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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.
Wurzbach Nursing and Rehab is a highly skilled nursing home in San Antonio that boasts a secure and safe environment that enhances the quality of life for each of its residents. The nursing home promotes a list of comprehensive programs and engaging activities– designed for residents to cultivate their emotional, mental, and physical aspects. Residents at Wurzbach Nursing and Rehab are guaranteed to get personalized care that is catered to their needs in an inviting community with fine hospitality.
A Careday Healthcare community, Wurzbach is ensured to be a relaxing and convenient nursing home. Their skilled care services focus on individualized treatments– physical, occupational, and speech therapy; joint replacement therapy, spine and back therapy; wound care, dysphagia management, and palliative care. They have an in-house respiratory therapist, extensive clinical service, 24-hour medical and nursing services, and continual tracheostomy care.
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 215th out of 289 homes in Texas. 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.
| 14m per day | ▼ 46% 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 | ▲ 4% 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 51m per day | ▼ 8% 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.
| 2h 39m per day | ▼ 11% State avg: 2h 59m per day · National avg: 3h 26m 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.
| 22m per day | ▲ 5% State avg: 21m per day · National avg: 29m per day |
Lower than the Texas average: 63.5%Wurzbach Nursing and Rehabilitation is administrated by Jose Ruiz.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 3 | 6 | This facility has 50% fewer total citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 3 | 2 | This facility has 50% more health citations than a typical Texas nursing home (3 vs. TX avg 2).↑ 50% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 3 | 6 | This facility has 50% fewer life safety citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better |
|
Citations per year
Average citations per year since 2023.
| 1 | 2 | This facility has 50% fewer citations per year than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 13, 2025, identified multiple deficiencies related to resident dignity, environmental hazards, medication management, infection control, and staff training. Earlier inspections showed a pattern of issues involving timely reporting of abuse, pharmaceutical service deficiencies, failure to prevent elopements, and incomplete medical documentation. Complaint investigations substantiated failures in abuse reporting, medication diversion, delayed care, and inadequate supervision, but fines or license actions were not listed in the available reports. The facility had several substantiated complaints regarding failure to accommodate resident needs and delayed communication with families. The inspection history indicates ongoing challenges with regulatory compliance, with no clear trend of sustained improvement or worsening over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Jun 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.
35 of 57 citations resulted from standard inspections; 18 of 57 resulted from complaint investigations; and 4 of 57 came from combined inspections (standard and complaint).
50% worse than Texas averageTexas average: 2
150% worse than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.8 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.
7.8 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.
7.6 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,028 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 69 | 99 | 12,597 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 14 | 53 | 67 | 6,867 | 92 | 100% | 7.8 |
| Physical Therapist | 10 | 0 | 10 | 4,351 | 92 | 100% | 7.4 |
| Medication Aide/Technician | 3 | 10 | 13 | 2,277 | 92 | 100% | 8.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,531 | 92 | 100% | 8.8 |
| RN Director of Nursing | 2 | 0 | 2 | 1,007 | 79 | 86% | 8.4 |
| Registered Nurse | 3 | 2 | 5 | 553 | 45 | 49% | 11.8 |
| Nurse Practitioner | 1 | 0 | 1 | 531 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 475 | 61 | 66% | 7.8 |
| Dietitian | 1 | 0 | 1 | 402 | 55 | 60% | 7.3 |
| Medical Director | 0 | 2 | 2 | 36 | 5 | 5% | 6 |
Includes penalties issued in 2023-2025
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)
62% 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.
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.
Mar 9, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 1, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 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.
9.4
9% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.8
23% worse 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
23.7%
46% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
10.6%
35% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
60% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
92% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
0.8%
82% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.2%
50% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
5.6%
62% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
2.9%
In line with Texas averageTexas average: 2.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.9%
10% worse than Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
5.25
146% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.17
43% 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
23.5%
74% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
28% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
31.3%
64% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.1%
12% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.7%
14% 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%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
18% of new residents, usually for short-term rehab.
52% of new residents, often for short stays.
31% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
140Residents 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 Wurzbach Nursing and Rehabilitation based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #226 / 297Payroll — State benchmarkedThis home is ranked 226th out of 297 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
8.0 miles from city center
Estimated distance in miles from San Antonio's city center to Wurzbach Nursing and Rehabilitation's address, calculated via Google Maps.
— 0.43 miles to nearest hospital (St. Luke's Baptist Hospital)
Add your location
Wurzbach Nursing and Rehabilitation is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| The Village at Incarnate Word |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Willshire Terrace) | 60 | 90.5% | +43% | 4.38 | -46% | +21% | $0 | 13 | 4.3 | - | 55 | A+ | 75 | Incarnate Word Retirement Community, Inc. | $20.9M | $8.5M | 40.7% | 676498 | ||||
| Morningside at the Meadows |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Sunshine Estates) | 147 | 49.8% | -22% | 3.58 | -16% | -1% | $90.3k | 24 | 8.0 | 2 | 83 | A+ | 46 | Guadalupe County Hospital Board | $7.1M | $5.6M | 78.3% | 455523 | ||||
| Wurzbach Nursing and Rehabilitation |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northwest Side) | 140 | 38.6% | -39% | 3.23 | -69% | -11% | $129.9k | 57 | 4.4 | 4 | 54 | C | 75 | E&R Cunningham Investments LP | $8.3M | $3.8M | 46% | 455824 | ||||
| Elmcroft of Windcrest |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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 (Northeast Side) | 113 | 61.4% | -3% | 2.41 | -57% | -34% | $81.6k | 64 | 4.0 | 5 | 81 | A+ | 14 | Rj Realty Group LLC | $15.3M | $6.5M | 42.5% | 675171 | ||||
| Heritage Creek | - |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northwest Side) | 52 | 35.1% | -45% | 3.90 | - | - | - | +25% | +7% | $447.8k | 110 | 3.1 | 13 | 79 | A+ | 9 | Heritage Creek Assisted Living Inc | $7.6M | $4.3M | 57.2% | 675112 |
Wurzbach Nursing and Rehabilitation is in the Northwest Side neighborhood of San Antonio.
The legal owner and operator of Wurzbach Nursing and Rehabilitation is Caraday Wurzbach LLC.
Wurzbach Nursing and Rehabilitation has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to TX state health department records, Wurzbach Nursing and Rehabilitation's license number is 307662.
According to TX state health department records, Wurzbach Nursing and Rehabilitation's license expires on January 1, 2027.
Wurzbach Nursing and Rehabilitation's occupancy is 39%.
Jose Ruiz is the administrator of Wurzbach Nursing and Rehabilitation.
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