San Antonio Wellness & Rehabilitation
One Heartland Dr, San Antonio, TX, 78247
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Opco Skilled Management
- Certified beds
- 154 · avg 116 residents/day
- Total nursing staff turnover
- 32.5% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 53.8% — near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $104,627 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 455762
- Certified beds
- 154 beds · avg 116 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Frio Hospital District
- Chain affiliation
- Opco Skilled Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Opco Skilled Management chain — 64 facilities across 5 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (17 on record)
- 1 Heartland Drive Tx, Llc
Adp of The Snf · since 2024
- Continuum Rehab Group Llc
Adp of The Snf · since 2024
- David Garetz
Operational/managerial Control · since 2024
- Frio Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2024
- Gibraltar Trust
Adp of The Snf · since 2024
- Heartland Post Acute Llc
Operational/managerial Control · 100% · since 2024
+ 11 additional owners on the federal record.
Recent change of ownership
January 2024 (2 years ago) · acquired from San Antonio Wellness & Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 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 47)
- D0842·Jan 16, 2026Complaint
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.
- D0842·Sep 11, 2025Complaint
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.
- D0603·Sep 11, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- D0559·Sep 11, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D0657·Jul 2, 2025Complaint
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.
- D0610·Jul 2, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0609·Jul 2, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0812·Nov 8, 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.
Federal penalties
By year
- 20231 fine · $105K · 1 payment denial
Most recent events
- Dec 3, 2023Payment denial · 11 days · starting Dec 30, 2023
- Dec 3, 2023Fine · $105K
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Nov 8, 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about San Antonio Wellness & Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.