All states › Texas › San Antonio › Inspiration Hills Rehabilitation Center
1939 Bandera Rd San Antonio, TX 78228 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 675138 · See this home on Medicare Care Compare
Is Inspiration Hills Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Inspiration Hills Rehabilitation Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.14 hours per resident per day at Inspiration Hills Rehabilitation Center, below the Texas median of 3.30 (US median: 3.72). About 0.26 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 9% below its all-week average. 38.5% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Inspiration Hills Rehabilitation Center: Medicare and Medicaid
Inspiration Hills Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 4, 2026 and found 11 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 30 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 30 citations at Inspiration Hills Rehabilitation Center across 6 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 29 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were quality of life and care (9) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, April 4, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 4, 2026 · 11 citations
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide activities to meet all resident's needs.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide safe and appropriate respiratory care for a resident when needed.
March 5, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
November 26, 2025 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
April 4, 2025 · 10 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DAssist a resident in gaining access to vision and hearing services.
DProvide 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.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
February 23, 2024 · 6 citations
FHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that residents are free from significant medication errors.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
January 11, 2024 · 1 citation · includes complaint inspection
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Questions to ask on a tour of Inspiration Hills Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on June 4, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
Add this rating badge to your websiteFree. Shows Inspiration Hills Rehabilitation Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Inspiration Hills Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.9 mi
-
2.3 mi
San Antonio VA Medical Center (VA South Texas Healthcare System) San AntonioEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 43m for patients treated and sent home
-
2.5 mi
University Health System San AntonioEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 6h 6m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Inspiration Hills Rehabilitation Center › All nursing homes in San Antonio ›
Compare Inspiration Hills Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Remington Transitional Care of San Antonio · San Antonio · 5 stars · 3.2 mi
- The Heights on Huebner · San Antonio · 5 stars · 4.5 mi
- St. Francis Nursing Home · San Antonio · 5 stars · 4.6 mi
- Lakeside Nursing and Rehabilitation Center · San Antonio · 5 stars · 5.6 mi
Other Paramount Healthcare nursing homes in Texas
- Lindan Park Care Center · Richardson · 5 stars
- The Atrium Rehabilitation Center · San Antonio · 4 stars
- Stonemere Rehabilitation Center · Frisco · 4 stars
- The Laurenwood Nursing and Rehabilitation · Duncanville · 3 stars
- Golden Estates Rehabilitation Center · San Antonio · 1 stars
- The Lennwood Nursing and Rehabilitation · Dallas · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Paramount Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.