3142 Weir Ave, San Antonio, TX 78226
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San Antonio West Nursing and Rehabilitation provides skilled nursing and rehabilitation services designed for patients recovering from surgery, illness, or injury. Our San Antonio, Texas team combines medical expertise with compassionate care to support each resident's path to wellness and independence.
Capacity
135 residents
Location
San Antonio, TX
Status
Listed in a public registry
636 Cupples Rd, San Antonio, Texas 78237
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 April 10, 2026, state inspectors cited 35 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 2 hours 45 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined San Antonio West Nursing and Rehabilitation 4 times in the last three years, $364,977 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 45 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 20 minutesBelow the Texas average |
| Nursing staff who left in the past year | 64%Above the Texas average |
1 administrator has left the home in the past year.
74 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 10, 2026 · Complaint investigation · 3 citations
Provide and implement an infection prevention and control program.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide bedrooms that don't allow residents to see each other when privacy is needed.
June 18, 2026 · Complaint investigation · 1 citation
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Respond appropriately to all alleged violations.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that residents are fully informed and understand their health status, care and treatments.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Ensure that residents are free from significant medication errors.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
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.
Provide and implement an infection prevention and control program.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Reasonably accommodate the needs and preferences of each resident.
Provide appropriate foot care.
Have policies on smoking.
Keep residents' personal and medical records private and confidential.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Keep all essential equipment working safely.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide activities to meet all resident's needs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure the activities program is directed by a qualified professional.
Provide and implement an infection prevention and control program.
Ensure medication error rates are not 5 percent or greater.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Keep residents' personal and medical records private and confidential.
Provide enough food/fluids to maintain a resident's health.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
Showing the 60 most recent. The full list is on Medicare.gov.
4 fines totaling $364,977 and 2 Medicare payment denials in the last three years.
636 Cupples RdSan Antonio, TX 78237
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State inspectors visited on April 10, 2026 and cited 35 health deficiencies, 24 of them from complaint investigations. The Texas average is 9.4.
Nurses and aides spend 2 hours 45 minutes with each resident per day, including 20 minutes from registered nurses. 64% of nursing staff left over the past year.
Yes. Medicare fined San Antonio West Nursing and Rehabilitation 4 times in the last three years, totaling $364,977.
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.
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.
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.