The Lev at San Antonio
7703 Briaridge Drive · San Antonio, TX · 78230 · 2103416121
106 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $174,496 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$174,496 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 1 · $174,496 |
Inspection citations (41 in the current record)
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Potential for harm · D March 19, 2026 · 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 March 23, 2026 · Pharmacy Service
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Potential for harm · D September 11, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 17, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 17, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
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 September 17, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 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 September 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 17, 2025 · Quality of Life and Care
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Potential for harm · D September 11, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 17, 2025 · Pharmacy Service
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Potential for harm · D September 11, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 17, 2025 · Pharmacy Service
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Potential for harm · E September 11, 2025
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 September 17, 2025 · Pharmacy Service
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Potential for harm · E September 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 17, 2025 · Nutrition and Dietary
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Potential for harm · D September 11, 2025
Provide and implement an infection prevention and control program.
Corrected September 17, 2025 · Infection Control
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Potential for harm · F September 11, 2025
Keep all essential equipment working safely.
Corrected September 17, 2025 · Environmental
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No harm found · C September 11, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected September 17, 2025 · Resident Rights
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No harm found · C September 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 September 17, 2025 · Resident Rights
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Potential for harm · D August 14, 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 August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · 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 April 7, 2025 · Resident Rights
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Potential for harm · D April 3, 2025 · 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 April 7, 2025 · Resident Rights
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Immediate jeopardy · K August 30, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 3, 2024 · Quality of Life and Care
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Potential for harm · D August 30, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 4, 2024 · Resident Rights
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Potential for harm · D August 30, 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 September 6, 2024 · Resident Rights
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Potential for harm · E August 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 3, 2024 · Nutrition and Dietary
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Potential for harm · E August 30, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 23, 2024 · Infection Control
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Potential for harm · D August 9, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected August 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 9, 2024 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 23, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 30, 2024 | Fine | $174,496 |
| August 30, 2024 | Payment Denial | 8 days |
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 455742 · certified since April 1, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.