4/5
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.
4/5
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.
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.
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 75th out of 273 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.
| 34m per day | ▲ 32% 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.
| 59m per day | ▲ 3% 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.
| 2h 5m per day | ▲ 3% 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.
| 3h 10m per day | ▲ 6% 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 | ▲ 8% 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.
| 37m per day | ▲ 78% State avg: 21m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursAssists with medical care and medications.
All 27 LPN Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 47 CNA Staff are full-time employees. No contractors work on this role.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 0 | 47 | 16,451 | 92 | 100% | 8 |
| Licensed Practical Nurse | 27 | 0 | 27 | 7,271 | 92 | 100% | 8.1 |
| Registered Nurse | 13 | 0 | 13 | 4,344 | 92 | 100% | 9.3 |
| Medication Aide/Technician | 7 | 0 | 7 | 3,163 | 92 | 100% | 8.4 |
| Speech Language Pathologist | 14 | 0 | 14 | 3,106 | 90 | 98% | 7.2 |
| RN Director of Nursing | 7 | 0 | 7 | 2,136 | 74 | 80% | 8.6 |
| Physical Therapy Aide | 12 | 0 | 12 | 1,987 | 80 | 87% | 6.6 |
| Dental Services Staff | 4 | 0 | 4 | 1,460 | 73 | 79% | 7.9 |
| Qualified Social Worker | 6 | 0 | 6 | 1,366 | 77 | 84% | 7 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,363 | 80 | 87% | 7.6 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 697 | 81 | 88% | 6.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 619 | 61 | 66% | 8.7 |
| Nurse Practitioner | 1 | 0 | 1 | 549 | 61 | 66% | 9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Nurse Aide in Training | 3 | 0 | 3 | 417 | 54 | 59% | 7.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 253 | 74 | 80% | 3.4 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 62 | 8 | 9% | 7.8 |
Includes penalties issued in 2023-2024
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)
55% lower than Texas averageTexas average: $80K
21% 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.
1
354% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 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.
Nov 8, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 10, 2023Last 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.
5.7
33% better than Texas averageTexas average: 8.6
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
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
13.9%
14% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
5.4%
67% better than Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
3.8%
17% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.9%
36% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.7%
11% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.8%
19% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.4%
87% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
0.7%
91% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.68
21% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.39
33% 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
99.3%
10% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
68% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
9% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.7%
7% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.2%
10% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.9%
8% better than Texas averageTexas average: 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.
19% of new residents, usually for short-term rehab.
75% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
106Residents meet regularly to discuss policies, care quality, 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 Westover Hills Rehabilitation and Healthcare Center from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
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 #50 / 280Payroll — State benchmarkedThis home is ranked 50th out of 280 homes in Texas for Payroll. 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.Facilities with the same value for a metric share the same rank. 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 #83 / 280Payroll % — State benchmarkedThis home is ranked 83rd out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. 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).
No pets allowed
