Inspiration Hills Rehabilitation Center

Nursing home in San Antonio, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (210) 434-0671 Send a message Map ↗

Public-record details

Address: 1939 Bandera Rd, San Antonio, TX 78228
Phone: (210) 434-0671
Listed under: For-profit, No fines in 3 years
Medicare CCN: 675138
Overall star rating: 3 of 5 ★★★☆☆
Health inspection rating: 3 of 5
Staffing rating: 3 of 5
Quality measures rating: 3 of 5
Certified beds: 134
Average residents per day: 83
Ownership: For-profit, individual
Legal business name: Hamilton County Hospital District
Chain: Paramount Healthcare (8 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Mar 19, 1993
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 675138. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 4, 2026. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 11, 2024 to Jun 4, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 4, 2026	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights	D Potential for more than minimal harm, isolated
Jun 4, 2026	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation	D Potential for more than minimal harm, isolated
Jun 4, 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	D Potential for more than minimal harm, isolated
Jun 4, 2026	Provide activities to meet all resident's needs. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jun 4, 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
Jun 4, 2026	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jun 4, 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
Jun 4, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	E Potential for more than minimal harm, pattern
Jun 4, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	E Potential for more than minimal harm, pattern
Jun 4, 2026	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	E Potential for more than minimal harm, pattern
Jun 4, 2026	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
Mar 5, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	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 no fines or payment denials for this facility in the last three years.

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: 3.21 hours
Registered nurse (RN) time per resident per day: 0.26 hours
Nurse aide time per resident per day: 2.07 hours
Total nurse staffing on weekends: 2.98 hours
Nursing staff turnover (yearly): 41%
RN turnover (yearly): 20%
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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