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Wurzbach Nursing and Rehabilitation
Nursing Home, Memory Care, Respite Care & Skilled Nursing · San Antonio, TX
CMS overall rating Info 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.
Exterior view of Wurzbach Nursing and Rehabilitation facility entrance Common area with seating and a piano Private resident room with furnishings and window Bright dining area with tables set for meals Private resident room with bed and chair Serene garden area with a tree and landscaping Barber station with patriotic decor in a facility room Bright therapy room with equipment and a table

Wurzbach Nursing and Rehabilitation

Nursing Home, Memory Care, Respite Care & Skilled Nursing · San Antonio, TX
CMS overall rating Info 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.
8300 Wurzbach Rd, San Antonio, TX 78229 View map Calculator: See prices in your area
Wurzbach Nursing and Rehabilitation accepts Medicaid, Medicare, and private pay.
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Wurzbach Nursing and Rehabilitation accepts Medicaid, Medicare, and private pay.

Overview of Wurzbach Nursing and Rehabilitation

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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.

Facility Direct Line (210) 617-2200
Facility Direct Line (210) 617-2200
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 64.2% Below TX avg. ▼ 64.2% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 27.6% Below TX avg. ▼ 27.6% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 52.9% Below TX avg. ▼ 52.9% Below TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 20.1% Below TX avg. ▼ 20.1% Below TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Texas state averages

Total nursing care / resident Info This home is ranked 222nd out of 296 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.
3h 14m per day
Rank #222 / 296Nurse hours — State benchmarkedThis home is ranked 222nd out of 296 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 296 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
This facility Texas avg (3h 38m per day)
vs Texas avg
-11%

5 of 6 metrics below state avg

Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 19m per day ▼ 25% State avg: 26m per day · National avg: 41m per day
LPN / LVN Info 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. 58m per day ■ Avg State avg: 57m per day · National avg: 52m per day
Nurse Aide Info 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 50m per day ▼ 9% State avg: 2h 1m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 46m per day ▼ 7% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 0m per day ▼ 100% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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. 19m per day ▼ 10% State avg: 21m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay Info 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.
240 days
Bed community size
140-bed community Rank #86 / 988Bed count — State benchmarkedThis home is ranked 86th out of 988 homes in Texas. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
43 years in operation Rank #112 / 583Years in operation — State benchmarkedThis home is ranked 112th out of 583 homes in Texas. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.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.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 75 / 100 Rank #67 / 1391Walk Score — State benchmarkedThis home is ranked 67th out of 1391 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas facilities. Higher scores benefit residents, families, and staff.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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
BBB Rating: C (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

About this community

Occupancy

Occupancy rate
39%
Rank #274 / 304Occupancy rate — State benchmarkedThis home is ranked 274th out of 304 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 304. Higher occupancy signals strong local demand and financial stability.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.
Lower than the Texas average: 63.5%
Occupied beds
54 / 140
Average occupied beds in Texas homes 75 beds

License Details

Facility TypeNursing
IssuanceJanuary 1, 2024
ExpirationJanuary 1, 2027
CountyBexar
License Number307662
Year Opened8/1/1982
CMS Certification Number455824
QualificationNursing

Ownership & Operating Entity

Wurzbach Nursing and Rehabilitation is administered by Jose Ruiz.

Management CompanyCARADAY MANAGEMENT LLC
OwnerCaraday Wurzbach LLC
Ownership TypeLimited Liability Company (LLC)

Type Of Units

Medicare
10 units
Medicaid and Medicare
130 units
Total beds
140 units

Staffing

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

Leadership

Administrator Emailgmoore@caradayhealth.com

Memory & Specialized Care

1 service
No Alzheimer's certification

Contact Wurzbach Nursing and Rehabilitation

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.

Since 2023 · 3 years of data 3 citations

Inspection Scorecard Info 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.

Since 2023 vs. Texas state average
Overall vs. TX average 1 Worse Metrics worse than Texas average:
• Health citations (50% above) 3 Better Metrics better than Texas average:
• Total citations (50% below)
• Life safety citations (50% below)
• Citations per year (50% below)
Latest Inspection June 13, 2025 Routine

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 36 This facility has 50% fewer total citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 32 This facility has 50% more health citations than a typical Texas nursing home (3 vs. TX avg 2).↑ 50% worse
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 36 This facility has 50% fewer life safety citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better
Citations per year Info Average citations per year since 2023. 12 This facility has 50% fewer citations per year than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on June 13, 2025, found 12 deficiencies including resident dignity, medication storage, infection control, and staff training issues.
  • Complaint investigations from March to May 2025 substantiated failures to timely report abuse, drug diversion involving narcotics, unsafe resident supervision, and delayed investigations.
  • Multiple inspections from 2023 to 2024 showed recurring themes of failure to report injuries and abuse timely, incomplete medical records, and inadequate infection control practices.
Show Inspection Reports

Health Inspection History

Inspections since 2023
Total health inspections 13

Texas average 7.4

Last Health inspection on Jun 2025

Total health citations
57 Rank #290 / 299Health citations — State benchmarkedThis home is ranked 290th out of 299 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 299 TX facilities. Lower citation counts earn a better 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.

