The Westmark Senior Living
State licensed9505 Fredericksburg Rd, San Antonio, TX 78240
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Medicare-certifiedSkilled Nursing
Wurzbach Nursing and Rehabilitation
San Antonio, TexasMedicare inspection record
About Wurzbach Nursing and Rehabilitation
Wurzbach Nursing and Rehabilitation in San Antonio, Texas provides skilled nursing and rehabilitation care designed for patients recovering from surgery, illness, or injury. Our clinical team focuses on regaining independence through personalized therapy and compassionate medical support.
Community at a glance
Capacity
140 residents
Location
San Antonio, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
8300 WURZBACH RD, San Antonio, Texas 78229
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 June 13, 2025, state inspectors cited 21 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 8 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Wurzbach Nursing and Rehabilitation 2 times in the last three years, $19,676 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 8 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 31 minutesAbove the Texas average |
| Nursing staff who left in the past year | 62%Above the Texas average |
Inspections
48 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 2, 2026 · Complaint investigation · 2 citations
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 pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 24, 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 few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 24, 2026
June 13, 2025 · Standard inspection · 19 citations
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 pattern (level E)Quality of Life and CareCorrected Jun 14, 2025Procure 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 Jun 14, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 14, 2025Provide 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 ServiceCorrected Jun 14, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jun 14, 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 PlanningCorrected Jun 14, 2025Provide 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 Jun 14, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 14, 2025Provide training in compliance and ethics.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 14, 2025Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 14, 2025Provide 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 Jun 14, 2025Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 14, 2025Honor 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 Jun 14, 2025Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 14, 2025Ensure 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 Jun 14, 2025Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 14, 2025Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 14, 2025Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 14, 2025Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 14, 2025
May 16, 2025 · Complaint investigation · 1 citation+
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 17, 2025
March 9, 2025 · Complaint investigation · 4 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Sep 26, 2024Provide 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 ServiceFrom a complaintCorrected Mar 17, 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 Mar 17, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 17, 2025
December 6, 2024 · 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 Dec 10, 2024
September 26, 2024 · Complaint investigation · 2 citations+
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 Oct 18, 2024Immediately 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 Oct 18, 2024
September 12, 2024 · Complaint investigation · 1 citation+
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 Sep 16, 2024
April 26, 2024 · Standard inspection · 11 citations+
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 May 31, 2024Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 31, 2024Provide 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 May 31, 2024Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 31, 2024Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 31, 2024Respond 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 31, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected May 31, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 31, 2024Provide 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 May 31, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 31, 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 May 31, 2024
April 16, 2024 · Complaint investigation · 2 citations+
Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Apr 17, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Apr 17, 2024
March 14, 2024 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Mar 15, 2024
December 1, 2023 · Complaint investigation · 4 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Dec 1, 2023Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Dec 26, 2023Timely 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 Dec 26, 2023Make 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 few residents (level D)EnvironmentalFrom a complaintAlready fixed by May 28, 2023
Fines and payment denials
2 fines totaling $19,676 in the last three years.
- March 9, 2025Fine: $10,361
- December 1, 2023Fine: $9,315
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Caraday Wurzbach LLC
- Medicare-certified beds
- 140
- Average residents per day
- 84
- Accepts
- Medicare and Medicaid
- First certified
- June 2, 1989
- Part of a chain
- Caraday Healthcare, 8 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 455824
Location
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8300 WURZBACH RDSan Antonio, TX 78229
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Questions about Wurzbach Nursing and Rehabilitation
How did Wurzbach Nursing and Rehabilitation do on its last inspection?+
State inspectors visited on June 13, 2025 and cited 21 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Wurzbach Nursing and Rehabilitation?+
Nurses and aides spend 3 hours 8 minutes with each resident per day, including 31 minutes from registered nurses. 62% of nursing staff left over the past year.
Has Wurzbach Nursing and Rehabilitation been fined by Medicare?+
Yes. Medicare fined Wurzbach Nursing and Rehabilitation 2 times in the last three years, totaling $19,676.
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.