Elder Care Record

Texas › Bexar County › San Antonio

San Pedro Manor

515 W Ashby Pl, San Antonio, TX 78212

CCN 455689 · Government, hospital district · 150 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Pedro Manor is a Government, hospital district nursing home in San Antonio, Texas, certified for 150 beds and caring for about 97 residents a day.

CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.

Inspectors recorded 30 health deficiencies across the three most recent survey cycles (7, 14, 9 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 20.0 per 100 beds, about the same as the state median of 22.5.

CMS lists 3 penalties in the period covered: fines totalling $24K and 1 payment denial.

Reported nurse staffing is 3.7 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 45.6%.

30health deficiencies, 3 survey cycles2 at actual harm or worse
$24Kfines listed by CMS3 penalties in period
3.7nurse hours per resident per daystate median 3.3
65%occupancy (residents ÷ beds)97 residents a day

Compared with county, state and nation

MeasureThis facilityBexar Co. medianTexas medianUS average
Overall star rating4233.0
Health citations, 3 cycles30382528.7
Citations per 100 beds20.032.622.526.8
Total nurse hours per resident day3.73.33.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover45.6%50.0%52.1%45.8%
Fines listed$24,285$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

Cycle 1 (latest)7
Cycle 214
Cycle 39

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Aug 2025, 27 Jun 2024.

Severity mix: J ×1 G ×1 D ×14 E ×11 F ×2 C ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Apr 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation4 May 2026
8 Aug 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey9 Aug 2025
8 Aug 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey9 Aug 2025
8 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey9 Aug 2025
8 Aug 2025F0880Provide and implement an infection prevention and control program.EStandard survey9 Aug 2025
8 Aug 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey9 Aug 2025
8 Aug 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.CStandard survey9 Aug 2025
30 Jul 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation31 Jul 2025
17 Jul 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation18 Jul 2025
9 May 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation6 Jun 2025
27 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey5 Aug 2024
27 Jun 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey5 Aug 2024
27 Jun 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation5 Aug 2024
27 Jun 2024F0880Provide and implement an infection prevention and control program.EStandard survey5 Aug 2024
27 Jun 2024F0908Keep all essential equipment working safely.EComplaint investigation5 Aug 2024
27 Jun 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation5 Aug 2024
27 Jun 2024F0584Honor 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.DComplaint investigation5 Aug 2024
27 Jun 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey5 Aug 2024
27 Jun 2024F0693Ensure 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.DStandard survey5 Aug 2024
27 Jun 2024F0760Ensure that residents are free from significant medication errors.DStandard survey5 Aug 2024
27 Jun 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation5 Aug 2024
27 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation5 Aug 2024
17 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation22 Dec 2023
17 May 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation18 May 2024
2 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation3 Apr 2024
12 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey15 May 2023
12 May 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey15 May 2023
12 May 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey15 May 2023
12 May 2023F0641Ensure each resident receives an accurate assessment.DStandard survey15 May 2023
12 May 2023F0814Dispose of garbage and refuse properly.DStandard survey15 May 2023

Penalties

DateTypeAmountDetail
27 Jun 2024Payment denial—72 days
27 Jun 2024Fine$14,063
17 May 2024Fine$10,222

Staffing

Total nursing3.67 h
Nurse aides2.24 h
LPN1.09 h
RN0.35 h
Weekend total3.23 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 45.6%, RNs 72.7%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.2%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay25.7%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.0%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: government, hospital district. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Army Residence CommunitySan Antonio915541819.8—5 Jun 2025
Coronado At Stone OakSan Antonio1125432421.4—28 Jan 2026
Lakeside Nursing and Rehabilitation CenterSan Antonio1185422319.5$15K5 Jun 2026
The Mission At Blue Skies of Texas EastSan Antonio805442531.3$17K8 Aug 2025
Morningside ManorSan Antonio1474332617.7$5K11 Apr 2026
Pecan Valley Rehabilitation and HealthcareSan Antonio1244412520.2—29 Apr 2026
Remington Transitional Care of San AntonioSan Antonio604332338.3—15 Dec 2025
St. Francis Nursing HomeSan Antonio1074432018.7—23 Jan 2026

All 62 facilities in Bexar County

Questions and answers

How many deficiencies has San Pedro Manor been cited for?

30 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has San Pedro Manor been fined?

Yes. CMS lists fines totalling $24K in the period covered, plus 1 payment denial.

How does staffing at San Pedro Manor compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates San Pedro Manor?

Ownership type is government, hospital district. Individual owners and managers are not listed on this site.

When was San Pedro Manor last inspected?

The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 8 Aug 2025.

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.