Occupancy rate
13%
In line with Texas averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Bexar County
CMS overall rating
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.
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 Pedro Manor
Nursing Home in Bexar County
CMS overall rating
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.
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 Pedro Manor
San Pedro Manor is a distinguished community situated in the charming neighborhood of West Ashley Pl, San Antonio, TX, providing in-house therapy and skilled nursing. With its dedication to improving residents’ welfare, the community utilizes a holistic approach to care tailored to their unique needs. Keep peace of mind with a compassionate and specially trained team helping with your day-to-day activities 24/7.
Enjoy fun activities and engaging programs, aiming to keep residents active and socially connected. Physical, occupational, and speech therapy, alongside wound care, memory care, and pulmonary programs are provided to meet residents’ healthcare needs. Receive the utmost care and support you deserve with the community’s top-notch care and specially designed amenities.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
150
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
12.7%
Residents per day
19
Occupancy rate
12.7%
Residents per day
19
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
24 days
Private pay
37% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
28% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$12.1M
Surplus of revenue
$201.1K
Governmental community
Operated by state authorities.
Home revenue
$12.1M
Surplus of revenue
$201.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.9M
150-bed community
A larger shared setting that may offer more common spaces and organized community services.
35 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 79 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Services
About this community
Occupancy
In line with Texas averageOccupied beds
19 / 150
Average residents
75 per day
Facility TypeNursing
IssuanceJanuary 4, 2023
ExpirationJanuary 4, 2026
CountyBEXAR
License Number147967
Year Opened2/18/1991
San Pedro Manor is administrated by Princess Hernandez.
Management CompanyWEST ASHBY HEALTHCARE, INC
OwnerUVALDE COUNTY HOSPITAL AUTHORITY
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicare
44 units
Medicaid and Medicare
106 units
Total beds
150 units
Staffing
Key information about the people who lead and staff this community.
ContactMr. Raul Espinoza, Director
Administrator Email
[email protected]
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: 3-story
Dining Services
Housekeeping Services
Transportation Services
Recreational Activities
Exercise Programs
Types of Care at San Pedro Manor
Nursing Home
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
2 visits/inspections triggered by complaints
6 routine inspections
Results
9 with issues
1 without issues
Show Inspection Reports
Latest inspection
Date
August 8, 2025
Routine36 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
11
Texas average 7.4
Last Health inspection on Aug 2025
Total health citations
43
Texas average 25.9
Citations per inspection
3.91
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 43 citations resulted from standard inspections; 21 of 43 resulted from complaint investigations; and 5 of 43 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
50% better than Texas averageTexas average: 2
Serious Health citations
4
4
900% worse than Texas averageTexas average: 0.4
1 critical citation
4 serious citations
37 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 08, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 08, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 08, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 08, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 08, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 08, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 08, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 08, 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.
Compare Nursing Homes around Bexar County The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Mystic Park Nursing and Rehabilitation 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 (Far West Side)
119
81.8%
+29%
3.50
-4%
1
21
4.2
2
107
A+
59
Fox Sparrow Healthcare, Inc.
$14.5M
$5.9M
40.8%
676012
Buena Vida Nursing and Rehab Center San Antonio
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
San Antonio (East Side)
222
27.6%
-57%
3.48
-4%
1
44
4.4
3
66
A+
26
West Wharton County Hospital District
$5.3M
$2.9M
54.9%
455390
Westover Hills Rehabilitation and Healthcare 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 (Far West Side)
124
81.0%
+28%
3.87
+7%
3
29
2.6
2
107
-
32
Sage Terrace Healthcare Llc
$15.3M
$6.9M
45.2%
676281
River City Care Center
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
San Antonio (Eastside Promise Neighborhood)
100
40.2%
-37%
3.63
0%
2
32
5.3
2
41
-
68
-
$3.3M
$1.9M
57.5%
675896
San Pedro Manor
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 (Monte Vista)
150
54.9%
-13%
3.63
0%
5
43
3.9
5
94
A+
79
West Ashby Healthcare, Inc.
