Total health inspections
35
Texas average 7.4
Last Health inspection on Sep 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Heritage Creek
Nursing Home · San Antonio, TX
Heritage Creek
Nursing Home · San Antonio, TX
Heritage Creek accepts Medicare, Medicaid, and private pay.
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.
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 76th 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 76th 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 54m per day
Rank #76 / 289Nurse hours — State benchmarkedThis home is ranked 76th 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
+3%
Standout metric
Weekend Total Nursing is +19% above state avg
| 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.
| 3h 32m per day | ▲ 19% State avg: 2h 58m per day · National avg: 3h 25m per day |
Capacity and availability
This home usually has availability
Occupancy rate
35.1%
Rank #270 / 297Occupancy rate — State benchmarkedThis home is ranked 270th 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
278 days
52-bed community Rank #665 / 987Bed count — State benchmarkedThis home is ranked 665th out of 987 homes in Texas. Shows this facility's certified or reported bed count compared to other Texas SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
13 years in operation Rank #343 / 581Years in operation — State benchmarkedThis home is ranked 343rd out of 581 homes in Texas. Shows how long this facility has been in operation compared to other Texas SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A community with a solid operating history and experience delivering ongoing care.
Walk Score: 9 / 100 Rank #1241 / 1392Walk Score — State benchmarkedThis home is ranked 1241st 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating: A+ (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
About this community
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 administrated 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
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.
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.
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.
Overall vs. TX average
1 Worse
Metrics worse than Texas average:
• Health citations (100% above) 1 At Avg Metrics at Texas average:
• Inspections with citations (at TX avg) 1 Better Metrics better than Texas average:
• Total citations (33% below)
• Health citations (100% above) 1 At Avg Metrics at Texas average:
• Inspections with citations (at TX avg) 1 Better Metrics better than Texas average:
• Total citations (33% below)
Citations
| 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 nursing home (4 vs. TX avg 6).↓ 33% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 4 | 2 | This facility has 100% more health citations than a typical Texas nursing home (4 vs. TX avg 2).↑ 100% worse |
Inspections
| 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.
The most recent comprehensive inspection of HERITAGE CREEK occurred on June 24, 2022, resulting in a total of 4 violations of state standards. The Health Code deficiencies cited during the inspection included issues related to staff training and resident care, specifically the failure to document evidence that direct care staff had completed required continuing education, search the National Practitioner Data Bank (NAR) and Electronic Medical Record (EMR) annually, and ensure all employees providing services were screened for tuberculosis within two weeks of employment and annually. These deficiencies were corrected by July 13, 2022. No Life Safety Code violations were cited during this inspection. No enforcement actions were found in relation to these deficiencies.
Health Inspection History
Inspections
Total health citations
110
Rank #292 / 292Health citations — State benchmarkedThis home is ranked 292nd out of 292 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 292 TX SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 25.9
Citations per inspection
3.14
Rank #130 / 292Citations per inspection — State benchmarkedThis home is ranked 130th out of 292 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 292 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
11
450% worse than Texas averageTexas average: 2
Serious health citations
2
400% worse than Texas averageTexas 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
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
135
Employees
135
Contractors
0
Staff to resident ratio
1.93:1
30% better 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
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
All 13 RN Staff are full-time employees. No contractors work on this role.
13
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 23 LPN Staff are full-time employees. No contractors work on this role.
23
All 23 LPN Staff are full-time employees. No contractors work on this role.
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 60 CNA Staff are full-time employees. No contractors work on this role.
60
All 60 CNA Staff are full-time employees. No contractors work on this role.
60
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 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
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
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 | 60 | 0 | 60 | 15,427 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 23 | 0 | 23 | 3,929 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 11 | 0 | 11 | 3,603 | 92 | 100% | 9.3 |
| Registered Nurse | 13 | 0 | 13 | 2,941 | 92 | 100% | 7.9 |
| Nurse Practitioner | 6 | 0 | 6 | 1,019 | 65 | 71% | 7.8 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 899 | 71 | 77% | 8 |
| Administrator | 2 | 0 | 2 | 632 | 64 | 70% | 7.9 |
| Dental Services Staff | 3 | 0 | 3 | 515 | 57 | 62% | 7.8 |
| Speech Language Pathologist | 2 | 0 | 2 | 501 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 457 | 65 | 71% | 7 |
| Respiratory Therapist | 1 | 0 | 1 | 453 | 57 | 62% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 416 | 26 | 28% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 281 | 38 | 41% | 7.4 |
| Qualified Social Worker | 1 | 0 | 1 | 174 | 24 | 26% | 7.2 |
| Physical Therapy Assistant | 1 | 0 | 1 | 169 | 16 | 17% | 10.6 |
| Respiratory Therapy Technician | 1 | 0 | 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%
Penalties and fines
Includes penalties issued in 2023-2025
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
$463K Rank #293 / 294Federal fines — State benchmarkedThis home is ranked 293rd 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.
476% higher than Texas averageTexas average: $80K
Number of fines
6
141% 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.
3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
3
1261% more payment denials than Texas averageTexas average: 0.2
Fines amount comparison
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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 3, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 3, 2025
$307K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 3, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 3, 2025
13 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 19, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 19, 2024
$28K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2024
$46K
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.
7.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.7
11% 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.
13.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.2
18% 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
13.4%
Percent of long-stay residents whose need for help with daily activities has increased
13.4%
17% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.1%
Percent of long-stay residents whose ability to move independently worsened
16.1%
In line with 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
10.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.0%
36% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
66% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.8%
Percent of long-stay high risk residents with pressure ulcers
4.8%
9% worse 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
2.8%
Percent of long-stay residents who lose too much weight
2.8%
19% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.1%
Percent of long-stay residents who have depressive symptoms
2.1%
26% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.9%
Percent of long-stay residents who received an antipsychotic medication
7.9%
In line with Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.6%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
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
96.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
7% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
47% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
12% 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
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70
Medicare
5
7.1% of residents
Medicaid
47
67.1% of residents
Private pay or other
18
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.
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 Heritage Creek based on CMS SNF Cost Reports.
Occupancy Rate
35.1%
↑ 3.7pp vs 2022
Net Income
-$1.1M
↓ ~$463.3K vs 2022
Total Payroll
$4.3M
↑ ~$2.3M vs 2022
Profit Margin
-14.9%
↑ 4.7pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$7.6M
Operating loss
-$1.1M
Privately-owned community
Home revenue
$7.6M Rank #237 / 297Revenue — State benchmarkedThis home is ranked 237th 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 loss
-$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #195 / 297Payroll — State benchmarkedThis home is ranked 195th 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.
$4.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #195 / 297Payroll — State benchmarkedThis home is ranked 195th 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.
$4.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.7M
What does this home offer?
Staff to Resident Ratio: 1:8
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Heritage Creek
14.1 miles from the city center
— 1.65 miles to nearest hospital (Foundation Surgical Hospital of San Antonio)
Calculate Travel Distance to Heritage Creek
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Financial Assistance for
Nursing Home in Texas
Heritage Creek is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about Heritage Creek
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.
Who is the administrator of Heritage Creek?
Christina Varga is the administrator of Heritage Creek.
How many beds does Heritage Creek have?
Heritage Creek has 52 beds.
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