Nursing Home Alerts

San Antonio West Nursing and Rehabilitation

636 Cupples Rd, San Antonio, TX 78237

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San Antonio West Nursing and Rehabilitation 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

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 2 of 5 to 3 of 5.

    • Special Focus Facility

      CMS now lists this home as a Special Focus Facility candidate.

  2. CMS update of October 8, 2026

    • Ownership

      CMS no longer lists a chain for this home.

    • Fine

      CMS changed the fine from September 4, 2025 from $16,149 to $16,431.

  3. Health inspection on August 30, 2026

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0835. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

      CMS lists it as corrected on August 31, 2026.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      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 August 31, 2026.

      CMS has cited this home for F0689 3 times since 2025.

    See this home on CMS Care Compare

  4. Health inspection on August 14, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • 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 August 15, 2026.

      CMS has cited this home for F0760 2 times since 2026.

    See this home on CMS Care Compare

  5. Health inspection on August 6, 2026

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • 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 August 7, 2026.

      CMS has cited this home for F0656 6 times since 2023.

    • 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 August 7, 2026.

      CMS has cited this home for F0842 5 times since 2025.

    • Citation F0926. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have policies on smoking.

      CMS lists it as corrected on August 7, 2026.

      CMS has cited this home for F0926 2 times since 2026.

    See this home on CMS Care Compare

  6. CMS update of July 29, 2026

    • Fine

      CMS changed the fine from September 4, 2025 from $24,845 to $16,149.

  7. Health inspection on July 10, 2026

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • 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 July 11, 2026.

      CMS has cited this home for F0690 2 times since 2023.

    • 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 July 11, 2026.

      CMS has cited this home for F0880 5 times since 2024.

    • Citation F0914. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide bedrooms that don't allow residents to see each other when privacy is needed.

      CMS lists it as corrected on July 11, 2026.

    See this home on CMS Care Compare

  8. Health inspection on June 18, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0925. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for F0925 3 times since 2025.

    See this home on CMS Care Compare

  9. CMS update of May 27, 2026

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  10. Health inspection on April 30, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • 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 May 1, 2026.

      CMS has cited this home for F0755 3 times since 2024.

    See this home on CMS Care Compare

  11. Health inspection on April 24, 2026

    5 citations

    CMS lists this as a complaint inspection.

    Show the 5 citations
    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on May 18, 2026.

      CMS has cited this home for F0580 4 times since 2024.

    • 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 May 18, 2026.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on May 18, 2026.

      CMS has cited this home for F0610 2 times since 2025.

    • 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 May 18, 2026.

    • 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 May 18, 2026.

    See this home on CMS Care Compare

  12. Health inspection on April 10, 2026

    12 citations

    CMS lists this as a standard inspection.

    Show the 12 citations
    • Citation F0552. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on May 4, 2026.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on May 22, 2026.

      CMS has cited this home for F0584 3 times since 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 May 4, 2026.

    • Citation F0760. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on May 4, 2026.

    • 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 April 11, 2026.

      CMS has cited this home for F0812 5 times since 2023.

    • Citation F0925. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      CMS lists it as corrected on April 11, 2026.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on April 11, 2026.

      CMS has cited this home for F0558 2 times since 2023.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on May 4, 2026.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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 locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on May 4, 2026.

      CMS has cited this home for F0761 2 times since 2025.

    • Citation F0808. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 4, 2026.

    • Citation F0849. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 11, 2026.

    • 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 11, 2026.

    See this home on CMS Care Compare

  13. Fire safety inspection on April 10, 2026

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation K0355. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on May 15, 2026.

    • Citation K0741. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on May 4, 2026.

      CMS has cited this home for K0741 2 times since 2025.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on May 22, 2026.

      CMS has cited this home for K0511 2 times since 2025.

    • Citation K0712. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on May 4, 2026.

    See this home on CMS Care Compare

  14. CMS update of February 25, 2026

    • Star rating

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

    • Name

      CMS lists a new name for this home. It was RETAMA MANOR NURSING CENTER/SAN ANTONIO WEST.

