All states › Texas › San Antonio › San Antonio West Nursing and Rehabilitation
636 Cupples Rd San Antonio, TX 78237 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 675002 · See this home on Medicare Care Compare
Is San Antonio West Nursing and 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 West Nursing and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below 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 2.77 hours per resident per day at San Antonio West Nursing and Rehabilitation, below the Texas median of 3.30 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 2.35 hours, 15% below its all-week average. Ask how weekends are staffed. 61.1% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at San Antonio West Nursing and Rehabilitation: Medicare and Medicaid
San Antonio West Nursing and 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 April 10, 2026 and found 11 deficiencies, plus 29 from complaint inspections in the same period. In total, inspectors issued 82 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 82 citations at San Antonio West Nursing and Rehabilitation across 27 inspection dates, 52 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 25, 2025 (complaint inspection). The most common areas cited were quality of life and care (15) and resident rights (14). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, January 30, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 30, 2026 · 2 citations · includes complaint inspection
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 14, 2026 · 1 citation · includes complaint inspection
DEnsure that residents are free from significant medication errors.
August 6, 2026 · 3 citations · 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHave policies on smoking.
July 10, 2026 · 3 citations · includes complaint inspection
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 and implement an infection prevention and control program.
DProvide bedrooms that don't allow residents to see each other when privacy is needed.
June 18, 2026 · 1 citation · includes complaint inspection
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
April 30, 2026 · 1 citation · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
April 24, 2026 · 5 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
April 10, 2026 · 12 citations
EEnsure that residents are fully informed and understand their health status, care and treatments.
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure that residents are free from significant medication errors.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DReasonably accommodate the needs and preferences of each resident.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
DEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DProvide and implement an infection prevention and control program.
February 13, 2026 · 4 citations · includes complaint inspection
DKeep residents' personal and medical records private and confidential.
DProvide appropriate foot care.
DProvide and implement an infection prevention and control program.
DHave policies on smoking.
January 9, 2026 · 2 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 19, 2025 · 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.
December 12, 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.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
November 20, 2025 · 1 citation · includes complaint inspection
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
October 25, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
September 4, 2025 · 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.
August 18, 2025 · 4 citations · includes complaint inspection
EHonor 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EKeep all essential equipment working safely.
July 3, 2025 · 1 citation · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 2, 2025 · 2 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
January 30, 2025 · 17 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide activities to meet all resident's needs.
EEnsure the activities program is directed by a qualified professional.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DEnsure 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.
January 10, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
DRespond appropriately to all alleged violations.
December 6, 2024 · 2 citations · includes complaint inspection
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EProvide and implement an infection prevention and control program.
September 20, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
September 1, 2024 · 2 citations · includes complaint inspection
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.
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.
August 10, 2024 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
May 15, 2024 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
December 15, 2023 · 3 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
October 27, 2023 · 2 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Questions to ask on a tour of San Antonio West Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on January 30, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 24, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 61.1% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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
6 penalties in the last three years, including $364,977 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 4, 2025 | Fine | $16,431 |
| Jan 30, 2025 | Fine | $162,019 |
| Jan 30, 2025 | Payment Denial | 16 days of payments denied |
| Jan 10, 2025 | Fine | $15,556 |
| Sep 20, 2024 | Fine | $170,971 |
| Sep 20, 2024 | Payment Denial | 12 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
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Location
Hospitals near San Antonio West Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 3.3 mi
-
3.3 mi
CHRISTUS Santa Rosa Hospital San AntonioEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 50m for patients treated and sent home
-
3.8 mi
Baptist Medical Center San AntonioEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 56m 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 West Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- St. Francis Nursing Home · San Antonio · 5 stars · 4.1 mi
- The Mission at Blue Skies of Texas East · San Antonio · 5 stars · 6.1 mi
- Lakeside Nursing and Rehabilitation Center · San Antonio · 5 stars · 6.8 mi
- Remington Transitional Care of San Antonio · San Antonio · 5 stars · 8.0 mi
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.