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Nursing Home in San Antonio

CMS overall rating Info 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.

Pleasanton North Nursing and Rehab

Nursing Home in San Antonio

CMS overall rating Info 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.

Pleasanton North Nursing and Rehab

Overview of Pleasanton North Nursing and Rehab

Located in Pleasanton, TX, Pleasanton North Nursing and Rehab is a skilled nursing facility that delivers a comprehensive range of services to support the well-being of its residents. The center recognizes the importance of providing a safe, controlled environment for older adults with medical conditions that require constant monitoring and management. Pleasanton North Nursing and Rehab’s team of healthcare experts, including certified nurses, licensed medical practitioners, certified nursing assistants, and physical therapists, work together to offer customized care tailored to each resident’s individual needs.

The facility provides support with daily activities, personal care, medication administration, mobility assistance, and other important safety and security precautions. These amenities ensure that residents can sustain or improve their physical and mental health, enhancing their quality of life during retirement. Pleasanton North Nursing and Rehab’s highly protected environment helps prevent patients from wandering off or getting lost, prioritizing their safety and security. The center’s level of engagement and personalized approach make it a compelling choice for seniors in need of specialized care and support.

(830) 569-2138

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
1/5
Texas average: 3.0/5
Health Inspection Info 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.
1/5
Texas average: 2.9/5
Staffing Info 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.
1/5
Texas average: 2.4/5
Quality Measures Info 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.
2/5
Texas average: 4.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
2h 51m per day

This home provides 24% less nursing time per resident than the Texas average.

Texas average: 3h 47m 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. 21m per day 26m per day 41m 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 20m per day 2h 59m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 17m per day 21m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 46

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Texas average
Occupancy rate 87%
Residents per day (avg) 34
Occupancy rate
87%
Residents per day (avg)
34

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

19% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

48% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Governmental community
Operated by state authorities.
Home revenue
$3.1M
Operating deficit
-$6
Governmental community Operated by state authorities.
Home revenue
$3.1M
Operating deficit
-$6
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.
$3.1M
Total costs $3.1M
Bed community size
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
54 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 65 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Services

Medicare/medicaid

About this community

License Details

Facility TypeNursing
IssuanceJanuary 5, 2023
ExpirationJanuary 5, 2026
CountyATASCOSA

Additional Licensing Details

License Number144942
Year Opened9/1/1971

Ownership & Operating Entity

Pleasanton North Nursing and Rehab is administrated by Daniel Cheever.

Management CompanyPLEASANTON NURSING AND REHAB CENTER, LLC
OwnerMAVERICK COUNTY HOSPITAL BOARD
Ownership TypeHOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicaid and Medicare
46 units
Total beds
46 units

Staffing

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

Leadership

Administrator Email [email protected]

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Types of Care at Pleasanton North Nursing and Rehab

Nursing Home Hospice Care

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.

10 visits/inspections

7 visits/inspections triggered by complaints

2 routine inspections

Results

9 with issues

1 without issues

Latest inspection

Date November 24, 2025
Annual Inspection

48 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Texas average: 32 deficiencies

Health Inspection History

Inspections
Total health inspections 8

Texas average 7.4


Last Health inspection on Jul 2025

Total health citations 45

Texas average 25.9

Citations per inspection
5.62

Texas average 3.67


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

23 of 45 citations resulted from standard inspections; 20 of 45 resulted from complaint investigations; and 2 of 45 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 0
100% better than Texas average

Texas average: 0.4

5 critical citations More info Texas average: 2

0 serious citations More info Texas average: 0.4

38 moderate citations More info Texas average: 23

2 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jul 18, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jul 18, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jul 18, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jul 18, 2025
Corrected

Compare Nursing Homes around San Antonio The information below is reported by the Texas Health and Human Services Commission.

5 facilities compared · CMS & TX Dept. of Health data · Updated Apr 2026

Filter by care type
Saint Francis Nursing Home
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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).

San Antonio (Midtown)
122
65.0%
+2%
6.10
-63%
+68%
0
17
4.3
0
75
-
71
Dixon, Ginger
$10.2M
$4.1M
40.7%
45410
Silver Creek Nursing and Rehab
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).

