Seasons Alzheimer's Care & Assisted Living
State licensed15170 Nacogdoches Road Bldg 2, San Antonio, TX 78247
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
San Antonio Wellness & Rehabilitation
San Antonio, TexasMedicare inspection record
About San Antonio Wellness & Rehabilitation
SAN ANTONIO WELLNESS & REHABILITATION combines medical expertise with compassionate care in Texas. Our skilled nursing and rehabilitation team focuses on recovery, pain management, and helping patients regain independence after hospitalization or injury.
Community at a glance
Capacity
154 residents
Location
San Antonio, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
ONE HEARTLAND DR, San Antonio, Texas 78247
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 20, 2026, state inspectors cited 11 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 27 minutes with each resident a day, about the same as the Texas average.
Medicare fined San Antonio Wellness & Rehabilitation once in the last three years, $104,627 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 27 minutes |
| Registered nurse time per resident, per day | 23 minutesBelow the Texas average |
| Nursing staff who left in the past year | 35%Below the Texas average |
Inspections
30 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 20, 2026 · Standard inspection · 7 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Feb 21, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 21, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 21, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 21, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 21, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 21, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 21, 2026
January 16, 2026 · Complaint investigation · 1 citation
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 17, 2026
September 11, 2025 · Complaint investigation · 3 citations+
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 12, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 12, 2025Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 12, 2025
July 2, 2025 · Complaint investigation · 3 citations+
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 3, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 3, 2025Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 3, 2025
November 8, 2024 · Standard inspection · 5 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Nov 9, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Nov 9, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Nov 9, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 9, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 9, 2024
October 18, 2024 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Oct 19, 2024
January 16, 2024 · Complaint investigation · 6 citations+
Provide or obtain dental services for each resident.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 17, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 17, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 17, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Jan 17, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 17, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 17, 2024
December 3, 2023 · Complaint investigation · 4 citations+
Ensure that residents are free from significant medication errors.
Immediate danger to residents, a pattern (level K)Pharmacy ServiceFrom a complaintCorrected Dec 4, 2023Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jan 10, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 4, 2023Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 10, 2024
Fines and payment denials
1 fine totaling $104,627 and 1 Medicare payment denial in the last three years.
- December 3, 2023Fine: $104,627
- December 3, 2023Payment denial, 11 days
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Frio Hospital District
- Medicare-certified beds
- 154
- Average residents per day
- 117
- Accepts
- Medicare and Medicaid
- First certified
- July 11, 1988
- Part of a chain
- Opco Skilled Management, 68 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 455762
Location
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ONE HEARTLAND DRSan Antonio, TX 78247
12 other communities within 10 miles
Senior living near San Antonio
Season's Alzheimers And Assisted Care
State licensed15170 Nacogdoches Road, San Antonio, TX 78247
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
The Seasons On Tezel
State licensed15418 Nacogdoches Rd, San Antonio, TX 78258
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
Questions about San Antonio Wellness & Rehabilitation
How did San Antonio Wellness & Rehabilitation do on its last inspection?+
State inspectors visited on February 20, 2026 and cited 11 health deficiencies, 4 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at San Antonio Wellness & Rehabilitation?+
Nurses and aides spend 3 hours 27 minutes with each resident per day, including 23 minutes from registered nurses. 35% of nursing staff left over the past year.
Has San Antonio Wellness & Rehabilitation been fined by Medicare?+
Yes. Medicare fined San Antonio Wellness & Rehabilitation once in the last three years, totaling $104,627.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.