Texas › Bexar County › San Antonio
San Antonio Wellness & Rehabilitation
1 Heartland Drive, San Antonio, TX 78247
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
San Antonio Wellness & Rehabilitation, in San Antonio, Texas, is certified for 154 beds under for-profit, corporation ownership and belongs to the Opco Skilled Management chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 51 health deficiencies across the three most recent survey cycles (11, 9, 31 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 33.1 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $105K and 1 payment denial.
Reported nurse staffing is 3.5 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 35.4%.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 51 | 38 | 25 | 28.7 |
| Citations per 100 beds | 33.1 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 35.4% | 50.0% | 52.1% | 45.8% |
| Fines listed | $104,627 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Feb 2026, 8 Nov 2024.
Severity mix: K ×1 D ×36 E ×13 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Feb 2026 |
| 16 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 Jan 2026 |
| 11 Sep 2025 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 12 Sep 2025 |
| 11 Sep 2025 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint investigation | 12 Sep 2025 |
| 11 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 12 Sep 2025 |
| 2 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Jul 2025 |
| 2 Jul 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 3 Jul 2025 |
| 2 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 3 Jul 2025 |
| 8 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 9 Nov 2024 |
| 8 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Nov 2024 |
| 8 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 9 Nov 2024 |
| 8 Nov 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 9 Nov 2024 |
| 8 Nov 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 9 Nov 2024 |
| 18 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Oct 2024 |
| 16 Jan 2024 | F0791 | Provide or obtain dental services for each resident. | E | Complaint investigation | 17 Jan 2024 |
| 16 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Jan 2024 |
| 16 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Jan 2024 |
| 16 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 17 Jan 2024 |
| 16 Jan 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 17 Jan 2024 |
| 16 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 17 Jan 2024 |
| 3 Dec 2023 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 4 Dec 2023 |
| 3 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 10 Jan 2024 |
| 3 Dec 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 4 Dec 2023 |
| 3 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 10 Jan 2024 |
| 6 Oct 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0946 | Provide training in compliance and ethics. | E | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 10 Nov 2023 |
| 6 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Nov 2023 |
| 21 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 13 Oct 2023 |
| 23 Aug 2023 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 24 Aug 2023 |
| 23 Aug 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 24 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Dec 2023 | Payment denial | — | 11 days |
| 3 Dec 2023 | Fine | $104,627 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 35.4%, RNs 37.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.7% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Frio Hospital District. Chain: Opco Skilled Management (66 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Frio Hospital District | 5% or greater direct ownership interest | 100% | 01/01/2024 |
| Heartland Post Acute LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| 1 Heartland Drive Tx, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Continuum Rehab Group LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Magnolia Realty, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Millennial Acquisitions, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Opco Ca Skilled Mgmt Inc. | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Opco Texas Skilled Mgmt LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Oregon Realty, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Scooper Realty, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Windsor Square Realty, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has San Antonio Wellness & Rehabilitation been cited for?
51 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has San Antonio Wellness & Rehabilitation been fined?
Yes. CMS lists fines totalling $105K in the period covered, plus 1 payment denial.
How does staffing at San Antonio Wellness & Rehabilitation compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates San Antonio Wellness & Rehabilitation?
It is part of the Opco Skilled Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Frio Hospital District and Heartland Post Acute LLC. Individual owners and managers are not listed on this site.
When was San Antonio Wellness & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 20 Feb 2026; the most recent standard health survey was 20 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.