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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.
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.
Under owner Tiffany Weiser, Juniper Village at Lincoln Heights is a skilled nursing home operated by S-h Opco Lincoln Heights, LLC, on East Basse Road in San Antonio. The 97-bed community stands in a really walkable neighborhood where most errands and essentials are within a short walk. This is a plus for visiting family and residents who cherish walkable surroundings. Accepted are Medicare and private pay, providing flexible coverage options for short-term rehabilitation and longer-term skilled nursing care. Averaging a stay of just 36 days, the community draws primarily those recovering from surgery, hospitalization, or other acute episodes who need post-acute rehabilitation before returning home or moving to a lower tier of care.
Clinical offerings span rehabilitation services, respite care, and short-term rehab programs tailored to help residents regain function. The home also operates Wellspring Memory Care and longer-term skilled care tracks for residents needing active nursing support. Total nursing care averages approximately 4 hours and 47 minutes per resident daily, distributed across registered nurses, nurse aides, and licensed practical nurses. This ensures consistent hands-on support all day. Currently operating at 59 percent occupancy with 57 residents in the 97-bed census, the home has available capacity.
State inspections have generally focused on compliance and documentation matters, including fire-drill records and resident disclosure procedures. The home hasn’t reported Life Safety Code violations or enforcement actions, implying sound operational practices in such critical areas.
The location on a well-traveled corridor in north-central San Antonio places the home within convenient reach of regional medical centers. It’s then accessible by public transit, which is an asset for families coordinating care and visits.
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 26th out of 289 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.
| 59m per day | ▲ 128% State avg: 26m 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 39m per day | ▲ 74% 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.
| 2h 32m per day | ▲ 26% 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 14m per day | ▲ 42% State avg: 2h 59m per day · National avg: 3h 26m 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.
| 12m per day | ▲ 200% 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.
| 49m per day | ▲ 143% State avg: 20m per day · National avg: 28m per day |
Lower than the Texas average: 63.5%Juniper Village at Lincoln Heights is legally operated by S-h Opco Lincoln Heights, Llc.
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.
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
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 7 | 6 | This facility has 17% more total citations than a typical Texas nursing home (7 vs. TX avg 6).↑ 17% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 7 | 2 | This facility has 250% more health citations than a typical Texas nursing home (7 vs. TX avg 2).↑ 250% worse |
|
Citations per year
Average citations per year since 2022.
| 1.8 | 1.5 | This facility has 20% more citations per year than a typical Texas nursing home (1.8 vs. TX avg 1.5).↑ 20% 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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Oct 2024
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 18 citations resulted from standard inspections; 1 of 18 resulted from complaint investigations; and 6 of 18 came from combined inspections (standard and complaint).
50% better than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
76% more staff per resident than Texas average
12% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 16 CNA Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,254 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 16 | 0 | 16 | 5,540 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 9 | 0 | 9 | 3,296 | 92 | 100% | 8.2 |
| Registered Nurse | 9 | 0 | 9 | 1,647 | 92 | 100% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 531 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 523 | 66 | 72% | 7.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 505 | 66 | 72% | 7.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 483 | 66 | 72% | 7.2 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 462 | 69 | 75% | 6.5 |
| Qualified Social Worker | 0 | 3 | 3 | 432 | 67 | 73% | 6.2 |
| Medication Aide/Technician | 3 | 0 | 3 | 302 | 40 | 43% | 7.6 |
| Speech Language Pathologist | 0 | 4 | 4 | 248 | 66 | 72% | 2.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 104 | 9 | 10% | 11.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 42 | 13 | 14% | 3.2 |
| Medical Director | 0 | 1 | 1 | 31 | 42 | 46% | 0.7 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 27 | 47 | 51% | 0.6 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 24 | 7 | 8% | 3.4 |
Includes penalties issued in 2024
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)
52% higher 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
May 4, 2024 · $122K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 4, 2024Last 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.
1.0
88% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
20% worse than Texas averageTexas average: 16.0
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.2%
23% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
3.1%
29% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
5.3%
83% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
9.1%
15% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
In line with Texas averageTexas average: 97.3%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.8%
In line with Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
38% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.1%
17% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.5%
13% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.9%
18% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
64.4%
20% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
68.2%
35% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
64% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
25Residents 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 Juniper Village at Lincoln Heights based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #191 / 297Payroll — State benchmarkedThis home is ranked 191st 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
514.3 miles from city center
Estimated distance in miles from San Antonio's city center to Juniper Village at Lincoln Heights's address, calculated via Google Maps.