San Antonio (Far West Side)
120
67.7%
+7%
2.70
+4%
-26%
1
22
2.8
1
89
-
62
Timber Nursing And Rehab Center Llc
$11.2M
$0.0M
0%
455652
Memorial Medical Nursing 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).

San Antonio (Tobin Hill)
135
66.2%
+4%
2.66
+69%
-27%
2
52
4.3
2
85
-
86
San Pedro Nursing And Rehab Center Llc
$10.6M
$0.0M
0%
455597
San Antonio West Nursing and Rehab
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).

San Antonio (Edgewood)
139
54.4%
-14%
2.92
-29%
-20%
3
49
3.1
6
86
-
53
Maverick County Hospital Distict
$8.0M
$0.0M
0%
675002
Pleasanton North Nursing and Rehab
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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).

Pleasanton
46
87.0%
+37%
2.86
+45%
-21%
2
45
5.6
5
34
-
65
Pleasanton Nursing And Rehab Center, Llc
$2.9M
$0.0M
0%
675502

Places of interest near Pleasanton North Nursing and Rehab

Address 37.5 miles from city center — 0.14 miles to nearest hospital (Atascosa Health Center, Inc.)

Calculate Travel Distance to Pleasanton North Nursing and Rehab

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 46
Employees 44
Contractors 2
Staff to resident ratio 1.28:1
15% worse than Texas average

Texas average ratio: 1.51:1

Avg staff/day 17
Average shift 7.9 hours
0% compared with Texas average

Texas average: 8.1 hours

Total staff hours (quarter) 12,178
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.6%

71 contractor hours this quarter

Medical Director: 1 Occupational Therapy Aide: 1
Staff by category
Certified Nursing Assistant110114,07591100%9.1
Licensed Practical Nurse8081,89591100%9.2
Physical Therapy Aide3039096774%7.4
Registered Nurse5057486571%10.1
Speech Language Pathologist3037476774%7.1
Medication Aide/Technician1016655662%11.9
Other Dietary Services Staff1015346774%8
Administrator1015126470%8
Nurse Practitioner1015126470%8
Qualified Social Worker1015046369%8
Nurse Aide in Training1014716167%7.7
Mental Health Service Worker1012305965%3.9
RN Director of Nursing1011602123%7.6
Respiratory Therapy Technician2021004651%2.2
Occupational Therapy Aide01152910%5.7
Feeding Assistant202221415%1.4
Medical Director011192224%0.9
Other Physician1011244%3
Occupational Therapy Assistant1011233%4
11 Certified Nursing Assistant
% of Days 100%
8 Licensed Practical Nurse
% of Days 100%
3 Physical Therapy Aide
% of Days 74%
5 Registered Nurse
% of Days 71%
3 Speech Language Pathologist
% of Days 74%
1 Medication Aide/Technician
% of Days 62%
1 Other Dietary Services Staff
% of Days 74%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 70%
1 Qualified Social Worker
% of Days 69%
1 Nurse Aide in Training
% of Days 67%
1 Mental Health Service Worker
% of Days 65%
1 RN Director of Nursing
% of Days 23%
2 Respiratory Therapy Technician
% of Days 51%
1 Occupational Therapy Aide
% of Days 10%
2 Feeding Assistant
% of Days 15%
1 Medical Director
% of Days 24%
1 Other Physician
% of Days 4%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

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

Total census
36 residents
Residents by payment source
Medicare
1 resident (2.8%)
Medicaid
28 residents (77.8%)
Private pay or other
7 residents (19.4%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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. 16.1
87% worse 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. 25.7
61% worse than Texas average

Texas average: 16.0

Long-stay resident measures
Below average Texas avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 29.8%
84% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 28.3%
74% worse 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 19.1%
22% 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 11.5%
257% 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 5.0%
13% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
5% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.8%
66% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.7%
42% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 2.5%
69% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
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 100.0%
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. 3.50
64% 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. 4.37
111% worse 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 88.0%
In line with Texas average

Texas average: 90.4%

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 $272K
239% higher than Texas average

Texas average: $80K

Number of fines 2
20% fewer 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. 1
354% more payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $272K
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. Jun 7, 2024
$114K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jun 7, 2024
1 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 24, 2024
$158K

Last updated: Jan 2026

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Financial Aid for Texas Seniors

Get financial aid guidance

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.