1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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 269th out of 296 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.
| 21m per day | ▼ 18% 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.
| 51m per day | ▼ 11% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 31m per day | ▼ 25% State avg: 2h 1m per day · National avg: 2h 21m 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.
| 2h 21m per day | ▼ 21% 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.
| 4m per day | ▼ 9% 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.
| 19m per day | ▼ 12% State avg: 21m per day · National avg: 29m per day |
San Antonio West Nursing and Rehab is administered by Denise C Rios.
Key information about the people who lead and staff this community.
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.
Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
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.
| 2 | 6 | This facility has 67% fewer total citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
|
Life safety citations
Citations related to building safety — fire prevention, emergency egress, and similar.
| 1 | 6 | This facility has 83% fewer life safety citations than a typical Texas nursing home (1 vs. TX avg 6).↓ 83% better |
|
Citations per year
Average citations per year since 2022.
| 0.5 | 1.5 | This facility has 67% fewer citations per year than a typical Texas nursing home (0.5 vs. TX avg 1.5).↓ 67% better |
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 2025
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.
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).
150% worse than Texas averageTexas average: 2
150% worse 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.
35% more staff per resident than Texas average
6% 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.
14 total: 12 full-time employees and 2 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursAssists with medical care and medications.
57 total: 23 full-time employees and 34 contractors.
57
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
51 total: 44 full-time employees and 7 contractors.
51
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,011 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 44 | 7 | 51 | 12,053 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 23 | 34 | 57 | 6,172 | 92 | 100% | 8.1 |
| Registered Nurse | 12 | 2 | 14 | 2,789 | 92 | 100% | 7.2 |
| Medication Aide/Technician | 8 | 2 | 10 | 1,989 | 92 | 100% | 9.7 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,683 | 77 | 84% | 7.1 |
| RN Director of Nursing | 4 | 0 | 4 | 1,635 | 65 | 71% | 7.5 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,482 | 73 | 79% | 6.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 877 | 71 | 77% | 7.2 |
| Qualified Social Worker | 6 | 1 | 7 | 568 | 73 | 79% | 5.4 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 564 | 66 | 72% | 7.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 120 | 14 | 15% | 8.6 |
| Feeding Assistant | 0 | 2 | 2 | 80 | 27 | 29% | 3 |
| Other Physician | 0 | 2 | 2 | 57 | 16 | 17% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 44 | 6 | 7% | 7.3 |
Includes penalties issued in 2024-2025
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)
364% higher than Texas averageTexas average: $80K
61% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
807% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
6 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 4, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 30, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 10, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.2
17% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.6
27% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.3%
24% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
6.1%
62% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.5%
5% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
13% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.2%
17% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.3%
60% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
8.7%
150% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
3.7%
27% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
5.3%
33% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.72
75% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.91
8% better than Texas averageTexas average: 2.07
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
75.7%
16% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.2%
16% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.9%
31% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.6%
In line with Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
132% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
31.4%
41% worse than Texas averageTexas average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
35% of new residents, usually for short-term rehab.
3% of new residents, often for short stays.
63% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 San Antonio West Nursing and Rehab from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #243 / 304Payroll — State benchmarkedThis home is ranked 243rd out of 304 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.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #219 / 304Payroll % — State benchmarkedThis home is ranked 219th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Building Type: Single-story
Fitness and Recreation
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (63% of admissions), and a typical Medicaid stay runs around 8 - 9 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.4 miles from city center
Estimated distance in miles from San Antonio's city center to San Antonio West Nursing and Rehab's address, calculated via Google Maps.
Add your location
The information below is reported by the Texas Health and Human Services Commission.