Texas average 25.9

Citations per inspection
4.38 Rank #241 / 299Citations per inspection — State benchmarkedThis home is ranked 241st out of 299 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 299 facilities with citation data. Lower is better.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.

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).

Breakdown of citation severity (last 3 years)
Critical health citations
3
50% worse than Texas average

Texas average: 2

Serious health citations
1
150% worse than Texas average

Texas average: 0.4

3 critical citations Texas average: 2
1 serious citation Texas average: 0.4
53 moderate citations Texas average: 23
0 minor citations Texas average: 0.4
Citations history (last 3 years)
Abuse/Neglect moderate citation Jun 13, 2025
Corrected
Administration moderate citation Jun 13, 2025
Corrected
Administration moderate citation Jun 13, 2025
Corrected
Administration moderate citation Jun 13, 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 207
Employees 71
Contractors 136
Staff to resident ratio 1.48 : 1
0% compared with Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 43
Average shift 7.9 hours
0% compared with Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 31,152

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 5 total: 3 full-time employees and 2 contractors. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 67 total: 14 full-time employees and 53 contractors. 67
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 99 total: 30 full-time employees and 69 contractors. 99
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

22.6%

7,028 contractor hours this quarter

Certified Nursing Assistant: 69 Licensed Practical Nurse: 53 Medication Aide/Technician: 10 Registered Nurse: 2 Medical Director: 2

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant30699912,59792100%7.6
Licensed Practical Nurse1453676,86792100%7.8
Physical Therapist100104,35192100%7.4
Medication Aide/Technician310132,27792100%8.4
Clinical Nurse Specialist5051,53192100%8.8
RN Director of Nursing2021,0077986%8.4
Registered Nurse3255534549%11.8
Nurse Practitioner1015316672%8
Administrator1015286672%8
Other Dietary Services Staff1014756166%7.8
Dietitian1014025560%7.3
Medical Director0223655%6
99 Certified Nursing Assistant
% of Days 100%
67 Licensed Practical Nurse
% of Days 100%
10 Physical Therapist
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
5 Clinical Nurse Specialist
% of Days 100%
2 RN Director of Nursing
% of Days 86%
5 Registered Nurse
% of Days 49%
1 Nurse Practitioner
% of Days 72%
1 Administrator
% of Days 72%
1 Other Dietary Services Staff
% of Days 66%
1 Dietitian
% of Days 60%
2 Medical Director
% of Days 5%
View All Staffing Data in San Antonio

Penalties and fines

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)

Total fines amount $130K Rank #186 / 301Federal fines — State benchmarkedThis home is ranked 186th out of 301 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 301 facilities in the pool. Lower total dollars mean a better 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.
62% higher than Texas average

Texas average: $80K

Number of fines 4
61% 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 $130K
Texas average $80K
Penalty History

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.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 9, 2025
$10K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 1, 2023
$9K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 26, 2023
$15K

Last updated: Jan 2026

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. 9.4
9% 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. 19.8
23% worse than Texas average

Texas average: 16.0

Long-stay resident measures
Above average Texas avg: 4.1 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 23.7%
46% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.6%
35% better 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 25.1%
60% 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 6.2%
92% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.8%
82% better than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.2%
50% worse than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.6%
62% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.9%
In line with Texas average

Texas average: 2.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.9%
10% worse than Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.4%
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. 5.25
146% worse 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. 1.17
43% better than Texas average

Texas average: 2.07

Short-stay resident measures
Significantly below average Texas avg: 3.1 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 23.5%
74% worse than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.9%
28% worse than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 31.3%
64% worse 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. 29.1%
12% worse than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.7%
14% worse 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%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

52% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

31% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 140
Medicare
8
5.7% of residents
Medicaid
132
94.3% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info 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."
$7.1M
Net patient income Info 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."
-$356.1K
For-profit Corporation
Net patient revenue Info 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."
$7.1M Rank #229 / 304Revenue — State benchmarkedThis home is ranked 229th out of 304 homes in Texas. Shows this facility's annual revenue compared to the Texas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$356.1K
Other income Info 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.
$522.9K
Payroll costs Info 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 #232 / 304Payroll — State benchmarkedThis home is ranked 232nd out of 304 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.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.
$3.6M 51.2% of net patient revenue Info 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 #159 / 304Payroll % — State benchmarkedThis home is ranked 159th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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.
Other operating costs Info 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).
$3.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.5M
How we calculate these figures

This home is administered by Jose Ruiz.

This home is owned by E&R Cunningham Investments LP

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 455824

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under private pay (52% of admissions), and a typical private pay stay runs around 5 - 6 months.

Admissions
118 total

Coverage residents most often arrive under.

Medicare 18%
Private pay 52%
Medicaid 31%
Discharges
132 total

Coverage residents most often leave under.

