Juniper Village At Lincoln Heights
855 E BASSE RD, San Antonio, TX, 78209
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 - Corporation
- Certified beds
- 46 · avg 25 residents/day
- Total nursing staff turnover
- 41.9% — 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
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $121,976 total
State licensing & capacity
- License number
- 146770
- Service type
- Medicare Only
- Licensed capacity
- 46 beds
- Bed type breakdown
- 46 Medicare-only
- Current license effective
- January 18, 2023
- Current license expires
- April 5, 2026
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Sh Opco Lincoln Heights, Llc (Limited Liability Company (LLC))
- Operator / manager
- Watercrest Community Management, Llc
- Administrator
- James Carter
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (8 on record)
- Tiffany Weiser
W-2 Managing Employee · since 2021
- Juniper Management, Llc
Operational/managerial Control · since 2021
- Alan w Spragins
Corporate Officer · since 2018
- Alexander b Washburn
Corporate Officer · since 2018
- cp Opco Ventures vi Llc
5% or Greater Indirect Ownership Interest · 100% · since 2017
- Shp Reit i Llc
5% or Greater Indirect Ownership Interest · 100% · since 2017
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 18)
- D0880·Oct 11, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Oct 11, 2024
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0812·Oct 11, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Oct 11, 2024
Pharmacy Service Deficiencies
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.
- D0755·Oct 11, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0689·Oct 11, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0657·Oct 11, 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0655·Oct 11, 2024
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Federal penalties
By year
- 20241 fine · $122K
Most recent events
- May 4, 2024Fine · $122K
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Oct 11, 2024. 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
Juniper Village at Lincoln Heights is a 46-bed Medicare-only nursing home in San Antonio (Bexar County) with a 4-star overall CMS rating. Quality-of-care measures rate 5 stars, and staffing rates 4 stars. One CMS fine of $121,976 has been issued. The facility is operating at roughly 55% of licensed beds — about 25 residents on an average day — and holds an active state license through April 2026.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 316 minutes of nursing care per day. Staff hours per resident exceed what a typical resident mix would require, meaning the raw minutes reflect genuinely available capacity rather than a heavier-than-average care load.
About 4 in 10 nursing staff left in the past year — below the Texas 25th-percentile cutoff, better than roughly three-quarters of nursing homes in the state. RN turnover is exceptionally low: roughly 2 in 10 RNs left over the same period. Long-stay residents here are more likely to see the same nurses over time than at most Texas facilities.
One administrator has turned over in the past year. This is a single change rather than repeated turnover, but it represents a leadership transition at the top of the building.
One CMS fine of $121,976 has been issued. By comparison, the median fine among Texas facilities that received any fine at all is $20,699 — this facility's single fine is roughly six times that median. About 30% of Texas nursing homes have received no fines.
The facility is operating at approximately 55% of its 46 licensed beds, averaging about 25 residents per day. Paired with the fine amount and the administrator change, low occupancy is a detail families may want to explore directly with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Background on the $121,976 fine
Ask what deficiency triggered the single CMS fine of $121,976 — more than six times the Texas median fine — and what specific changes were made in response.
Reasons for low occupancy
The facility averages about 25 residents against 46 licensed beds; ask what is driving occupancy at roughly 55% and whether that affects staffing levels or available services.
Administrator transition details
One administrator turned over in the past year — ask how long the current administrator James Carter has been in the role and who held it previously.
Medicare-only admissions criteria
All 46 beds are certified Medicare-only; ask what qualifying conditions or coverage requirements apply, and what options exist if Medicare benefits are exhausted during a stay.
Resident Council participation
The facility has a Resident Council but no Family Council; ask how family members can raise concerns formally and how often the Resident Council meets.
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.