Nursing Home

San Pedro Manor

Nursing Home

San Pedro Manor

515 W Ashby Pl, San Antonio, TX 78212 View map
Overview of 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.

(800) 252-2412

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Texas average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Texas average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Texas average: 2.4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Texas average: 4.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 38m per day

This home provides 4% less nursing time per resident than the Texas average.

Texas average: 3h 46m 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. 14m per day 21m per day 29m per day

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.

Lower demand than the Texas average
Occupancy rate 54.9%
Residents per day (avg) 94
Occupancy rate
54.9%
Residents per day (avg)
94

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 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
$12,097,052.00
Surplus of revenue
$201,104.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
44.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.5M
Total costs $11.9M
Bed community size
150-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
35 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 79 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
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

Services

Medicare/medicaid

About this community

License details

Facility type
Nursing
Issuance January 4, 2023
Expiration January 4, 2026
County: BEXAR

Additional licensing details

License number: 147967
Year opened: 2/18/1991

Ownership & operating entity

San Pedro Manor is administrated by PRINCESS HERNANDEZ.

Management company: WEST ASHBY HEALTHCARE, INC
Owner: UVALDE COUNTY HOSPITAL AUTHORITY
Ownership type: HOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicare
44 units
Medicaid and Medicare
106 units
Total beds
150 units

Staffing

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

Leadership

Contact: Mr. Raul Espinoza, Director
Administrator email: [email protected]

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: 3-story

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Transportation services icon
Transportation services icon

Transportation Services

Recreational activities icon
Recreational activities icon

Recreational Activities

Exercise program icon
Exercise program icon

Exercise Programs

Types of Care at San Pedro Manor

Nursing Home
Contact San Pedro Manor

Health Inspection History

Inspections
Total health inspections 11

Texas average 7.4


Last Health inspection on Aug 2025

Total health citations 43
Citations per inspection
3.91

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 More info 1
50% better than Texas average

Texas average: 2


Serious Health citations More info 4
900% worse than Texas average

Texas average: 0.4

1 critical citation More info Texas average: 2

4 serious citations More info Texas average: 0.4

37 moderate citations More info Texas average: 23

1 minor citation More info Texas average: 0.4
Citations history (last 3 years)
Infection Control moderate citation Aug 08, 2025
Corrected

Nutrition moderate citation Aug 08, 2025
Corrected

Nutrition moderate citation Aug 08, 2025
Corrected

Quality of Care moderate citation Aug 08, 2025
Corrected

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The information below is reported by the Texas Health and Human Services Commission.
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Respite Care

San Antonio (East Side)
222
A+
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WEST WHARTON COUNTY HOSPITAL DISTRICT
27.6%
$5,307,377.00
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81.0%
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Hospice Care

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Respite Care

San Antonio (Eastside Promise Neighborhood)
100
-
68
-
40.2%
$3,305,456.00
$1,901,992.00
57.5%
41
2/5
3.6292
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3/5
4/5
2
32
2
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Private / Semi-Private Rooms
San Pedro Manor
SNF

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San Antonio (Monte Vista)
150
A+
79
WEST ASHBY HEALTHCARE, INC.
54.9%
$12,102,998.00
$5,402,488.00
44.6%
93.60
1/5
3.6342
2/5
1/5
4/5
5
43
5
+20%
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-13%
Private / Semi-Private Rooms

Places of interest near San Pedro Manor

Address 1.9 miles from city center

Address 515 W Ashby Pl, San Antonio, TX 78212

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

122
Total Staff
121
Employees
1
Contractors
39,249
Total Hours (Quarter)
53
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse118.1 No
Licensed Practical Nurse229.3 No
Certified Nursing Assistant408.4 No
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
88 staff
8.7hs shift avg
Physicians & Practitioners
2 staff
8.6hs shift avg
Therapy Services
21 staff
6.8hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
5 staff
7.2hs shift avg
Dietary Services
2 staff
7.6hs shift avg
Other Services
3 staff
8hs shift avg
Contractor Analysis
0.2%
of total hours from contractors
91 contractor hours this quarter
Physical Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4004013,34991100%8.4
Licensed Practical Nurse220228,48491100%9.3
Physical Therapy Aide7072,4837380%7.4
Registered Nurse110112,4809099%8.1
Qualified Social Worker5052,1757077%7.2
Medication Aide/Technician7071,9958189%8
RN Director of Nursing7071,9758088%9.1
Speech Language Pathologist5051,8638189%7.4
Dental Services Staff3031,0006571%8
Respiratory Therapy Technician2029616976%7.7
Nurse Practitioner1016006976%8.7
Dietitian1015296470%8.3
Other Dietary Services Staff1013875763%6.8
Administrator1013844853%8
Physical Therapy Assistant6173526268%3
Clinical Nurse Specialist1011652022%8.3
Nurse Aide in Training10168910%7.6

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.

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. 10.9
26% worse than Texas average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.0
43% worse 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 15.3%
5% better than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.7%
83% worse than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.9%
53% 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 0.3%
89% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.6%
27% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
58% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.5%
In line with Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
76% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 3.3%
58% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.78
16% better 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. 1.04
50% better than Texas average

Texas average: 2.07

Short-stay resident measures
Significantly above 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 99.3%
10% better 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 98.6%
12% better 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. 16.5%
36% better than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.7%
28% better than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better 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. 25.8%
52% 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 $36K
55% lower than Texas average

Texas average: $80K

Number of fines 3
21% 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. 1
354% more payment denials than Texas average

Texas 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 27, 2024
$14K
Payment Denial Info 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 17, 2024
$10K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 23, 2023
$12K

Last updated: Jan 2026

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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.

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