Nursing Home Alerts

Inspiration Hills Rehabilitation Center

1939 Bandera Rd, San Antonio, TX 78228

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Inspiration Hills Rehabilitation Center is a nursing home in San Antonio, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  2. CMS update of October 8, 2026

    • Health citation

      CMS removed citation F0573 from the health inspection on June 4, 2026.

  3. Health inspection on June 4, 2026

    11 citations

    CMS lists this as a standard inspection.

    Show the 11 citations
    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 5, 2026.

      CMS has cited this home for F0689 2 times since 2025.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on June 5, 2026.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on June 5, 2026.

      CMS has cited this home for F0759 2 times since 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on June 5, 2026.

      CMS has cited this home for F0812 2 times since 2025.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 5, 2026.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on June 5, 2026.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 5, 2026.

      CMS has cited this home for F0656 4 times since 2024.

    • Citation F0679. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on June 5, 2026.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on June 5, 2026.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 5, 2026.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on June 5, 2026.

    See this home on CMS Care Compare

  4. Fire safety inspection on June 4, 2026

    7 citations

    CMS lists this as a standard inspection.

    Show the 7 citations
    • Citation E0020. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish policies and procedures including evacuation.

      CMS lists it as corrected on June 3, 2026.

    • Citation E0025. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Create arrangements with other facilities to receive patients.

      CMS lists it as corrected on June 3, 2026.

    • Citation E0031. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide emergency officials' contact information.

      CMS lists it as corrected on June 3, 2026.

    • Citation K0531. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have elevators that firefighters can control in the event of a fire.

      CMS lists it as corrected on June 4, 2026.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 4, 2026.

    • Citation K0918. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on June 8, 2026.

      CMS has cited this home for K0918 2 times since 2025.

    • Citation K0355. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on June 3, 2026.

    See this home on CMS Care Compare

  5. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  6. Health inspection on March 5, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 6, 2026.

      CMS has cited this home for F0880 2 times since 2025.

    See this home on CMS Care Compare

  7. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  8. Health inspection on November 26, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on December 12, 2025.

    See this home on CMS Care Compare

  9. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 3 of 5.

  10. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

    • Ownership

      CMS lists this home under a new chain.

  11. CMS update of June 25, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

  12. Health inspection on April 4, 2025

    10 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 10 citations
    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on April 23, 2025.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on April 23, 2025.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on April 14, 2025.

    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on April 23, 2025.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on April 23, 2025.

    • Citation F0685. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

      CMS lists it as corrected on April 23, 2025.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on April 23, 2025.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on April 23, 2025.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on April 23, 2025.

      CMS has cited this home for F0760 2 times since 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 7, 2025.

    See this home on CMS Care Compare

  13. Fire safety inspection on April 4, 2025

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations
    • Citation K0918. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on April 22, 2025.

    • Citation K0929. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

      CMS lists it as corrected on April 7, 2025.

    • Citation K0511. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on April 7, 2025.

    See this home on CMS Care Compare

  14. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  15. CMS update of August 29, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

  16. CMS update of June 26, 2024

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

  17. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  18. Health inspection on February 23, 2024

    6 citations

    CMS lists this as a standard inspection.

    Show the 6 citations
    • Citation F0563. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

      CMS lists it as corrected on February 28, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on February 28, 2024.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on February 28, 2024.

    • Citation F0770. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.

      CMS lists it as corrected on February 28, 2024.

    • Citation F0773. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

      CMS lists it as corrected on February 28, 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on February 28, 2024.

    See this home on CMS Care Compare

  19. Fire safety inspection on February 23, 2024

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on February 26, 2024.

    • Citation K0351. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on February 26, 2024.

    See this home on CMS Care Compare

  20. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  21. Health inspection on January 11, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0640. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      CMS lists it as corrected on January 25, 2024.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(210) 434-0671
Last standard health inspection
June 4, 2026 (5 months ago)
Certified beds
134
Residents per day, on average
86.1
Ownership type
For profit - Individual
Legal business name
Hamilton County Hospital District
Chain
Paramount Healthcare
Takes part in
Medicare and Medicaid

More health citations than the Texas average (30 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Inspiration Hills Rehabilitation Center last inspected?

CMS lists June 4, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Inspiration Hills Rehabilitation Center have?

CMS lists 30 health citations since January 11, 2024. CMS also calls these deficiencies.

Has Inspiration Hills Rehabilitation Center been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Inspiration Hills Rehabilitation Center?

Its CMS overall star rating is 3 of 5.

Is Inspiration Hills Rehabilitation Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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