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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 218th out of 240 homes in Texas.| Staff type | Hours / day | 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.
| 18m per day | ▼ 31% 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.
| 48m per day | ▼ 16% 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 37m per day | ▼ 20% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 17m per day | ▼ 24% 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 | ■ Avg State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 13m per day | ▼ 38% State avg: 21m per day · National avg: 29m per day |
Most residents stay for extended periods and receive ongoing daily care.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #231 / 252Payroll — state benchmarkedThis home is ranked 231st out of 252 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Texas average: 63.5%San Antonio West Nursing and Rehab is administrated by Denise C Rios.
Key information about the people who lead and staff this community.
Building Type: Single-story
Fitness and Recreation
Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicaid services.
This facility is certified for eligible Medicare services.
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.
The data displayed corresponds to the last 5 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Texas average: 6 citations
Texas average: 2 health citations
Texas average: 6 life safety citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
[{"date_of_action": "2025-05-05", "action": "administrative penalty", "final_assessed_amount": 0.0, "violations": [{"tac": "554.601(b)", "state_violation_cited": "the facility did not protect each resident from all abuse, physical punishment, and being separated from others."}]}]
Texas average: 1 enforcement action
The most recent inspection on December 19, 2025, identified a deficiency related to incomplete clinical records for a resident with a foley catheter. Earlier inspections showed a pattern of deficiencies involving care documentation, notification of residents’ representatives about significant changes, and adherence to dietary and wound care orders. Complaint investigations substantiated failures to notify family members of important incidents and to update care plans reflecting residents’ current needs. No fines, license suspensions, or other enforcement actions were listed in the available reports. The facility’s inspection history shows ongoing challenges with documentation and communication, with no clear trend of consistent improvement or worsening.
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
1
150% worse than Texas averageTexas average: 0.4
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 25, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 25, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 04, 2025
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Aug 18, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
San Antonio West Nursing and Rehab is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
5.1 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.
— 3.29 miles to nearest hospital (CHRISTUS Children's)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
22% better than Texas averageTexas average ratio: 1.51:1
0% compared with Texas averageTexas average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Total hours from contractors
2,062 contractor hours this quarter
| Certified Nursing Assistant | 42 | 31 | 73 | 8,608 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 14 | 11 | 25 | 4,850 | 91 | 100% | 8.2 |
| Medication Aide/Technician | 4 | 1 | 5 | 2,212 | 91 | 100% | 10.1 |
| Registered Nurse | 7 | 1 | 8 | 1,793 | 91 | 100% | 7.9 |
| Nurse Aide in Training | 6 | 0 | 6 | 1,584 | 89 | 98% | 7.8 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,324 | 67 | 74% | 7 |
| RN Director of Nursing | 2 | 0 | 2 | 1,016 | 64 | 70% | 8 |
| Physical Therapy Aide | 4 | 1 | 5 | 832 | 70 | 77% | 6.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 688 | 60 | 66% | 8.1 |
| Mental Health Service Worker | 2 | 0 | 2 | 528 | 61 | 67% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 488 | 61 | 67% | 8 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 479 | 68 | 75% | 6.8 |
| Qualified Social Worker | 3 | 0 | 3 | 474 | 65 | 71% | 6.2 |
| Administrator | 2 | 0 | 2 | 368 | 46 | 51% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 147 | 19 | 21% | 7.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 120 | 13 | 14% | 9.2 |
| Feeding Assistant | 0 | 2 | 2 | 78 | 26 | 29% | 3 |
| Other Physician | 0 | 1 | 1 | 39 | 13 | 14% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 33 | 6 | 7% | 5.5 |
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.
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.
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
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| 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 | $11.6M | $0.0M | 0% | 455652 | ||||
| Memorial Medical Nursing Center |
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| 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) | 135 | 54.4% | -14% | 2.92 | -29% | -20% | 3 | 49 | 3.1 | 6 | 86 | 53 | Maverick County Hospital Distict | $8.8M | $0.0M | 0% | 675002 | ||||
| Pleasanton North 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).
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Historical financial and operational data for San Antonio West Nursing and Rehab based on CMS SNF Cost Reports.
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San Antonio West Nursing and Rehab is in the Edgewood neighborhood of San Antonio.
The legal owner and operator of San Antonio West Nursing and Rehab is Maverick County Hospital District.
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.
Denise C Rios is the administrator of San Antonio West Nursing and Rehab.
San Antonio West Nursing and Rehab has 135 beds.
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