Westover Hills Rehabilitation and Healthcare

Nursing home in San Antonio, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (210) 546-2273 Send a message Map ↗

Public-record details

Address: 9922 State Hwy. 151, San Antonio, TX 78251
Phone: (210) 546-2273
Listed under: Government-owned, 4–5 star overall rating
Medicare CCN: 676281
Overall star rating: 4 of 5 ★★★★☆
Health inspection rating: 3 of 5
Staffing rating: 4 of 5
Quality measures rating: 5 of 5
Certified beds: 124
Average residents per day: 108
Ownership: Government, hospital district
Legal business name: Guadalupe County Hospital Board
Chain: The Ensign Group (342 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: May 4, 2011
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 676281. 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 12, 2026. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 10, 2023 to Jun 12, 2026): 13 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 12, 2026	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance… Resident Rights	D Potential for more than minimal harm, isolated
Jun 12, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jun 12, 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	D Potential for more than minimal harm, isolated
Jun 12, 2026	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Jun 12, 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
Jun 12, 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
May 23, 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
May 23, 2026	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Mar 9, 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	D Potential for more than minimal harm, isolated
Mar 9, 2026	Ensure medication error rates are not 5 percent or greater. Pharmacy Service · complaint inspection	E Potential for more than minimal harm, pattern
Aug 21, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Aug 21, 2025	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 29. 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 $20,156 and 1 denial of Medicare payment for new admissions in the last three years.

Nov 8, 2024	Fine: $12,519
Nov 8, 2024	Payment denial for 1 days from Dec 12, 2024
Nov 10, 2023	Fine: $7,637

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: 3.56 hours
Registered nurse (RN) time per resident per day: 0.64 hours
Nurse aide time per resident per day: 2.05 hours
Total nurse staffing on weekends: 3.09 hours
Nursing staff turnover (yearly): 29%
RN turnover (yearly): 29%
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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