San Pedro Manor

Nursing home in San Antonio, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (210) 732-5181 Send a message Map ↗

Public-record details

Address: 515 W Ashby Pl, San Antonio, TX 78212
Phone: (210) 732-5181
Listed under: Government-owned, 4–5 star overall rating
Medicare CCN: 455689
Overall star rating: 4 of 5 ★★★★☆
Health inspection rating: 3 of 5
Staffing rating: 2 of 5
Quality measures rating: 5 of 5
Certified beds: 150
Average residents per day: 97
Ownership: Government, hospital district
Legal business name: Legal Business Name Not Available
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Feb 18, 1987
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 455689. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 8, 2025. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 12, 2023 to Apr 30, 2026): 13 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Apr 30, 2026	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Aug 8, 2025	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights	C Potential for minimal harm, widespread
Aug 8, 2025	Keep residents' personal and medical records private and confidential. Resident Rights	D Potential for more than minimal harm, isolated
Aug 8, 2025	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care	E Potential for more than minimal harm, pattern
Aug 8, 2025	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Aug 8, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Aug 8, 2025	Provide and implement an infection prevention and control program. Infection Control	E Potential for more than minimal harm, pattern
Jul 30, 2025	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Jul 17, 2025	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
May 9, 2025	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental · complaint inspection	E Potential for more than minimal harm, pattern
Jun 27, 2024	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. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Jun 27, 2024	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 30. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $24,285 and 1 denial of Medicare payment for new admissions in the last three years.

Jun 27, 2024	Fine: $14,063
Jun 27, 2024	Payment denial for 72 days from Jul 31, 2024
May 17, 2024	Fine: $10,222

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.67 hours
Registered nurse (RN) time per resident per day: 0.35 hours
Nurse aide time per resident per day: 2.24 hours
Total nurse staffing on weekends: 3.23 hours
Nursing staff turnover (yearly): 46%
RN turnover (yearly): 73%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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