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (75% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
9922 Tx-151, San Antonio, TX 78251
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The information below is reported by the Texas Health and Human Services Commission.
| Saint Francis Nursing Home | NH AL IL | San Antonio (Midtown) | 116
Facility
116
TX AVG
80
Rank
#270 / 976 | - | - | 3.93
Facility
3.93
TX AVG
3.63
Rank
#75 / 273 | - | +8% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | - | - | - | 92 | - |
71
Facility
71
TX AVG
41
Rank
#124 / 1389 | - | - | - | - | 45F410 | ||||
| The Army Residence Community Health Care Center | NH AL IL MC SNF | San Antonio (Northeast Side) | 30
Facility
30
TX AVG
80
Rank
#771 / 976 | - | - | 4.74
Facility
4.74
TX AVG
3.63
Rank
#34 / 273 | -10% | +31% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 18
Facility
18
TX AVG
25.9
Rank
#94 / 274 | 4.5
Facility
4.5
TX AVG
3.7
Rank
#230 / 274 | - | 59 | - |
6
Facility
6
TX AVG
41
Rank
#1284 / 1389 | Army Retirement Residence Foundation San Antonio | $33.5MFiscal year ending 06/2024
Facility
$33.5MFiscal year ending 06/2024
TX AVG
$8.4M
Rank
#6 / 280 | $16.5MFiscal year ending 06/2024
Facility
$16.5MFiscal year ending 06/2024
TX AVG
$3.5M
Rank
#6 / 280 | 49.4%Fiscal year ending 06/2024
Facility
49.4%Fiscal year ending 06/2024
TX AVG
47%
Rank
#249 / 280 | 675697 | ||||
| Blue Skies of Texas East | NH AL HOS IL MC SNF | San Antonio (Valley High North) | 24
Facility
24
TX AVG
80
Rank
#786 / 976 | - | - | 6.51
Facility
6.51
TX AVG
3.63
Rank
#3 / 273 | -7% | +79% | $17.3k
Facility
$17.3k
TX AVG
$81.8k
Rank
#120 / 278 | 31
Facility
31
TX AVG
25.9
Rank
#206 / 274 | 3.1
Facility
3.1
TX AVG
3.7
Rank
#124 / 274 | 2 | 53 | - |
47
Facility
47
TX AVG
41
Rank
#585 / 1389 | Air Force Village Inc | $10.3MFiscal year ending 06/2024
Facility
$10.3MFiscal year ending 06/2024
TX AVG
$8.4M
Rank
#58 / 280 | $5.4MFiscal year ending 06/2024
Facility
$5.4MFiscal year ending 06/2024
TX AVG
$3.5M
Rank
#43 / 280 | 52.2%Fiscal year ending 06/2024
Facility
52.2%Fiscal year ending 06/2024
TX AVG
47%
Rank
#78 / 280 | 676041 | ||||
| Lakeside Nursing and Rehabilitation Center | NH SNF | San Antonio (Far West Side) | 120
Facility
120
TX AVG
80
Rank
#205 / 976 |
93.5%
Facility
93.5%
TX AVG
67.5
Rank
#17 / 200 | +38% | 3.42
Facility
3.42
TX AVG
3.63
Rank
#164 / 273 | +35% | -6% | $14.6k
Facility
$14.6k
TX AVG
$81.8k
Rank
#105 / 278 | 24
Facility
24
TX AVG
25.9
Rank
#161 / 274 | 3.4
Facility
3.4
TX AVG
3.7
Rank
#156 / 274 | 3 | 110 | - |
19
Facility
19
TX AVG
41
Rank
#1111 / 1389 | Crystal Lake Healthcare, Inc | $11.7MFiscal year ending 03/2024
Facility
$11.7MFiscal year ending 03/2024
TX AVG
$8.4M
Rank
#70 / 280 | $7.0MFiscal year ending 03/2024
Facility
$7.0MFiscal year ending 03/2024
TX AVG
$3.5M
Rank
#60 / 280 | 60.2%Fiscal year ending 03/2024
Facility
60.2%Fiscal year ending 03/2024
TX AVG
47%
Rank
#136 / 280 | 676325 | ||||
| Westover Hills Rehabilitation and Healthcare Center | NH MC SNF | San Antonio (Far West Side) | 124
Facility
124
TX AVG
80
Rank
#174 / 976 |
84.5%
Facility
84.5%
TX AVG
67.5
Rank
#51 / 200 | +25% | 3.87
Facility
3.87
TX AVG
3.63
Rank
#75 / 273 | +6% | +7% | $20.2k
Facility
$20.2k
TX AVG
$81.8k
Rank
#129 / 278 | 29
Facility
29
TX AVG
25.9
Rank
#196 / 274 | 2.6
Facility
2.6
TX AVG
3.7
Rank
#68 / 274 | 2 | 105 | - |
32
Facility
32
TX AVG
41
Rank
#900 / 1389 | Sage Terrace Healthcare LLC | $13.1MFiscal year ending 12/2023
Facility
$13.1MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#64 / 280 | $7.8MFiscal year ending 12/2023
Facility
$7.8MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#50 / 280 | 60.1%Fiscal year ending 12/2023
Facility
60.1%Fiscal year ending 12/2023
TX AVG
47%
Rank
#83 / 280 | 676281 |
Westover Hills Rehabilitation and Healthcare Center is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Westover Hills Rehabilitation and Healthcare Center is in the Far West Side neighborhood.
Westover Hills Rehabilitation and Healthcare Center has a walk score of 32. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Westover Hills Rehabilitation and Healthcare Center's occupancy is 81.0%.
Westover Hills Rehabilitation and Healthcare Center is registered as a for-profit.
Yes — there are 12 photos of Westover Hills Rehabilitation and Healthcare Center in the photo gallery on this page.
Westover Hills Rehabilitation and Healthcare Center is located at 9922 Tx-151, San Antonio, TX 78251.
(210) 546-2273 will put you in contact with the team at Westover Hills Rehabilitation and Healthcare Center.
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