2/5
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.
2/5
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 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.
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 181st out of 273 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.
| 27m per day | ▲ 6% 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.
| 1h 10m 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.
| 1h 50m per day | ▼ 9% 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.
| 3h 2m per day | ■ Avg 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.
| 4m per day | ▲ 10% 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.
| 16m per day | ▼ 22% State avg: 20m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% fewer staff per resident than 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.
18 total: 15 full-time employees and 3 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
31 total: 30 full-time employees and 1 contractor.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
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.
Total hours from contractors
492 contractor hours this quarter
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 |
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)
90% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 16, 2025 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 16, 2025Last 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.
4.4
49% better than Texas averageTexas average: 8.6
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
Percent of long-stay residents whose need for help with daily activities has increased
9.6%
41% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
6.6%
59% better than Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
31% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.4%
46% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.4%
53% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
0.9%
74% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
1.7%
78% 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
100.0%
In line with Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
72% better than Texas averageTexas average: 1.4%
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.
56% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
11% 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 Grandview of Westover Hills from 2017–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 09/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 09/2022. This is an older period than most facilities report, so compare with that in mind.
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."
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 #162 / 280Payroll — State benchmarkedThis home is ranked 162nd out of 280 homes in Texas for Payroll. 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.Facilities with the same value for a metric share the same rank. 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 #225 / 280Payroll % — State benchmarkedThis home is ranked 225th out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. 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: Studio / 1 Bed / 2 Bed / Semi-Private Rooms
Building Type: Single-story
Beauty Services
Social and Recreational Activities
Exercise Programs
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 29 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
9.7 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.
Add your location
The information below is reported by the Texas Health and Human Services Commission.
| Saint Francis Nursing Home | NH AL IL | San Antonio (Midtown) | 116
Facility
116
TX AVG
80
Rank
#270 / 976 | - | - | 3.93
Facility
3.93
TX AVG
3.63
Rank
#75 / 273 | - | +8% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | - | - | - | 92 | - |
71
Facility
71
TX AVG
41
Rank
#124 / 1389 | - | - | - | - | 45F410 | ||||
| The Army Residence Community Health Care Center | NH AL IL MC SNF | San Antonio (Northeast Side) | 30
Facility
30
TX AVG
80
Rank
#771 / 976 | - | - | 4.74
Facility
4.74
TX AVG
3.63
Rank
#34 / 273 | -10% | +31% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 18
Facility
18
TX AVG
25.9
Rank
#94 / 274 | 4.5
Facility
4.5
TX AVG
3.7
Rank
#230 / 274 | - | 59 | - |
6
Facility
6
TX AVG
41
Rank
#1284 / 1389 | Army Retirement Residence Foundation San Antonio | $33.5MFiscal year ending 06/2024
Facility
$33.5MFiscal year ending 06/2024
TX AVG
$8.4M
Rank
#6 / 280 | $16.5MFiscal year ending 06/2024
Facility
$16.5MFiscal year ending 06/2024
TX AVG
$3.5M
Rank
#6 / 280 | 49.4%Fiscal year ending 06/2024
Facility
49.4%Fiscal year ending 06/2024
TX AVG
47%
Rank
#249 / 280 | 675697 | ||||
| Blue Skies of Texas East | NH AL HOS IL MC SNF | San Antonio (Valley High North) | 24
Facility
24
TX AVG
80
Rank
#786 / 976 | - | - | 6.51
Facility
6.51
TX AVG
3.63
Rank
#3 / 273 | -7% | +79% | $17.3k
Facility
$17.3k
TX AVG
$81.8k
Rank
#120 / 278 | 31
Facility
31
TX AVG
25.9
Rank
#206 / 274 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#124 / 274 | 2 | 53 | - |
47
Facility
47
TX AVG
41
Rank
#585 / 1389 | Air Force Village Inc | $10.3MFiscal year ending 06/2024
Facility
$10.3MFiscal year ending 06/2024
TX AVG
$8.4M
Rank
#58 / 280 | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
TX AVG
$3.5M
Rank
#43 / 280 | 52.2%Fiscal year ending 06/2024
Facility
52.2%Fiscal year ending 06/2024
TX AVG
47%
Rank
#78 / 280 | 676041 | ||||
| Westover Hills Rehabilitation and Healthcare Center | NH MC SNF | San Antonio (Far West Side) | 124
Facility
124
TX AVG
80
Rank
#174 / 976 |
84.5%
Facility
84.5%
TX AVG
67.5
Rank
#51 / 200 | +25% | 3.87
Facility
3.87
TX AVG
3.63
Rank
#75 / 273 | +6% | +7% | $20.2k
Facility
$20.2k
TX AVG
$81.8k
Rank
#129 / 278 | 29
Facility
29
TX AVG
25.9
Rank
#196 / 274 | 2.6
Facility
2.6
TX AVG
3.7
Rank
#68 / 274 | 2 | 105 | - |
32
Facility
32
TX AVG
41
Rank
#900 / 1389 | Sage Terrace Healthcare LLC | $13.1MFiscal year ending 12/2023
Facility
$13.1MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#64 / 280 | $7.8MFiscal year ending 12/2023
Facility
$7.8MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#50 / 280 | 60.1%Fiscal year ending 12/2023
Facility
60.1%Fiscal year ending 12/2023
TX AVG
47%
Rank
#83 / 280 | 676281 | ||||
| Grandview of Westover Hills | NH AL MC | San Antonio (Far West Side) | 112
Facility
112
TX AVG
80
Rank
#293 / 976 |
94.9%
Facility
94.9%
TX AVG
67.5
Rank
#7 / 200 | +41% | 3.32
Facility
3.32
TX AVG
3.63
Rank
#181 / 273 | +61% | -8% | $8.3k
Facility
$8.3k
TX AVG
$81.8k
Rank
#82 / 278 | 23
Facility
23
TX AVG
25.9
Rank
#157 / 274 | 4.6
Facility
4.6
TX AVG
3.7
Rank
#236 / 274 | 2 | 106 | - |
33
Facility
33
TX AVG
41
Rank
#882 / 1389 | Westover Continuing Care Center Ltd. Co | $8.5M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$8.5M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$8.4M
Rank
#108 / 280 | $4.8M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$4.8M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$3.5M
Rank
#162 / 280 | 55.7%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
55.7%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
47%
Rank
#225 / 280 | 676402 |
Grandview of Westover Hills is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Grandview of Westover Hills is in the Far West Side neighborhood.
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.
Grandview of Westover Hills's occupancy is 80.1%.
Grandview of Westover Hills is a government-operated nursing facility.
Yes — there are 6 photos of Grandview of Westover Hills in the photo gallery on this page.
Grandview of Westover Hills is located at 8627 Lakeside Pkwy, San Antonio, TX 20141.
(210) 810-4900 will put you in contact with the team at Grandview of Westover Hills.
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