  15. Health inspection on February 13, 2026

    4 citations

    CMS lists this as a complaint inspection.

    Show the 4 citations
    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on February 14, 2026.

      CMS has cited this home for F0583 2 times since 2025.

    • Citation F0687. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate foot care.

      CMS lists it as corrected on February 14, 2026.

    • 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 February 14, 2026.

    • Citation F0926. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have policies on smoking.

      CMS lists it as corrected on February 14, 2026.

    See this home on CMS Care Compare

  16. CMS update of January 14, 2026

    • Health citation

      CMS removed citation F0805 from the health inspection on October 1, 2025.

    • Fine

      CMS changed the fine from January 10, 2025 from $14,901 to $15,556.

    • Fine

      CMS changed the fine from January 30, 2025 from $249,260 to $162,019.

  17. Health inspection on January 9, 2026

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • 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 January 10, 2026.

    • 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 January 10, 2026.

    See this home on CMS Care Compare

  18. Health inspection on December 19, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • 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 December 20, 2025.

    See this home on CMS Care Compare

  19. Health inspection on December 12, 2025

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • Citation F0559. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

      CMS lists it as corrected on December 12, 2025.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on December 12, 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 December 12, 2025.

    See this home on CMS Care Compare

  20. Health inspection on November 20, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on November 21, 2025.

    See this home on CMS Care Compare

  21. CMS update of November 20, 2025

    • Fine

      CMS changed the fine from September 20, 2024 from $169,271 to $170,971.

  22. Health inspection on October 25, 2025

    2 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    Show the 2 citations
    • Citation F0925. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      CMS lists it as corrected on October 26, 2025.

    • Citation F0686. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on October 26, 2025.

      CMS has cited this home for F0686 3 times since 2024.

    See this home on CMS Care Compare

  23. Health inspection on September 4, 2025

    1 citation

    CMS lists this as a complaint inspection.

    CMS fine of $16,431 on September 4, 2025.

    Show the 1 citation
    • 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 September 5, 2025.

    See this home on CMS Care Compare

  24. Health inspection on August 18, 2025

    4 citations

    CMS lists this as a complaint inspection.

    Show the 4 citations
    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on August 19, 2025.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on August 19, 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 August 19, 2025.

    • Citation F0908. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep all essential equipment working safely.

      CMS lists it as corrected on August 19, 2025.

    See this home on CMS Care Compare

  25. CMS update of July 30, 2025

    • Fine

      CMS changed the fine from January 10, 2025 from $22,925 to $14,901.

  26. Health inspection on July 3, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

      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 July 4, 2025.

    See this home on CMS Care Compare

  27. CMS update of June 25, 2025

    • Fine

      CMS changed the fine from January 30, 2025 from $226,860 to $249,260.

  28. CMS update of May 28, 2025

    • Fine

      CMS changed the fine from September 20, 2024 from $166,117 to $169,271.

  29. Health inspection on May 2, 2025

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • 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 May 3, 2025.

    • Citation F0921. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on May 3, 2025.

      CMS has cited this home for F0921 2 times since 2025.

    See this home on CMS Care Compare

  30. CMS update of April 30, 2025

    • Star rating

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

    • CMS abuse icon

      CMS added its abuse icon to this home.

  31. March 11, 2025

    Payment stopped

    CMS stopped payment for new admissions from March 11, 2025, for 16 days.

    See this home on CMS Care Compare

  32. CMS update of February 26, 2025

    • Star rating

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

  33. Health inspection on January 30, 2025

    17 citations

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

    Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $162,019 on January 30, 2025.

    Show the 17 citations
    • Citation F0600. Severity K: immediate jeopardy, pattern.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on January 31, 2025.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on January 31, 2025.

    • Citation F0679. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on January 31, 2025.

    • Citation F0680. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure the activities program is directed by a qualified professional.

      CMS lists it as corrected on January 31, 2025.

    • Citation F0686. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on January 31, 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 January 31, 2025.

    • 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 January 31, 2025.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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 locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on January 31, 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 January 31, 2025.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on January 31, 2025.

    • Citation F0921. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on January 31, 2025.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on January 31, 2025.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on January 31, 2025.

    • 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 January 31, 2025.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      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 January 31, 2025.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on January 31, 2025.

    • Citation F0803. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      CMS lists it as corrected on January 31, 2025.

    See this home on CMS Care Compare

  34. Fire safety inspection on January 30, 2025

    7 citations

    CMS lists this as a standard inspection.

    Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    Show the 7 citations
    • Citation K0211. Severity K: immediate jeopardy, pattern.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on March 27, 2025.

    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on January 29, 2025.

    • Citation K0372. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on March 27, 2025.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on January 29, 2025.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on January 29, 2025.

    • Citation K0741. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on January 29, 2025.

    • Citation K0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on March 27, 2025.

    See this home on CMS Care Compare

  35. Health inspection on January 10, 2025

    3 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $15,556 on January 10, 2025.

    Show the 3 citations
    • Citation F0689. Severity J: immediate jeopardy, isolated.

      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 May 26, 2024.

    • Citation F0836. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

      CMS lists it as corrected on January 30, 2025.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on January 11, 2025.

    See this home on CMS Care Compare

  36. CMS update of December 20, 2024

    • Star rating

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

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 2 of 5.

  37. Health inspection on December 6, 2024

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0698. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on December 9, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on December 9, 2024.

    See this home on CMS Care Compare

  38. October 19, 2024

    Payment stopped

    CMS stopped payment for new admissions from October 19, 2024, for 12 days.

    See this home on CMS Care Compare

  39. Health inspection on September 20, 2024

    2 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $170,971 on September 20, 2024.

    Show the 2 citations
    • Citation F0580. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0686. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on October 31, 2024.

    See this home on CMS Care Compare

  40. Health inspection on September 1, 2024

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • 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 October 1, 2024.

    • Citation F0726. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

      CMS lists it as corrected on October 1, 2024.

    See this home on CMS Care Compare

  41. 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.

  42. Health inspection on August 10, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on September 15, 2024.

    See this home on CMS Care Compare

  43. CMS update of July 31, 2024

    • Star rating

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

    • Staffing

      Total nurse staffing reported to CMS went from 2.8 to 2.4 hours per resident per day.

  44. Health inspection on May 15, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      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 30, 2024.

    See this home on CMS Care Compare

  45. CMS update of March 28, 2024

    • Ownership

      CMS lists this home under a new chain.

  46. CMS update of February 29, 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.

  47. CMS update of January 31, 2024

    • Star rating

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

  48. Health inspection on December 15, 2023

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 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 January 31, 2024.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on January 31, 2024.

    • 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 January 31, 2024.

    See this home on CMS Care Compare

  49. Fire safety inspection on December 15, 2023

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on January 26, 2024.

    See this home on CMS Care Compare

  50. Health inspection on October 27, 2023

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on December 15, 2023.

    • 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 15, 2023.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(210) 434-0611
Last standard health inspection
April 10, 2026 (7 months ago)
Certified beds
135
Residents per day, on average
104.4
Ownership type
For profit - Corporation
Legal business name
Maverick County Hospital District
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

More health citations than the Texas average (82 vs 28).

Owners and managers

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

Questions

When was San Antonio West Nursing and Rehabilitation last inspected?

CMS lists April 10, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does San Antonio West Nursing and Rehabilitation have?

CMS lists 82 health citations since October 27, 2023. CMS also calls these deficiencies.

Has San Antonio West Nursing and Rehabilitation been fined?

CMS lists 4 fines in the past three years, $364,977 in total.

What is the CMS star rating of San Antonio West Nursing and Rehabilitation?

Its CMS overall star rating is 1 of 5.

Is San Antonio West Nursing and Rehabilitation a Special Focus Facility?

Yes. CMS lists it as a Special Focus Facility candidate.

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