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THE VILLAGE AT INCARNATE WORD

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THE VILLAGE AT INCARNATE WORD is a non profit - corporation facility in SAN ANTONIO, TX with 60 certified beds and a 4-star overall CMS rating. The facility has 13 deficiency records on file.

4707 BROADWAY STREET, SAN ANTONIO, TX 78209

Phone: 2108297561

Overall Rating

4/5

Health Inspection

4/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
676498
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
60
Residents
54
In Hospital
No
County
Bexar
Last Inspection
Dec 12, 2025

Staffing Data

RN Hours
0.36 (nat'l avg: 0.68)
LPN Hours
0.96
CNA Hours
2.73
Total Nursing Hours
4.05 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
43.1%
RN Turnover
50.0%

What the CMS Record Reveals About THE VILLAGE AT INCARNATE WORD

THE VILLAGE AT INCARNATE WORD operates 60 certified beds in SAN ANTONIO, TX with approximately 54 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (3★), and quality measures (4★). 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.

The inspection file contains 13 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.05 total nursing hours per resident day (national average 3.89), with RN coverage at 0.36 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, THE VILLAGE AT INCARNATE WORD falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 43.1%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (13 most recent)

D — Isolated - Minimal harm May 16, 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: Dec 23, 2024

E — Pattern - Minimal harm Sep 27, 2024 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: Oct 1, 2024

D — Isolated - Minimal harm Sep 27, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 25, 2024

D — Isolated - Minimal harm Sep 27, 2024 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: Oct 25, 2024

E — Pattern - Minimal harm Sep 27, 2024 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 25, 2024

F — Widespread - Minimal harm Sep 27, 2024 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: Oct 25, 2024

D — Isolated - Minimal harm Sep 27, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Oct 25, 2024

E — Pattern - Minimal harm Sep 27, 2024 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: Oct 25, 2024

D — Isolated - Minimal harm Sep 27, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 25, 2024

D — Isolated - Minimal harm Aug 11, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 12, 2023

E — Pattern - Minimal harm Aug 11, 2023 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 12, 2023

D — Isolated - Minimal harm Aug 11, 2023 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: Aug 12, 2023

D — Isolated - Minimal harm Aug 11, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 12, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 92.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 83.5% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 79.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 35.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for THE VILLAGE AT INCARNATE WORD?
THE VILLAGE AT INCARNATE WORD has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at THE VILLAGE AT INCARNATE WORD?
THE VILLAGE AT INCARNATE WORD reports 4.05 total nursing hours per resident day (national average: 3.89). RN hours are 0.36 per resident day (national average: 0.68). Nursing staff turnover is 43.1%.
How many beds does THE VILLAGE AT INCARNATE WORD have?
THE VILLAGE AT INCARNATE WORD has 60 certified beds with approximately 54 residents. The facility is located at 4707 BROADWAY STREET, SAN ANTONIO, TX 78209.
Does THE VILLAGE AT INCARNATE WORD have any deficiencies on record?
Yes, THE VILLAGE AT INCARNATE WORD has 13 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has THE VILLAGE AT INCARNATE WORD received any fines or penalties?
No, THE VILLAGE AT INCARNATE WORD has no fines or penalties on record.
Who owns THE VILLAGE AT INCARNATE WORD?
THE VILLAGE AT INCARNATE WORD is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was THE VILLAGE AT INCARNATE WORD last inspected?
The most recent health inspection for THE VILLAGE AT INCARNATE WORD was on Dec 12, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for THE VILLAGE AT INCARNATE WORD?
THE VILLAGE AT INCARNATE WORD 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial