San Antonio West Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 636 Cupples Rd, San Antonio, TX 78237
- CCN
- 675002
- Ownership type
- For-profit, corporation
- Certified beds
- 135
- Chain
- None in the CMS record
- Residents per day
- 102
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives San Antonio West Nursing and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 10 Apr 2026. The latest survey cycle has 37 health citations. The median for nursing homes in Texas is 8. CMS lists 4 fines with a total of $364,695 for this home in its penalties file. CMS also lists 2 payment denials.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Bexar County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 62 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 10 Apr 2026 | 37 | 8 |
| Cycle 2 | 30 Jan 2025 | 30 | 8 |
| Cycle 3 | No date | 6 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 37 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 19 Jun 2026 |
| 30 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 1 May 2026 |
| 24 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 18 May 2026 |
| 24 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 May 2026 |
| 24 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 May 2026 |
| 24 Apr 2026 | 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 | 18 May 2026 |
| 24 Apr 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 18 May 2026 |
| 10 Apr 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 4 May 2026 |
| 10 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 11 Apr 2026 |
| 10 Apr 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 22 May 2026 |
| 10 Apr 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 4 May 2026 |
| 10 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 4 May 2026 |
| 10 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 4 May 2026 |
| 10 Apr 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. | D | Standard survey | 4 May 2026 |
| 10 Apr 2026 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 4 May 2026 |
| 10 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Apr 2026 |
| 10 Apr 2026 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 11 Apr 2026 |
| 10 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Apr 2026 |
| 10 Apr 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 11 Apr 2026 |
| 13 Feb 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 14 Feb 2026 |
| 13 Feb 2026 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 14 Feb 2026 |
| 13 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Feb 2026 |
| 13 Feb 2026 | F0926 | Have policies on smoking. | D | Complaint investigation | 14 Feb 2026 |
| 9 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 10 Jan 2026 |
| 9 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 | 10 Jan 2026 |
| 19 Dec 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 | 20 Dec 2025 |
| 12 Dec 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 Dec 2025 |
| 12 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 12 Dec 2025 |
| 12 Dec 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 | 12 Dec 2025 |
| 20 Nov 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 21 Nov 2025 |
| 25 Oct 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 26 Oct 2025 |
| 25 Oct 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | J | Complaint investigation | 26 Oct 2025 |
| 4 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 | 5 Sep 2025 |
| 18 Aug 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 19 Aug 2025 |
| 18 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 19 Aug 2025 |
| 18 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 19 Aug 2025 |
| 18 Aug 2025 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 19 Aug 2025 |
Survey cycle 2: 30 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Jul 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 4 Jul 2025 |
| 2 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 3 May 2025 |
| 2 May 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 3 May 2025 |
| 30 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 31 Jan 2025 |
| 30 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 31 Jan 2025 |
| 30 Jan 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | 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 | 31 Jan 2025 |
| 30 Jan 2025 | 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. | D | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 31 Jan 2025 |
| 30 Jan 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 31 Jan 2025 |
| 10 Jan 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Jan 2025 |
| 10 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 26 May 2024 |
| 10 Jan 2025 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | Complaint investigation | 30 Jan 2025 |
| 6 Dec 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Complaint investigation | 9 Dec 2024 |
| 6 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 9 Dec 2024 |
| 20 Sep 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 31 Oct 2024 |
| 20 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 31 Oct 2024 |
| 1 Sep 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 1 Oct 2024 |
| 1 Sep 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 | 1 Oct 2024 |
| 10 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Sep 2024 |
Survey cycle 3: 6 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 30 Jun 2024 |
| 15 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 31 Jan 2024 |
| 15 Dec 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 | Standard survey | 31 Jan 2024 |
| 15 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 Jan 2024 |
| 27 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 15 Dec 2023 |
| 27 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 | 15 Dec 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 4 Sep 2025 | Fine | $16,149 | |
| 30 Jan 2025 | Fine | $162,019 | |
| 30 Jan 2025 | Payment denial | 16 | |
| 10 Jan 2025 | Fine | $15,556 | |
| 20 Sep 2024 | Fine | $170,971 | |
| 20 Sep 2024 | Payment denial | 12 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 2.75 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.33 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.90 | 0.95 | |
| Nurse aides | 1.52 | 2.00 | |
| All nurse staff, weekends | 2.43 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 63.6%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 33.3%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.9% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Maverick County Hospital District
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Maverick County Hospital Distict | 5% or greater direct ownership interest | 100% | 1 Aug 2022 |
| Maverick County Hospital Distict | Operational/managerial control | 1 Aug 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in Bexar County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Sarah Roberts French Home | San Antonio | 2 of 5 | 4 | $0 | 5 Feb 2026 | |
| Avir at San Antonio | San Antonio | 1 of 5 | 24 | $29,494 | 30 Aug 2025 | |
| Memorial Medical Nursing and Rehabilitation | San Antonio | 1 of 5 | 21 | $35,396 | 11 Jun 2025 | |
| San Antonio North Nursing and Rehabilitation | San Antonio | 1 of 5 | 22 | $17,268 | 31 Jul 2025 | |
| St. Francis Nursing Home | San Antonio | 4 of 5 | 4 | $0 | 23 Jan 2026 | |
| San Pedro Manor | San Antonio | 4 of 5 | 7 | $24,285 | 8 Aug 2025 | |
| Meridian Care Monte Vista | San Antonio | 1 of 5 | 15 | $23,438 | 13 Feb 2026 | |
| Legend Oaks Healthcare and Rehabilitation Center - | San Antonio | 3 of 5 | 15 | $0 | 4 Dec 2025 | |
| San Jose Nursing Center | San Antonio | 3 of 5 | 16 | $0 | 11 Apr 2025 | |
| Morningside Manor | San Antonio | 4 of 5 | 11 | $5,000 | 7 Aug 2025 | |
| Inspiration Hills Rehabilitation Center | San Antonio | 3 of 5 | 13 | $0 | 4 Jun 2026 | |
| Windsor Mission Oaks | San Antonio | 3 of 5 | 11 | $10,842 | 27 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of San Antonio West Nursing and Rehabilitation (CCN 675002). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/san-antonio-west-nursing-and-rehabilitation-san-antonio-tx-675002/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was San Antonio West Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 18 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 30 Jan 2025.
- Who operates San Antonio West Nursing and Rehabilitation?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists no chain for the home. The CMS ownership file names Maverick County Hospital Distict for operational or managerial control. This site does not show the names of persons.
- Is San Antonio West Nursing and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.