All states › Texas › San Antonio › San Antonio Wellness & Rehabilitation
1 Heartland Drive San Antonio, TX 78247 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 455762 · See this home on Medicare Care Compare
Is San Antonio Wellness & Rehabilitation 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 San Antonio Wellness & Rehabilitation 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 3.60 hours per resident per day at San Antonio Wellness & Rehabilitation, above the Texas median of 3.30 (US median: 3.72). About 0.46 of those hours are from registered nurses. On weekends it falls to 3.17 hours, 12% below its all-week average. 39.1% 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 San Antonio Wellness & Rehabilitation: Medicare and Medicaid
San Antonio Wellness & Rehabilitation 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 February 20, 2026 and found 7 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 48 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 48 citations at San Antonio Wellness & Rehabilitation across 9 inspection dates, 36 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 3, 2023 (complaint inspection). The most common areas cited were quality of life and care (9) and resident assessment and care planning (9). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level K, December 3, 2023). 4 citations were under CMS's abuse, neglect and exploitation rules.
February 20, 2026 · 7 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure 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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide and implement an infection prevention and control program.
January 16, 2026 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
September 11, 2025 · 3 citations · includes complaint inspection
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
DProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 2, 2025 · 3 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
November 8, 2024 · 5 citations
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
October 18, 2024 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
January 16, 2024 · 6 citations · includes complaint inspection
EProvide or obtain dental services for each resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DProvide and implement an infection prevention and control program.
December 3, 2023 · 4 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that residents are free from significant medication errors.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 6, 2023 · 18 citations · includes complaint inspection
EEnsure 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.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
EEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
EConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
EProvide training in compliance and ethics.
EProvide behavior health training consistent with the requirements and as determined by a facility assessment.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of San Antonio Wellness & Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on December 3, 2023 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 11, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- 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
2 penalties in the last three years, including $104,627 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 3, 2023 | Fine | $104,627 |
| Dec 3, 2023 | Payment Denial | 11 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near San Antonio Wellness & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 3.7 mi
-
5.7 mi
Baptist Neighborhood Hospital Thousand Oaks San AntonioEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 1h 55m for patients treated and sent home
-
6.1 mi
Methodist Stone Oak Hospital San AntonioEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 46m 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
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Compare San Antonio Wellness & Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Army Residence Community · San Antonio · 5 stars · 4.9 mi
- Coronado at Stone Oak · San Antonio · 5 stars · 7.7 mi
- The Village at Incarnate Word · San Antonio · 4 stars · 9.6 mi
Other Opco Skilled Management nursing homes in Texas
- Brentwood Place One · Dallas · 5 stars
- Brentwood Place Two · Dallas · 4 stars
- Cypress Springs Wellness & Rehabilitation · Mount Vernon · 3 stars
- Ft. Worth Southwest Nursing Center · Fort Worth · 3 stars
- Village Creek Nursing & Rehabilitation · Fort Worth · 3 stars
- Brentwood Place Four · Dallas · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 68 Opco Skilled Management 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.