Inspiration Hills Rehabilitation Center
1939 BANDERA RD, San Antonio, TX, 78228
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Paramount Healthcare
- Certified beds
- 134 · avg 78 residents/day
- Total nursing staff turnover
- 42.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 20% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 149621
- Service type
- Medicare/medicaid
- Licensed capacity
- 134 beds
- Bed type breakdown
- 30 Medicare-only · 104 Medicaid/Medicare
- Current license effective
- May 1, 2026
- Current license expires
- May 1, 2029
- Initial license date
- May 1, 1973
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- The Williamsburg Care Company Lp
- Administrator
- Debbie R R Wampler
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Paramount Healthcare chain — 8 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (8 on record)
- The Williamsburg Care Company, lp
Adp of The Snf · since 2025
- Allante Properties of Texas, lp
Adp of The Snf · since 2023
- Danny k Prince
5% or Greater Mortgage Interest · 99% · since 2023
- Deb Wampler
Adp of The Snf · since 2023
- Dkp Investments, Llc
Operational/managerial Control · since 2023
- Grady Hooper
Corporate Officer · since 2023
+ 2 additional owners on the federal record.
Recent change of ownership
May 2023 (3 years ago) · acquired from Inspiration Hills Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 25)
- D0656·Nov 26, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0689·Apr 4, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0880·Apr 4, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Apr 4, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0760·Apr 4, 2025
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0759·Apr 4, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0688·Apr 4, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D0685·Apr 4, 2025
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Apr 4, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Inspiration Hills Rehabilitation Center is a 134-bed nursing home in San Antonio (Bexar County) accepting Medicare and Medicaid, managed by The Williamsburg Care Company Lp under a hospital district licensee. CMS rates it 3 stars overall, with a 2-star quality-of-care rating. The facility is running at 58% of licensed capacity — 78 residents in 134 beds. No fines have been issued and no abuse findings appear in the CMS record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 3 stars. Each resident receives about 199 minutes of nursing care per day — roughly 42 minutes less than at a 4-star-staffing facility in Texas. Of that, only 11 minutes comes from a registered nurse; the Texas threshold for a 4-star staffing rating requires 37 RN minutes per resident per day. About 19% of Texas nursing homes share this staffing rating.
RN turnover is a different story. Roughly 2 in 10 registered nurses left in the past year — below the state's 25th-percentile cutoff, meaning RN retention here is better than about three-quarters of nursing homes in Texas. Total nursing staff turnover sits at 42.6%, which is just above the state's 25th-percentile mark of 42%.
The facility is operating at 58% of its 134 licensed beds, with about 78 residents on an average day. That figure sits well below what most nursing homes in comparable markets carry.
CMS rates the quality-of-care measures here at 2 stars — below the 3-star overall rating. That gap means the facility's inspection and staffing scores are pulling the overall figure up while resident-outcome measures trail behind.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for low occupancy
The facility averages 78 residents in 134 licensed beds — ask whether the open beds reflect a business decision, staffing constraints, or something else.
RN coverage on nights and weekends
Reported RN hours average only 11 minutes per resident per day; ask specifically how many registered nurses are on duty during overnight and weekend shifts.
Quality-measure gaps and care plans
CMS rates this facility 2 stars on resident-outcome measures despite a 3-star overall rating; ask how care plans are reviewed and what the team is doing to address those outcomes.
Management company's role day to day
The licensee is a hospital district, but day-to-day management runs through The Williamsburg Care Company Lp — ask which entity sets staffing levels and responds to care complaints.
Resident Council activity
A Resident Council exists here but no Family Council; ask how often the Resident Council meets and how family members can raise concerns in its absence.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.