All states › Texas › Shavano Park › Estates at Shavano Park
4366 Lockhill Selma Shavano Park, TX 78249 · Bexar County
CMS certification number 745001 · See this home on Medicare Care Compare
Is Estates at Shavano Park 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 Estates at Shavano Park as of October 2026.
CMS rates it 2 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 3.77 hours per resident per day at Estates at Shavano Park, above the Texas median of 3.30 (US median: 3.72). About 0.30 of those hours are from registered nurses. On weekends it falls to 3.26 hours, 14% below its all-week average. 60.8% 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 Estates at Shavano Park: Medicare and Medicaid
Estates at Shavano Park 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 March 13, 2026 and found 12 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 33 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 33 citations at Estates at Shavano Park across 7 inspection dates, 7 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 32 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident assessment and care planning (8) and pharmacy service (6). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level E, March 13, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 20, 2026 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
March 13, 2026 · 12 citations
EEnsure that residents are free from significant medication errors.
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.
DAllow residents to self-administer drugs if determined clinically appropriate.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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.
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 safe and appropriate respiratory care for a resident when needed.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
December 3, 2025 · 2 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
DProvide safe and appropriate respiratory care for a resident when needed.
November 25, 2025 · 2 citations · includes complaint inspection
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.
September 29, 2025 · 2 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
DProvide safe and appropriate respiratory care for a resident when needed.
December 6, 2024 · 6 citations
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure each resident receives an accurate assessment.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
BHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
October 26, 2023 · 8 citations
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure 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.
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.
DEnsure each resident receives an accurate assessment.
DProvide 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.
Questions to ask on a tour of Estates at Shavano Park
- CMS cited the home under its abuse and neglect rules on March 13, 2026. 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?
- Nursing staff turnover was 60.8% 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
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 | 2/5 | 3/5 | 2/5 | 1/5 |
| August 2026 | 3/5 | 3/5 | 2/5 | 2/5 |
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Location
Hospitals near Estates at Shavano Park
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.5 mi
- 3.8 mi
- 3.8 mi
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 Estates at Shavano Park › All nursing homes in Shavano Park ›
Compare Estates at Shavano Park with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Heights on Huebner · San Antonio · 5 stars · 3.2 mi
- Remington Transitional Care of San Antonio · San Antonio · 5 stars · 4.7 mi
- Coronado at Stone Oak · San Antonio · 5 stars · 5.6 mi
- St. Francis Nursing Home · San Antonio · 5 stars · 9.7 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.