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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.

San Antonio West 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.

San Antonio West Nursing and Rehab

Overview of San Antonio West Nursing and Rehab

Nestled in San Antonio, Texas, San Antonio West Nursing and Rehab is a senior care community committed to providing the best possible care for aging adults. The facility’s prime location allows residents to easily access the local activities and entertainment that the vibrant city has to offer. San Antonio West Nursing and Rehab offers a range of services, including skilled nursing and short-term respite care, to ensure that seniors get the most out of their retirement years. The community’s roomy, well-designed units and comfortable, secure atmosphere are complemented by dedicated staff who work hard to maintain the dignity and independence of each resident.

Residents enjoy a diverse array of amenities, including freshly prepared meals, private dining options, and a full schedule of social, educational, and entertaining activities. The facility’s structured program helps residents maintain a high quality of life, encouraging them to socialize and develop meaningful friendships with their peers.

(210) 434-0611

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.
3/5
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 55m per day

This home provides 23% 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. 18m 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 23m per day 2h 59m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 4m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 13m per day 21m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 135

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Texas average
Occupancy rate 9.6%
Residents per day 13
Occupancy rate
9.6%
Residents per day
13

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

35% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

3% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

63% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Governmental community
Operated by state authorities.
Home revenue
$8.8M
Surplus of revenue
$386.0K
Governmental community Operated by state authorities.
Home revenue
$8.8M
Surplus of revenue
$386.0K
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.
$8.8M
Total costs $8.8M
Bed community size
135-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
53 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 53 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Services

Medicare/medicaid

About this community

Occupancy

Occupancy rate
10%
In line with Texas average
Occupied beds
13 / 135
Average residents 75 per day

License Details

Facility TypeNursing
StatusActive
IssuanceJanuary 8, 2025
ExpirationJanuary 8, 2028
CountyBEXAR

Additional Licensing Details

License Number308716
Year Opened3/1/1973

Ownership & Operating Entity

San Antonio West Nursing and Rehab is administrated by Denise C Rios.

Management CompanySAN ANTONIO NURSING AND REHAB CENTER LLC
OwnerMAVERICK COUNTY HOSPITAL BOARD
Ownership TypeHOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicare
15 units
Medicaid and Medicare
120 units
Total beds
135 units

Staffing

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

Leadership

Administrator Email [email protected]

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

0 amenities
Specific ProgramsSkilled Nursing, Rehabilitation Therapy, Long-Term & Short-Term Care

Pricing & Financial Information

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Building type icon
Building type icon

Building Type: Single-story

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at San Antonio West Nursing and Rehab

Nursing Home

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare Long-term care insurance

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.

20 visits/inspections

6 visits/inspections triggered by complaints

6 routine inspections

Results

19 with issues

1 without issues

Latest inspection

Date December 19, 2025
Annual Inspection

57 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 16

Texas average 7.4


Last Health inspection on Oct 2025

Total health citations 49

Texas average 25.9

Citations per inspection
3.06

Texas average 3.67


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

23 of 49 citations resulted from standard inspections; 24 of 49 resulted from complaint investigations; and 2 of 49 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 1
150% worse than Texas average

Texas average: 0.4

5 critical citations More info Texas average: 2

1 serious citation More info Texas average: 0.4

43 moderate citations More info Texas average: 23

0 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Environmental critical citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Oct 25, 2025
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 25, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 04, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Aug 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 San Antonio West Nursing and Rehab

Address 5.1 miles from city center — 3.29 miles to nearest hospital (CHRISTUS Children's)

Calculate Travel Distance to San Antonio West 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 152
Employees 99
Contractors 53
Staff to resident ratio 1.83:1
22% better than Texas average

Texas average ratio: 1.51:1

Avg staff/day 36
Average shift 7.8 hours
0% compared with Texas average

Texas average: 8.1 hours

Total staff hours (quarter) 25,660
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 73
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

8%

2,062 contractor hours this quarter

Certified Nursing Assistant: 31 Licensed Practical Nurse: 11 Feeding Assistant: 2 Physical Therapy Assistant: 2 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Registered Nurse: 1 Medication Aide/Technician: 1 Occupational Therapy Aide: 1 Other Physician: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant4231738,60891100%7.4
Licensed Practical Nurse1411254,85091100%8.2
Medication Aide/Technician4152,21291100%10.1
Registered Nurse7181,79391100%7.9
Nurse Aide in Training6061,5848998%7.8
Speech Language Pathologist6061,3246774%7
RN Director of Nursing2021,0166470%8
Physical Therapy Aide4158327077%6.7
Other Dietary Services Staff3036886066%8.1
Mental Health Service Worker2025286167%8
Nurse Practitioner2024886167%8
Respiratory Therapy Technician2134796875%6.8
Qualified Social Worker3034746571%6.2
Administrator2023684651%8
Physical Therapy Assistant0221471921%7.7
Occupational Therapy Aide0111201314%9.2
Feeding Assistant022782629%3
Other Physician011391314%3
Occupational Therapy Assistant0113367%5.5
73 Certified Nursing Assistant
% of Days 100%
25 Licensed Practical Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 100%
8 Registered Nurse
% of Days 100%
6 Nurse Aide in Training
% of Days 98%
6 Speech Language Pathologist
% of Days 74%
2 RN Director of Nursing
% of Days 70%
5 Physical Therapy Aide
% of Days 77%
3 Other Dietary Services Staff
% of Days 66%
2 Mental Health Service Worker
% of Days 67%
2 Nurse Practitioner
% of Days 67%
3 Respiratory Therapy Technician
% of Days 75%
3 Qualified Social Worker
% of Days 71%
2 Administrator
% of Days 51%
2 Physical Therapy Assistant
% of Days 21%
1 Occupational Therapy Aide
% of Days 14%
2 Feeding Assistant
% of Days 29%
1 Other Physician
% of Days 14%
1 Occupational Therapy Assistant
% of Days 7%

Facility Characteristics

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

Total census
83 residents
Residents by payment source
Medicare
3 residents (3.6%)
Medicaid
80 residents (96.4%)
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. 7.2
17% better 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. 11.6
27% better than Texas average

Texas average: 16.0

Long-stay resident measures
Significantly above 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 12.3%
24% better than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 6.1%
62% better 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 16.5%
5% 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 3.6%
13% 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 5.2%
17% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
60% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.7%
150% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.7%
27% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.3%
33% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
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 98.9%
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. 3.72
75% 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. 1.91
8% better than Texas average

Texas average: 2.07

Short-stay resident measures
Significantly below average Texas avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 75.7%
16% worse than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 74.2%
16% worse than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 33.9%
31% worse than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.6%
In line with Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.8%
132% worse than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 31.4%
41% worse than Texas average

Texas average: 53.7%

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 $373K
364% higher than Texas average

Texas average: $80K

Number of fines 4
61% more 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. 2
807% more payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $373K
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. Sep 4, 2025
$25K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 30, 2025
$162K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Jan 30, 2025
16 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 10, 2025
$16K

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.