Wurzbach Nursing and Rehabilitation

8300 Wurzbach Rd · San Antonio, TX · 78229 · 2106172200

140 certified beds For profit - Corporation Chain: Caraday Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $10,361 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 76
Staffing 20% 49
Federal penalties 15% 45
Trend 10% 78
Context 5% 100

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-day3.133.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day2.76≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)3 · $34,945

Inspection citations (56 in the current record)

  • Potential for harm · D June 13, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 14, 2025 · Resident Rights

  • Potential for harm · D June 13, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected June 14, 2025 · Resident Rights

  • Potential for harm · E June 13, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 14, 2025 · Quality of Life and Care

  • Potential for harm · D June 13, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected June 14, 2025 · Quality of Life and Care

  • Potential for harm · D June 13, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 14, 2025 · Quality of Life and Care

  • Potential for harm · E June 13, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 14, 2025 · Pharmacy Service

  • Potential for harm · D June 13, 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 June 14, 2025 · Pharmacy Service

  • Potential for harm · E June 13, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 14, 2025 · Nutrition and Dietary

  • Potential for harm · D June 13, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 14, 2025 · Infection Control

  • Potential for harm · D June 13, 2025

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected June 14, 2025 · Administration

  • Potential for harm · D June 13, 2025

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Corrected June 14, 2025 · Administration

  • Potential for harm · D June 13, 2025

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Corrected June 14, 2025 · Resident Rights

  • Potential for harm · D June 13, 2025

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected June 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 13, 2025

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected June 14, 2025 · Administration

  • Potential for harm · D June 13, 2025

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Corrected June 14, 2025 · Infection Control

  • Potential for harm · D June 13, 2025

    Provide training in compliance and ethics.

    Corrected June 14, 2025 · Administration

  • Potential for harm · D June 13, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected June 14, 2025 · Nursing and Physician Services

  • Potential for harm · D June 13, 2025

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Corrected June 14, 2025 · Administration

  • Potential for harm · D May 16, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J March 9, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 26, 2024 · Quality of Life and Care

  • Potential for harm · D March 9, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected March 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 9, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 9, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 17, 2025 · Pharmacy Service

  • Potential for harm · E December 6, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 10, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 9, 2025Fine$10,361
December 1, 2023Fine$9,315
October 26, 2023Fine$15,269

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 455824 · certified since June 2, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.