$12.1M
$5.4M
44.6%
455689
Places of interest near San Pedro Manor
1.9 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
122
Employees
121
Contractors
1
Staff to resident ratio
1.24:1
17% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
53
Average shift
8.1 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
39,249
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.2%
91 contractor hours this quarter
Physical Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 40 | 0 | 40 | 13,349 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 22 | 0 | 22 | 8,484 | 91 | 100% | 9.3 |
| Physical Therapy Aide | 7 | 0 | 7 | 2,483 | 73 | 80% | 7.4 |
| Registered Nurse | 11 | 0 | 11 | 2,480 | 90 | 99% | 8.1 |
| Qualified Social Worker | 5 | 0 | 5 | 2,175 | 70 | 77% | 7.2 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,995 | 81 | 89% | 8 |
| RN Director of Nursing | 7 | 0 | 7 | 1,975 | 80 | 88% | 9.1 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,863 | 81 | 89% | 7.4 |
| Dental Services Staff | 3 | 0 | 3 | 1,000 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 961 | 69 | 76% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 600 | 69 | 76% | 8.7 |
| Dietitian | 1 | 0 | 1 | 529 | 64 | 70% | 8.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 387 | 57 | 63% | 6.8 |
| Administrator | 1 | 0 | 1 | 384 | 48 | 53% | 8 |
| Physical Therapy Assistant | 6 | 1 | 7 | 352 | 62 | 68% | 3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 165 | 20 | 22% | 8.3 |
| Nurse Aide in Training | 1 | 0 | 1 | 68 | 9 | 10% | 7.6 |
40 Certified Nursing Assistant
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
7 Physical Therapy Aide
% of Days
80%
11 Registered Nurse
% of Days
99%
5 Qualified Social Worker
% of Days
77%
7 Medication Aide/Technician
% of Days
89%
7 RN Director of Nursing
% of Days
88%
5 Speech Language Pathologist
% of Days
89%
3 Dental Services Staff
% of Days
71%
2 Respiratory Therapy Technician
% of Days
76%
1 Nurse Practitioner
% of Days
76%
1 Dietitian
% of Days
70%
1 Other Dietary Services Staff
% of Days
63%
1 Administrator
% of Days
53%
7 Physical Therapy Assistant
% of Days
68%
1 Clinical Nurse Specialist
% of Days
22%
1 Nurse Aide in Training
% of Days
10%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
98 residents
Residents by payment source
Medicare
5 residents (5.1%)
Medicaid
76 residents (77.6%)
Private pay or other
17 residents (17.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.9
26% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
43% worse than Texas averageTexas average: 16.0
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
15.3%
Percent of long-stay residents whose need for help with daily activities has increased
15.3%
5% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.7%
Percent of long-stay residents whose ability to move independently worsened
29.7%
83% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.9%
53% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.3%
89% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.6%
Percent of long-stay high risk residents with pressure ulcers
5.6%
27% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.3%
Percent of long-stay residents with a urinary tract infection
0.3%
58% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.5%
Percent of long-stay residents who lose too much weight
3.5%
In line with Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
Percent of long-stay residents who have depressive symptoms
0.7%
76% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.3%
Percent of long-stay residents who received an antipsychotic medication
3.3%
58% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.78
Number of hospitalizations per 1,000 long-stay resident days.
1.78
16% better than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.04
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.04
50% better than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
10% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
12% better than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.5%
36% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
8.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.7%
28% better than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
25.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.8%
52% 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.
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
$36K
55% lower than Texas averageTexas average: $80K
Number of fines
3
21% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$36K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 27, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 27, 2024
$14K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 27, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 27, 2024
72 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 17, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 17, 2024
$10K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 23, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 23, 2023
$12K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for San Pedro Manor based on CMS SNF Cost Reports.
Occupancy Rate
54.9%
↑ 5.1pp vs 2023
Net Income
$201.1K
↓ ~$99.6K vs 2023
Total Payroll
$6.1M
↑ ~$998.2K vs 2023
Profit Margin
1.7%
↓ 1.3pp vs 2023
Loading trend charts...
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