Total health inspections
11
Texas average 7.4
Last Health inspection on Aug 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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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.
Westover Hills Rehabilitation and Healthcare Center
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.
Westover Hills Rehabilitation and Healthcare Center
Overview of Westover Hills Rehabilitation and Healthcare Center
Conveniently nestled in San Antonio, TX, Westover Hills Rehabilitation and Healthcare Center is a warm and dependable community designed to support residents with their recovery. They collaborate closely with residents, their families, and healthcare providers in creating an effective care plan tailored to their needs. The community also features an in-house therapy team that uses advanced therapeutic approaches to help residents regain their strength and overall functionality.
Residents’ schedules are packed with an array of fun and enriching activities tailored to their preferences and skills for an active lifestyle. In addition to nutritionally balanced meals, the community provides the convenience of housekeeping services for residents’ comfort. Here, residents are guaranteed to maintain their highest functionality to continue enjoying life.
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
124
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81%
Residents per day (avg)
107
Occupancy rate
81%
Residents per day (avg)
107
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
19% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
75% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$15.3M
Profit
$1.2M
Privately-owned community
Operated by a business corporation.
Home revenue
$15.3M
Profit
$1.2M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.9M
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.
$7.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$14.1M
Walk Score: 32 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Accept Medicaid
Accept Medicare
Rehabilitation Services
Skilled Nursing
Specific ProgramsIn-house therapy, Skilled nursing, Activities and excursions, Church services
Religious ServicesYes
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
Types of Care at Westover Hills Rehabilitation and Healthcare Center
Nursing Home
Health Inspection History
Inspections
Total health citations
29
Texas average 25.9
Citations per inspection
2.64
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 29 citations resulted from standard inspections; and 16 of 29 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
50% better than Texas averageTexas average: 2
Serious Health citations
1
1
150% worse than Texas averageTexas average: 0.4
1 critical citation
1 serious citation
27 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 21, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 21, 2025
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 21, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 21, 2025
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 25, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 25, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 14, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 14, 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 Westover Hills Rehabilitation and Healthcare Center
15.1 miles from city center
Calculate Travel Distance to Westover Hills Rehabilitation and Healthcare 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
159
Employees
158
Contractors
1
Staff to resident ratio
1.50:1
0% compared with Texas averageTexas average ratio: 1.51:1
Avg staff/day
65
Average shift
8.2 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
48,719
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
0%
8 contractor hours this quarter
Certified Nursing Assistant: 1
Staff by category
| Certified Nursing Assistant | 43 | 1 | 44 | 16,807 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 24 | 0 | 24 | 8,147 | 91 | 100% | 8.8 |
| Speech Language Pathologist | 15 | 0 | 15 | 3,664 | 90 | 99% | 7 |
| Registered Nurse | 9 | 0 | 9 | 3,654 | 91 | 100% | 9.9 |
| RN Director of Nursing | 10 | 0 | 10 | 2,635 | 78 | 86% | 8.9 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,462 | 73 | 80% | 9.2 |
| Physical Therapy Aide | 12 | 0 | 12 | 2,418 | 90 | 99% | 6.5 |
| Qualified Social Worker | 10 | 0 | 10 | 2,082 | 68 | 75% | 7.4 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,291 | 80 | 88% | 7.3 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 989 | 82 | 90% | 7.6 |
| Dental Services Staff | 3 | 0 | 3 | 918 | 66 | 73% | 7.6 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 790 | 63 | 69% | 8.7 |
| Nurse Practitioner | 1 | 0 | 1 | 558 | 62 | 68% | 9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 490 | 62 | 68% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 145 | 26 | 29% | 5.6 |
| Nurse Aide in Training | 1 | 0 | 1 | 135 | 21 | 23% | 6.4 |
44 Certified Nursing Assistant
% of Days
100%
24 Licensed Practical Nurse
% of Days
100%
15 Speech Language Pathologist
% of Days
99%
9 Registered Nurse
% of Days
100%
10 RN Director of Nursing
% of Days
86%
6 Medication Aide/Technician
% of Days
80%
12 Physical Therapy Aide
% of Days
99%
10 Qualified Social Worker
% of Days
75%
5 Physical Therapy Assistant
% of Days
88%
7 Respiratory Therapy Technician
% of Days
90%
3 Dental Services Staff
% of Days
73%
6 Clinical Nurse Specialist
% of Days
69%
1 Nurse Practitioner
% of Days
68%
1 Administrator
% of Days
71%
1 Dietitian
% of Days
71%
1 Mental Health Service Worker
% of Days
68%
1 Therapeutic Recreation Specialist
% of Days
68%
2 Other Dietary Services Staff
% of Days
29%
1 Nurse Aide in Training
% of Days
23%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
106 residents
Residents by payment source
Medicare
28 residents (26.4%)
Medicaid
73 residents (68.9%)
Private pay or other
5 residents (4.7%)
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.
5.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.7
33% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
19% better 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
13.9%
Percent of long-stay residents whose need for help with daily activities has increased
13.9%
14% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.4%
Percent of long-stay residents whose ability to move independently worsened
5.4%
67% better 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
20.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.0%
27% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
17% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
36% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
11% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.8%
Percent of long-stay residents who lose too much weight
2.8%
19% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.4%
Percent of long-stay residents who have depressive symptoms
0.4%
87% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.7%
Percent of long-stay residents who received an antipsychotic medication
0.7%
91% 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
98.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.68
Number of hospitalizations per 1,000 long-stay resident days.
1.68
21% 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.
1.39
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.39
33% 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
0.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
68% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
9% 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.
27.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.7%
7% worse than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.2%
10% worse 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.
57.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.9%
8% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.7%
6% better than Texas averageTexas average: 50.6%
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.
Nov 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 8, 2024
$13K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 8, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 8, 2024
1 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 10, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 10, 2023
$8K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 20, 2023
$16K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Westover Hills Rehabilitation and Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
81.0%
↑ 11.8pp vs 2022
Net Income
$1.2M
↑ ~$363.5K vs 2022
Total Payroll
$7.9M
↑ ~$1.6M vs 2022
Profit Margin
8.0%
↑ 1.2pp vs 2022
Loading trend charts...
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