| Mystic Park Nursing and Rehabilitation Center | NH MC | San Antonio (Far West Side) | 119
Facility
119
TX AVG
80
Rank
#258 / 988 |
81.8%
Facility
81.8%
TX AVG
63.5%
Rank
#53 / 304 | +29% | 3.50
Facility
3.50
TX AVG
3.63
Rank
#146 / 296 | -5% | -4% | $111.1k
Facility
$111.1k
TX AVG
$81.8k
Rank
#260 / 301 | 21
Facility
21
TX AVG
25.9
Rank
#152 / 299 | 4.2
Facility
4.2
TX AVG
3.7
Rank
#228 / 299 | 2 | 108 | - |
59
Facility
59
TX AVG
41
Rank
#311 / 1391 | Fox Sparrow Healthcare, Inc | $10.8M
Facility
$10.8M
TX AVG
$8.4M
Rank
#81 / 304 | $6.7M
Facility
$6.7M
TX AVG
$3.5M
Rank
#70 / 304 | 62%
Facility
62%
TX AVG
47%
Rank
#153 / 304 | 676012 | ||||
| San Pedro Manor | NH MC | San Antonio (Monte Vista) | 150
Facility
150
TX AVG
80
Rank
#63 / 988 | - | - | 3.63
Facility
3.63
TX AVG
3.63
Rank
#128 / 296 | +2% | 0% | $24.3k
Facility
$24.3k
TX AVG
$81.8k
Rank
#155 / 301 | 43
Facility
43
TX AVG
25.9
Rank
#260 / 299 | 3.9
Facility
3.9
TX AVG
3.7
Rank
#210 / 299 | 5 | 19 | A+ |
79
Facility
79
TX AVG
41
Rank
#38 / 1391 | West Ashby Healthcare, Inc | $9.5M
Facility
$9.5M
TX AVG
$8.4M
Rank
#120 / 304 | $6.1M
Facility
$6.1M
TX AVG
$3.5M
Rank
#93 / 304 | 64.8%
Facility
64.8%
TX AVG
47%
Rank
#100 / 304 | 455689 | ||||
| River City Care Center | NH | San Antonio (Eastside Promise Neighborhood) | 92
Facility
92
TX AVG
80
Rank
#410 / 988 |
45.7%
Facility
45.7%
TX AVG
63.5%
Rank
#259 / 304 | -28% | 3.63
Facility
3.63
TX AVG
3.63
Rank
#128 / 296 | +37% | 0% | $23.4k
Facility
$23.4k
TX AVG
$81.8k
Rank
#152 / 301 | 32
Facility
32
TX AVG
25.9
Rank
#230 / 299 | 5.3
Facility
5.3
TX AVG
3.7
Rank
#274 / 299 | 2 | 47 | - |
68
Facility
68
TX AVG
41
Rank
#158 / 1391 | - | $3.0M
Facility
$3.0M
TX AVG
$8.4M
Rank
#292 / 304 | $2.1M
Facility
$2.1M
TX AVG
$3.5M
Rank
#294 / 304 | 69.7%
Facility
69.7%
TX AVG
47%
Rank
#128 / 304 | 675896 | ||||
| Buena Vida Nursing and Rehab Center San Antonio | NH MC | San Antonio (East Side) | 222
Facility
222
TX AVG
80
Rank
#10 / 988 |
27.6%
Facility
27.6%
TX AVG
63.5%
Rank
#286 / 304 | -57% | 3.48
Facility
3.48
TX AVG
3.63
Rank
#146 / 296 | +31% | -4% | $269.1k
Facility
$269.1k
TX AVG
$81.8k
Rank
#293 / 301 | 44
Facility
44
TX AVG
25.9
Rank
#263 / 299 | 4.4
Facility
4.4
TX AVG
3.7
Rank
#241 / 299 | 3 | 61 | - |
26
Facility
26
TX AVG
41
Rank
#1005 / 1391 | West Wharton County Hospital District | $4.3M
Facility
$4.3M
TX AVG
$8.4M
Rank
#260 / 304 | $3.2M
Facility
$3.2M
TX AVG
$3.5M
Rank
#261 / 304 | 73.8%
Facility
73.8%
TX AVG
47%
Rank
#141 / 304 | 455390 | ||||
| San Antonio West Nursing and Rehab | NH | San Antonio (Edgewood) | 135
Facility
135
TX AVG
80
Rank
#111 / 988 | - | - | 2.92
Facility
2.92
TX AVG
3.63
Rank
#269 / 296 | +10% | -20% | $373.4k
Facility
$373.4k
TX AVG
$81.8k
Rank
#300 / 301 | 49
Facility
49
TX AVG
25.9
Rank
#275 / 299 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#133 / 299 | 6 | 13 | - |
53
Facility
53
TX AVG
41
Rank
#433 / 1391 | Maverick County Hospital Distict | $7.1M
Facility
$7.1M
TX AVG
$8.4M
Rank
#213 / 304 | $0.0k
Facility
$0.0k
TX AVG
$3.5M
Rank
#243 / 304 | 0%
Facility
0%
TX AVG
47%
Rank
#219 / 304 | 675002 |
San Antonio West Nursing and Rehab is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
San Antonio West Nursing and Rehab is in the Edgewood neighborhood of San Antonio.
San Antonio West Nursing and Rehab is legally operated by Maverick County Hospital District, and administered by Denise C Rios.
San Antonio West Nursing and Rehab has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TX state health department records, San Antonio West Nursing and Rehab's license number is 308716.
According to TX state health department records, San Antonio West Nursing and Rehab's license expires on January 8, 2028.
San Antonio West Nursing and Rehab's occupancy is 54.4%.
San Antonio West Nursing and Rehab is registered as a for-profit in TX.
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