Inspiration Hills Rehabilitation Center
1939 Bandera Rd · San Antonio, TX · 78228 · 2104340671
134 certified beds For profit - Individual Chain: Paramount Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D March 5, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 6, 2026 · Infection Control
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Potential for harm · D November 26, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 4, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · D April 4, 2025
Ensure that residents are free from significant medication errors.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · F April 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 23, 2025 · Nutrition and Dietary
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Potential for harm · D April 4, 2025
Provide and implement an infection prevention and control program.
Corrected April 7, 2025 · Infection Control
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Potential for harm · E April 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · F February 23, 2024
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected February 28, 2024 · Resident Rights
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Potential for harm · D February 23, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 23, 2024
Ensure that residents are free from significant medication errors.
Corrected February 28, 2024 · Pharmacy Service
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Potential for harm · D February 23, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected February 28, 2024 · Administration
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Potential for harm · D February 23, 2024
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected February 28, 2024 · Administration
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Potential for harm · D February 23, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 28, 2024 · Resident Assessment and Care Planning
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No harm found · B January 11, 2024 · found via complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected January 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 18, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected January 20, 2023 · Resident Rights
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Potential for harm · D January 18, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected January 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 18, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 26, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 18, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 26, 2023 · Quality of Life and Care
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Potential for harm · D January 18, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 20, 2023 · Pharmacy Service
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Potential for harm · E January 18, 2023
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.
Corrected January 20, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675138 · certified since March 19, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.