Medicare 15%
Private pay 46%
Medicaid 39%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Wurzbach Nursing and Rehabilitation

Address 8.0 miles from city center Info 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)

Calculate Travel Distance to Wurzbach Nursing and Rehabilitation

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Address

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

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31
Facility 31
TX AVG 25.9
Rank #224 / 299
3.1
Facility 3.1
TX AVG 3.7
Rank #133 / 299
253-
47
Facility 47
TX AVG 41
Rank #587 / 1391
Air Force Village Inc
$10.3MFiscal year ending 06/2024
Facility $10.3MFiscal year ending 06/2024
TX AVG $8.4M
Rank #63 / 304
$5.4MFiscal year ending 06/2024
Facility $5.4MFiscal year ending 06/2024
TX AVG $3.5M
Rank #44 / 304
52.2%Fiscal year ending 06/2024
Facility 52.2%Fiscal year ending 06/2024
TX AVG 47%
Rank #84 / 304
676041
Saint Francis Nursing Home
NH
AL
IL
San Antonio (Midtown)
116
Facility 116
TX AVG 80
Rank #275 / 988
--
3.93
Facility 3.93
TX AVG 3.63
Rank #4 / 296
 -+8%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 301
-
Facility -
TX AVG 25.9
Rank #91 / 299
-
Facility -
TX AVG 3.7
Rank #233 / 299
-92-
71
Facility 71
TX AVG 41
Rank #124 / 1391
-
-
Facility -
TX AVG $8.4M
Rank #178 / 304
-
Facility -
TX AVG $3.5M
Rank #156 / 304
-
Facility -
TX AVG 47%
Rank #123 / 304
45F410
Lakeside Nursing and Rehabilitation Center
NH
SNF
San Antonio (Far West Side)
120
Facility 120
TX AVG 80
Rank #210 / 988
84.5%
Facility 84.5%
TX AVG 63.5%
Rank #40 / 304
+33%
3.42
Facility 3.42
TX AVG 3.63
Rank #174 / 296
 +35%-6%
$14.6k
Facility $14.6k
TX AVG $81.8k
Rank #111 / 301
24
Facility 24
TX AVG 25.9
Rank #178 / 299
3.4
Facility 3.4
TX AVG 3.7
Rank #168 / 299
3110-
19
Facility 19
TX AVG 41
Rank #1113 / 1391
Crystal Lake Healthcare, Inc
$11.7MFiscal year ending 03/2024
Facility $11.7MFiscal year ending 03/2024
TX AVG $8.4M
Rank #76 / 304
$7.0MFiscal year ending 03/2024
Facility $7.0MFiscal year ending 03/2024
TX AVG $3.5M
Rank #63 / 304
60.2%Fiscal year ending 03/2024
Facility 60.2%Fiscal year ending 03/2024
TX AVG 47%
Rank #147 / 304
676325
Wurzbach Nursing and Rehabilitation
NH
MC
RC
SNF
San Antonio (Northwest Side)
140
Facility 140
TX AVG 80
Rank #86 / 988
38.6%
Facility 38.6%
TX AVG 63.5%
Rank #274 / 304
-39%
3.23
Facility 3.23
TX AVG 3.63
Rank #222 / 296
 -69%-11%
$34.9k
Facility $34.9k
TX AVG $81.8k
Rank #186 / 301
57
Facility 57
TX AVG 25.9
Rank #290 / 299
4.4
Facility 4.4
TX AVG 3.7
Rank #241 / 299
454C
75
Facility 75
TX AVG 41
Rank #67 / 1391
E&R Cunningham Investments LP
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
TX AVG $8.4M
Rank #229 / 304
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
TX AVG $3.5M
Rank #232 / 304
51.2%Fiscal year ending 12/2023
Facility 51.2%Fiscal year ending 12/2023
TX AVG 47%
Rank #159 / 304
455824
Nursing Home Explorer

Financial Assistance for
Nursing Home in Texas

Wurzbach Nursing and Rehabilitation is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about Wurzbach Nursing and Rehabilitation

What neighborhood is Wurzbach Nursing and Rehabilitation in?

Wurzbach Nursing and Rehabilitation is in the Northwest Side neighborhood of San Antonio.

Who is the owner of Wurzbach Nursing and Rehabilitation?

Wurzbach Nursing and Rehabilitation is legally operated by Caraday Wurzbach LLC, and administered by Jose Ruiz.

Is Wurzbach Nursing and Rehabilitation in a walkable area?

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.

What is the license number of Wurzbach Nursing and Rehabilitation?

According to TX state health department records, Wurzbach Nursing and Rehabilitation's license number is 307662.

When does Wurzbach Nursing and Rehabilitation's license expire?

According to TX state health department records, Wurzbach Nursing and Rehabilitation's license expires on January 1, 2027.

What is the occupancy rate at Wurzbach Nursing and Rehabilitation?

Wurzbach Nursing and Rehabilitation's occupancy is 39%.

Does Wurzbach Nursing and Rehabilitation operate as a for-profit or non-profit?

Wurzbach Nursing and Rehabilitation is registered as a for-profit in TX.

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