San Antonio Wellness & Rehabilitation
One Heartland Dr · San Antonio, TX · 78247 · 2106531219
154 certified beds For profit - Corporation Chain: Opco Skilled Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 1 · $104,627 |
Inspection citations (47 in the current record)
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Potential for harm · D January 16, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D September 11, 2025 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected September 12, 2025 · Resident Rights
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Potential for harm · D September 11, 2025 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected September 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 12, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 2, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 2, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 8, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 9, 2024 · Resident Rights
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Potential for harm · D November 8, 2024
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.
Corrected November 9, 2024 · Resident Rights
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Potential for harm · E November 8, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 9, 2024 · Quality of Life and Care
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Potential for harm · D November 8, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 9, 2024 · Nutrition and Dietary
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Potential for harm · E November 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 9, 2024 · Nutrition and Dietary
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Potential for harm · D October 18, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 19, 2024 · Infection Control
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Potential for harm · D January 16, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 16, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 17, 2024 · Quality of Life and Care
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Potential for harm · D January 16, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 17, 2024 · Quality of Life and Care
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Potential for harm · D January 16, 2024 · found via complaint
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.
Corrected January 17, 2024 · Nursing and Physician Services
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Potential for harm · E January 16, 2024 · found via complaint
Provide or obtain dental services for each resident.
Corrected January 17, 2024 · Quality of Life and Care
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Potential for harm · D January 16, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 17, 2024 · Infection Control
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Immediate jeopardy · K December 3, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 4, 2023 · Pharmacy Service
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Potential for harm · E December 3, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 10, 2024 · Pharmacy Service
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Potential for harm · D December 3, 2023 · found via complaint
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 December 4, 2023 · Pharmacy Service
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Potential for harm · D December 3, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 6, 2023 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected November 10, 2023 · Resident Rights
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Potential for harm · D October 6, 2023 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected November 10, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 3, 2023 | Fine | $104,627 |
| December 3, 2023 | Payment Denial | 11 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455762 · certified since July 11, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.