Nursing HomeInspections

San Antonio West Nursing and Rehabilitation

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

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Public-record details

Address
636 Cupples Rd, San Antonio, TX 78237
Phone
(210) 434-0611
Listed under
For-profit
Medicare CCN
675002
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
135
Average residents per day
104
Ownership
For-profit, corporation
Legal business name
Maverick County Hospital District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 15, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 675002. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 10, 2026. CMS lists 82 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 27, 2023 to Aug 30, 2026): 52 from complaint inspections, 6 at the “actual harm” level or higher, including 5 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Aug 30, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 30, 2026Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection
F
Potential for more than minimal harm, widespread
Aug 14, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 6, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 6, 2026Safeguard 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
Aug 6, 2026Have policies on smoking.
Environmental · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 10, 2026Provide 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 · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 10, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 10, 2026Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 18, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection
F
Potential for more than minimal harm, widespread
Apr 30, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 24, 2026Immediately 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

Showing the 12 most recent of 82. 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 Oct 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $364,977 and 2 denials of Medicare payment for new admissions in the last three years.

Sep 4, 2025Fine: $16,431
Jan 30, 2025Fine: $162,019
Jan 30, 2025Payment denial for 16 days from Mar 11, 2025
Jan 10, 2025Fine: $15,556
Sep 20, 2024Fine: $170,971
Sep 20, 2024Payment denial for 12 days from Oct 19, 2024

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

Staffing

Total nurse staffing per resident per day
2.77 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
1.54 hours
Total nurse staffing on weekends
2.35 hours
Nursing staff turnover (yearly)
61%
RN turnover (yearly)
55%
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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