San Jose Nursing Center
406 Sharmain Pl · San Antonio, TX · 78221 · 2109248136
55 certified beds For profit - Corporation
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 composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 2.75 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · D April 11, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 16, 2025 · Resident Rights
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Potential for harm · D April 11, 2025
Keep residents' personal and medical records private and confidential.
Corrected May 16, 2025 · Resident Rights
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Potential for harm · D April 11, 2025
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.
Corrected May 16, 2025 · Resident Rights
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Potential for harm · D April 11, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 11, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 11, 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 May 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · D April 11, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · E April 11, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · E April 11, 2025
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 16, 2025 · Pharmacy Service
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Potential for harm · E April 11, 2025
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.
Corrected May 16, 2025 · Nutrition and Dietary
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Potential for harm · E April 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 16, 2025 · Nutrition and Dietary
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Potential for harm · D April 11, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2025 · found via complaint
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.
Corrected May 16, 2025 · Administration
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No harm found · B April 11, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected May 16, 2025 · Environmental
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Potential for harm · D January 30, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2025 · found via complaint
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected March 5, 2025 · Nursing and Physician Services
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Potential for harm · D January 30, 2025 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected March 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 8, 2024
Maintain 15 months of resident assessments in the resident's active clinical record.
Corrected April 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 8, 2024
Ensure each resident receives an accurate assessment.
Corrected April 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 8, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 5, 2024 · Environmental
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No harm found · B March 8, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected April 5, 2024 · Environmental
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Potential for harm · D December 20, 2023 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected January 22, 2024 · Resident Rights
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Potential for harm · D December 20, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 22, 2024 · Resident Rights
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 45E312 · certified since March 31, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.