9 Physical Therapy Aide
% of Days
80%
1 Mental Health Service Worker
% of Days
62%
1 Nurse Practitioner
% of Days
51%
1 Dietitian
% of Days
57%
3 Qualified Social Worker
% of Days
64%
1 Occupational Therapy Aide
% of Days
17%
1 Occupational Therapy Assistant
% of Days
3%
Penalties and fines
Includes penalties issued in 2025
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
$8K Rank #104 / 294Federal fines — State benchmarkedThis home is ranked 104th out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
90% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer 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.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$8K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 16, 2025 · $8K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 16, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 16, 2025
$8K
Last updated: Jan 2026
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.
4.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.4
49% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.3
36% better than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
9.6%
Percent of long-stay residents whose need for help with daily activities has increased
9.6%
41% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
6.6%
Percent of long-stay residents whose ability to move independently worsened
6.6%
59% 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
14.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.6%
7% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
31% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
46% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
53% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.9%
Percent of long-stay residents who lose too much weight
0.9%
74% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.7%
Percent of long-stay residents who received an antipsychotic medication
1.7%
78% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
72% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.6%
13% better than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
56% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
33% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
11% of new residents, often for long-term daily care.
Typical stay
1 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
106
Medicare
23
21.7% of residents
Medicaid
42
39.6% of residents
Private pay or other
41
38.7% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Grandview of Westover Hills based on CMS SNF Cost Reports.
Occupancy Rate
72.1%
↑ 5.1pp vs 2022
Net Income
-$201.9K
↓ ~$473.8K vs 2022
Total Payroll
$3.5M
↓ ~$1.3M vs 2022
Profit Margin
-2.6%
↓ 4.8pp vs 2022
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$8.3M
Operating deficit
-$37.5K
Governmental community
Operated by state authorities.
Home revenue
$8.3M Rank #226 / 297Revenue — State benchmarkedThis home is ranked 226th out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$37.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #241 / 297Payroll — State benchmarkedThis home is ranked 241st out of 297 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #241 / 297Payroll — State benchmarkedThis home is ranked 241st out of 297 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.8M
What does this home offer?
Housing Options: Studio / 1 Bed / 2 Bed / Semi-Private Rooms
Building Type: Single-story
Beauty Services
Social and Recreational Activities
Exercise Programs
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Grandview of Westover Hills
12.7 miles from city center
Estimated distance in miles from San Antonio's city center to Grandview of Westover Hills's address, calculated via Google Maps.
Calculate Travel Distance to Grandview of Westover Hills
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Financial Assistance for
Nursing Home in Texas
Grandview of Westover Hills is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about Grandview of Westover Hills
What neighborhood is Grandview of Westover Hills in?
Grandview of Westover Hills is in the Far West Side neighborhood.
Is Grandview of Westover Hills in a walkable area?
Grandview of Westover Hills has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Are there photos of Grandview of Westover Hills?
Yes — there are 6 photos of Grandview of Westover Hills in the photo gallery on this page.
What is the address of Grandview of Westover Hills?
Grandview of Westover Hills is located at 8627 Lakeside Pkwy, San Antonio, TX 20141.
What is the phone number of Grandview of Westover Hills?
(210) 810-4900 will put you in contact with the team at Grandview of Westover Hills.
Is Grandview of Westover Hills Medicare or Medicaid certified?
Yes — Grandview of Westover Hills is a CMS-certified provider of Medicare and Medicaid.
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