San Antonio West Nursing and Rehabilitation

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (210) 434-0611 Send a message Map ↗

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: 2 of 5
Certified beds: 135
Average residents per day: 102
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 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 10, 2026. CMS lists 73 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 27, 2023 to Jun 18, 2026): 43 from complaint inspections, 6 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 18, 2026	Make 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, 2026	Provide 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, 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
Apr 24, 2026	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
Apr 24, 2026	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2026	Develop 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
Apr 24, 2026	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration · complaint inspection	D Potential for more than minimal harm, isolated
Apr 10, 2026	Reasonably accommodate the needs and preferences of each resident. Resident Rights	D Potential for more than minimal harm, isolated
Apr 10, 2026	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Apr 10, 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	D Potential for more than minimal harm, isolated
Apr 10, 2026	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. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Apr 10, 2026	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. Administration	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 73. 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 4 fines totalling $364,695 and 2 denials of Medicare payment for new admissions in the last three years.

Sep 4, 2025	Fine: $16,149
Jan 30, 2025	Fine: $162,019
Jan 30, 2025	Payment denial for 16 days from Mar 11, 2025
Jan 10, 2025	Fine: $15,556
Sep 20, 2024	Fine: $170,971
Sep 20, 2024	Payment denial for 12 days from Oct 19, 2024

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: 2.75 hours
Registered nurse (RN) time per resident per day: 0.33 hours
Nurse aide time per resident per day: 1.52 hours
Total nurse staffing on weekends: 2.43 hours
Nursing staff turnover (yearly): 64%
RN turnover (yearly): 33%
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.

Other nursing homes in San Antonio

All 58 in San Antonio →