PlainNursing
CMS Nursing Home Compare · August 2026

San Antonio West Nursing and Rehabilitation

636 Cupples Rd, San Antonio, TX 78237 · All homes in San Antonio

San Antonio West Nursing and Rehabilitation, a 135-bed for profit - corporation nursing facility in San Antonio, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,158 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2104340611

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1 / 5
Much below average · CMS overall · nat'l 3.0
#1,158 of 1,165
In-state rank among rated TX homes
2.75
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 2 serious

The verdict

San Antonio West Nursing and Rehabilitation, a 135-bed for profit - corporation nursing facility in San Antonio, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,158 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#1,158 of 1,165
In-state rank among rated TX homes
2.75
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675002
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
135
Residents
102
In Hospital
No
County
Bexar
Last Inspection
Apr 10, 2026

Staffing Data

How the 2.75 total nursing hours per resident-day are staffed:

RN Hours
0.33 (nat'l avg: 0.69)
LPN Hours
0.90
CNA Hours
1.52
Total Nursing Hours
2.75 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
63.6%
RN Turnover
33.3%

What the CMS Record Reveals About San Antonio West Nursing and Rehabilitation

According to CMS Nursing Home Compare, San Antonio West Nursing and Rehabilitation ranks #1,158 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). San Antonio West Nursing and Rehabilitation operates 135 certified beds in San Antonio, TX with approximately 102 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 2★).

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $365K against this provider. Per resident day, this facility reports 2.75 total nursing hours (national average 3.86) and 0.33 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, San Antonio West Nursing and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 63.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

F - Widespread - Minimal harm Jun 18, 2026 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Jun 19, 2026

E - Pattern - Minimal harm Apr 30, 2026 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: May 1, 2026

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 18, 2026

D - Isolated - Minimal harm Apr 10, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 11, 2026

D - Isolated - Minimal harm Apr 10, 2026 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Apr 11, 2026

D - Isolated - Minimal harm Apr 10, 2026 Tag: 0808

Ensure 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.

Category: Nutrition and Dietary Deficiencies

Corrected: May 4, 2026

D - Isolated - Minimal harm Apr 10, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 4, 2026

D - Isolated - Minimal harm Apr 10, 2026 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 4, 2026

D - Isolated - Minimal harm Apr 10, 2026 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Apr 11, 2026

E - Pattern - Minimal harm Apr 10, 2026 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Apr 11, 2026

E - Pattern - Minimal harm Apr 10, 2026 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 11, 2026

E - Pattern - Minimal harm Apr 10, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 4, 2026

E - Pattern - Minimal harm Apr 10, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 4, 2026

E - Pattern - Minimal harm Apr 10, 2026 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: May 22, 2026

E - Pattern - Minimal harm Apr 10, 2026 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: May 4, 2026

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Feb 14, 2026

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 14, 2026

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 14, 2026

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Feb 14, 2026

D - Isolated - Minimal harm Jan 9, 2026 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 10, 2026

E - Pattern - Minimal harm Jan 9, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 10, 2026

D - Isolated - Minimal harm Dec 19, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2025

D - Isolated - Minimal harm Dec 12, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 12, 2025

D - Isolated - Minimal harm Dec 12, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Dec 12, 2025

D - Isolated - Minimal harm Dec 12, 2025 Tag: 0559

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Category: Resident Rights Deficiencies

Corrected: Dec 12, 2025

D - Isolated - Minimal harm Nov 20, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 21, 2025

G - Isolated - Actual harm Oct 25, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 26, 2025

J - Isolated - Jeopardy Oct 25, 2025 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Oct 26, 2025

D - Isolated - Minimal harm Sep 4, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 5, 2025

E - Pattern - Minimal harm Aug 18, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Aug 19, 2025

E - Pattern - Minimal harm Aug 18, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 19, 2025

E - Pattern - Minimal harm Aug 18, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 19, 2025

E - Pattern - Minimal harm Aug 18, 2025 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Aug 19, 2025

E - Pattern - Minimal harm Jul 3, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 4, 2025

E - Pattern - Minimal harm May 2, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 3, 2025

E - Pattern - Minimal harm May 2, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: May 3, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0803

Ensure 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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 31, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 31, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Jan 31, 2025

D - Isolated - Minimal harm Jan 30, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Jan 31, 2025

E - Pattern - Minimal harm Jan 30, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jan 31, 2025

E - Pattern - Minimal harm Jan 30, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 31, 2025

E - Pattern - Minimal harm Jan 30, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 31, 2025

E - Pattern - Minimal harm Jan 30, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 31, 2025

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 5.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 8.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 77.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 74.2% No

Penalty History 4 penalties totaling $365K

Date Type Amount
Sep 4, 2025 Fine $16K
Jan 30, 2025 Fine $162K
Jan 30, 2025 Payment Denial -
Jan 10, 2025 Fine $16K
Sep 20, 2024 Fine $171K
Sep 20, 2024 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for San Antonio West Nursing and Rehabilitation, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for San Antonio West Nursing and Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 135 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for San Antonio West Nursing and Rehabilitation?
San Antonio West Nursing and Rehabilitation has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (2★).
Where does San Antonio West Nursing and Rehabilitation rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), San Antonio West Nursing and Rehabilitation ranks 1,158th among 1,165 rated nursing homes in TX (#1,158 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at San Antonio West Nursing and Rehabilitation?
San Antonio West Nursing and Rehabilitation reports 2.75 total nursing hours per resident day (national average: 3.86). RN hours are 0.33 per resident day (national average: 0.69). Nursing staff turnover is 63.6%.
How many beds does San Antonio West Nursing and Rehabilitation have?
San Antonio West Nursing and Rehabilitation has 135 certified beds with approximately 102 residents. The facility is located at 636 Cupples Rd, San Antonio, TX 78237.
Does San Antonio West Nursing and Rehabilitation have any deficiencies on record?
Yes, San Antonio West Nursing and Rehabilitation has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has San Antonio West Nursing and Rehabilitation received any fines or penalties?
Yes, San Antonio West Nursing and Rehabilitation has received 4 penalties totaling $365K.
Who owns San Antonio West Nursing and Rehabilitation?
San Antonio West Nursing and Rehabilitation is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was San Antonio West Nursing and Rehabilitation last inspected?
The most recent health inspection for San Antonio West Nursing and Rehabilitation was on Apr 10, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for San Antonio West Nursing and Rehabilitation?
San Antonio West Nursing and Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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