San Antonio Wellness & Rehabilitation

Nursing home in San Antonio, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (210) 653-1219 Send a message Map ↗

Public-record details

Address: 1 Heartland Drive, San Antonio, TX 78247
Phone: (210) 653-1219
Listed under: For-profit
Medicare CCN: 455762
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 2 of 5
Quality measures rating: 4 of 5
Certified beds: 154
Average residents per day: 117
Ownership: For-profit, corporation
Legal business name: Frio Hospital District
Chain: Opco Skilled Management (66 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jul 11, 1988
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 455762. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 20, 2026. CMS lists 51 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 23, 2023 to Feb 20, 2026): 39 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Feb 20, 2026	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	D Potential for more than minimal harm, isolated
Feb 20, 2026	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Feb 20, 2026	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Feb 20, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Feb 20, 2026	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Feb 20, 2026	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… Pharmacy Service	E Potential for more than minimal harm, pattern
Feb 20, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	F Potential for more than minimal harm, widespread
Jan 16, 2026	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
Sep 11, 2025	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Sep 11, 2025	Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Sep 11, 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
Jul 2, 2025	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 51. 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 1 fine totalling $104,627 and 1 denial of Medicare payment for new admissions in the last three years.

Dec 3, 2023	Fine: $104,627
Dec 3, 2023	Payment denial for 11 days from Dec 30, 2023

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: 3.45 hours
Registered nurse (RN) time per resident per day: 0.38 hours
Nurse aide time per resident per day: 2.05 hours
Total nurse staffing on weekends: 3.07 hours
Nursing staff turnover (yearly): 35%
RN turnover (yearly): 38%
Administrators who left in the past year: 0

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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