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Medicare-certifiedSkilled Nursing

San Antonio West Nursing and Rehabilitation

San Antonio, TexasMedicare inspection record
(210) 434-0611

About San Antonio West Nursing and Rehabilitation

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.

Community at a glance

Capacity

135 residents

Location

San Antonio, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

636 Cupples Rd, San Antonio, Texas 78237

(210) 434-0611

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 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.

Staffing

MeasureThis home
Nurse and aide time per resident, per day2 hours 45 minutesBelow the Texas average
Registered nurse time per resident, per day20 minutesBelow the Texas average
Nursing staff who left in the past year64%Above the Texas average

1 administrator has left the home in the past year.

Inspections

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.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jul 11, 2026
  • Provide 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 Jul 11, 2026
  • Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Jul 11, 2026

June 18, 2026 · Complaint investigation · 1 citation

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Jun 19, 2026
April 30, 2026 · Complaint investigation · 1 citation+
  • Provide 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 May 1, 2026
April 24, 2026 · Complaint investigation · 5 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 18, 2026
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 18, 2026
  • Timely 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 May 18, 2026
  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected May 18, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 18, 2026
April 10, 2026 · Standard inspection · 12 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 22, 2026
  • 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 Apr 11, 2026
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 4, 2026
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Apr 11, 2026
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 4, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 4, 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 locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 4, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 11, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 11, 2026
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 4, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 4, 2026
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 11, 2026
February 13, 2026 · Complaint investigation · 4 citations+
  • Provide appropriate foot care.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 14, 2026
  • Have policies on smoking.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Feb 14, 2026
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 14, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 14, 2026
January 9, 2026 · Complaint investigation · 2 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 10, 2026
  • 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 10, 2026
December 19, 2025 · 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 Dec 20, 2025
December 12, 2025 · Complaint investigation · 3 citations+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 12, 2025
  • Honor 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 Dec 12, 2025
  • 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 Dec 12, 2025
November 20, 2025 · Complaint investigation · 1 citation+
  • Ensure 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 DietaryFrom a complaintCorrected Nov 21, 2025
October 25, 2025 · Complaint investigation · 2 citations+
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Immediate danger to residents, a few residents (level J)EnvironmentalFrom a complaintCorrected Oct 26, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Oct 26, 2025
September 4, 2025 · 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 Sep 5, 2025
August 18, 2025 · Complaint investigation · 4 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Aug 19, 2025
  • Keep all essential equipment working safely.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Aug 19, 2025
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Aug 19, 2025
  • 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 DietaryFrom a complaintCorrected Aug 19, 2025
July 3, 2025 · 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 pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 4, 2025
May 2, 2025 · Complaint investigation · 2 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 DietaryFrom a complaintCorrected May 3, 2025
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected May 3, 2025
January 30, 2025 · Standard inspection · 17 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 31, 2025
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jan 31, 2025
  • 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 Jan 31, 2025
  • Ensure the activities program is directed by a qualified professional.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jan 31, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jan 31, 2025
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jan 31, 2025
  • Honor 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 pattern (level E)Resident RightsCorrected Jan 31, 2025
  • Provide 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 31, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jan 31, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jan 31, 2025
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Jan 31, 2025
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 31, 2025
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 31, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 31, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 31, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jan 31, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 31, 2025

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

4 fines totaling $364,977 and 2 Medicare payment denials in the last three years.

  • September 4, 2025Fine: $16,431
  • January 30, 2025Payment denial, 16 days
  • January 30, 2025Fine: $162,019
  • January 10, 2025Fine: $15,556
  • September 20, 2024Payment denial, 12 days
  • September 20, 2024Fine: $170,971

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Maverick County Hospital District
Medicare-certified beds
135
Average residents per day
102
Accepts
Medicare and Medicaid
First certified
January 15, 1992
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Both
Sprinklers in all required areas
Yes
CMS Certification Number
675002

Location

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636 Cupples RdSan Antonio, TX 78237

12 other communities within 10 miles

Senior living near San Antonio

Questions about San Antonio West Nursing and Rehabilitation

How did San Antonio West Nursing and Rehabilitation do on its last inspection?+

State inspectors visited on April 10, 2026 and cited 35 health deficiencies, 24 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at San Antonio West Nursing and Rehabilitation?+

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.

Has San Antonio West Nursing and Rehabilitation been fined by Medicare?+

Yes. Medicare fined San Antonio West Nursing and Rehabilitation 4 times in the last three years, totaling $364,977.

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.

Senior living in San Antonio Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026