Add your location
Juniper Village at Lincoln Heights is located in SAN ANTONIO, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| The Army Residence Community Health Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northeast Side) | 30
Facility
30
TX AVG
80
Rank
#782 / 988 |
70.1%
Facility
70.1%
TX AVG
63.5%
Rank
#128 / 297 | +10% | 4.74
Facility
4.74
TX AVG
3.63
Rank
#34 / 289 | -10% | +31% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 294 | 18
Facility
18
TX AVG
25.9
Rank
#101 / 292 | 4.5
Facility
4.5
TX AVG
3.7
Rank
#241 / 292 | - | 59 | - |
6
Facility
6
TX AVG
41
Rank
#1286 / 1391 | Army Retirement Residence Foundation San Antonio | $48.9M
Facility
$48.9M
TX AVG
$8.4M
Rank
#6 / 297 | $17.6M
Facility
$17.6M
TX AVG
$3.5M
Rank
#6 / 297 | 36%
Facility
36%
TX AVG
47%
Rank
#262 / 297 | 675697 | ||||
| The Village at Incarnate Word |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Willshire Terrace) | 60
Facility
60
TX AVG
80
Rank
#583 / 988 |
90.5%
Facility
90.5%
TX AVG
63.5%
Rank
#15 / 297 | +43% | 4.38
Facility
4.38
TX AVG
3.63
Rank
#49 / 289 | -46% | +21% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 294 | 13
Facility
13
TX AVG
25.9
Rank
#47 / 292 | 4.3
Facility
4.3
TX AVG
3.7
Rank
#227 / 292 | - | 55 | A+ |
75
Facility
75
TX AVG
41
Rank
#67 / 1391 | Incarnate Word Retirement Community, Inc. | $20.9M
Facility
$20.9M
TX AVG
$8.4M
Rank
#36 / 297 | $8.5M
Facility
$8.5M
TX AVG
$3.5M
Rank
#36 / 297 | 40.7%
Facility
40.7%
TX AVG
47%
Rank
#217 / 297 | 676498 | ||||
| Juniper Village at Lincoln Heights |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Willshire Terrace) | 97
Facility
97
TX AVG
80
Rank
#383 / 988 |
58.8%
Facility
58.8%
TX AVG
63.5%
Rank
#202 / 297 | -7% | 4.78
Facility
4.78
TX AVG
3.63
Rank
#26 / 289 | +80% | +32% | $122.0k
Facility
$122.0k
TX AVG
$81.8k
Rank
#255 / 294 | 18
Facility
18
TX AVG
25.9
Rank
#101 / 292 | 4.5
Facility
4.5
TX AVG
3.7
Rank
#241 / 292 | 1 | 25 | - |
75
Facility
75
TX AVG
41
Rank
#67 / 1391 | Tiffany Weiser | $8.8M
Facility
$8.8M
TX AVG
$8.4M
Rank
#206 / 297 | $4.4M
Facility
$4.4M
TX AVG
$3.5M
Rank
#191 / 297 | 49.5%
Facility
49.5%
TX AVG
47%
Rank
#110 / 297 | 675542 | ||||
| Wurzbach Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northwest Side) | 140
Facility
140
TX AVG
80
Rank
#86 / 988 |
38.6%
Facility
38.6%
TX AVG
63.5%
Rank
#267 / 297 | -39% | 3.23
Facility
3.23
TX AVG
3.63
Rank
#215 / 289 | -69% | -11% | $34.9k
Facility
$34.9k
TX AVG
$81.8k
Rank
#259 / 294 | 57
Facility
57
TX AVG
25.9
Rank
#283 / 292 | 4.4
Facility
4.4
TX AVG
3.7
Rank
#235 / 292 | 4 | 54 | C |
75
Facility
75
TX AVG
41
Rank
#67 / 1391 | E&R Cunningham Investments LP | $8.3M
Facility
$8.3M
TX AVG
$8.4M
Rank
#223 / 297 | $3.8M
Facility
$3.8M
TX AVG
$3.5M
Rank
#226 / 297 | 46%
Facility
46%
TX AVG
47%
Rank
#155 / 297 | 455824 | ||||
| Heritage Creek | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northwest Side) | 52
Facility
52
TX AVG
80
Rank
#664 / 988 | - | - | 3.90
Facility
3.90
TX AVG
3.63
Rank
#76 / 289 | - | - | - | +25% | +7% | $312.5k
Facility
$312.5k
TX AVG
$81.8k
Rank
#293 / 294 | 110
Facility
110
TX AVG
25.9
Rank
#292 / 292 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#130 / 292 | 13 | 65 | A+ |
9
Facility
9
TX AVG
41
Rank
#1241 / 1391 | Heritage Creek Assisted Living Inc | $7.6M
Facility
$7.6M
TX AVG
$8.4M
Rank
#237 / 297 | $4.3M
Facility
$4.3M
TX AVG
$3.5M
Rank
#195 / 297 | 57.2%
Facility
57.2%
TX AVG
47%
Rank
#48 / 297 | 675112 |
Juniper Village at Lincoln Heights is in the Willshire Terrace neighborhood of SAN ANTONIO.
The legal owner and operator of Juniper Village at Lincoln Heights is S-H Opco Lincoln Heights, Llc.
Juniper Village at Lincoln Heights has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Juniper Village at Lincoln Heights's occupancy is 59%.
Juniper Village at Lincoln Heights has 97 beds.
Juniper Village at Lincoln Heights has had 7 recently reported deficiencies.
Yes — there are 7 photos of Juniper Village at Lincoln Heights in the photo gallery on this page.
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