San Antonio Wellness & Rehabilitation
1 HEARTLAND DRIVE, San Antonio, TX, 78247
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 · Chain: Opco Skilled Management
- Certified beds
- 154 · avg 125 residents/day
- Total nursing staff turnover
- 28.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 58.3% — higher 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
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $104,627 total
- Payment denials
- 1 denial
- Infection control citations
- 4
State licensing & capacity
- License number
- 311751
- Service type
- Medicare/medicaid
- Licensed capacity
- 154 beds
- Bed type breakdown
- 67 Medicare-only · 87 Medicaid/Medicare
- Current license effective
- July 10, 2024
- Current license expires
- January 1, 2027
- Initial license date
- July 11, 1988
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Heartland Post Acute Llc
- Administrator
- William Clifton
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Opco Skilled Management chain — 52 facilities across 5 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (18 on record)
- Hansen Hunter Llc
Adp of The Snf · since 2025
- 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
+ 12 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 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 51)
- 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 Mar 1, 2026.
About this community
San Antonio Wellness & Rehabilitation is a 154-bed nursing home in San Antonio's Bexar County, accepting both Medicare and Medicaid. CMS rates it 2 stars overall, with a 2-star staffing rating and a single fine of $104,627 since the last inspection cycle. Quality-of-care measures for long-stay residents score 5 stars, while overall health inspections rate 2 stars. Managed by Heartland Post Acute LLC under a hospital district license, the facility currently houses about 125 residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 200 minutes of nursing care per day — roughly 41 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
About 3 in 10 nursing staff left in the past year — below the Texas 25th-percentile cutoff of 42%, meaning turnover is better than roughly three-quarters of nursing homes in this state. That stability in the care team stands alongside a 2-star staffing rating, pointing to a workforce that stays but that is stretched across more residents than peers.
CMS recorded one fine totaling $104,627. That is more than five times the Texas median fine of $20,699 among facilities that receive any fine at all, and about 30% of Texas facilities have received no fines in the same period. A single fine of this size reflects a serious deficiency finding rather than routine paperwork violations.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What triggered the $104,627 fine
One CMS fine totaling $104,627 was recorded — ask specifically what deficiency it cited, whether it has been corrected, and how the facility documented the fix.
Staffing levels on evenings and weekends
Reported weekend nursing hours average 2.845 per resident per day, below the already-low weekday figure — ask how many nurses and aides are on the floor on a Saturday night.
RN coverage throughout the day
Registered-nurse hours average about 21 minutes per resident per day; ask which hours an RN is on-site and who handles clinical decisions when no RN is present.
How residents raise concerns
The facility has a Resident Council but no Family Council — ask how family members are expected to surface concerns when a resident cannot do so independently.
Management company's role day-to-day
The facility is licensed to Frio Hospital District but operated by Heartland Post Acute LLC — ask which entity sets staffing budgets and care policies, and who the direct supervisor of the administrator is.
Current bed availability and wait time
With 125 residents in 154 licensed beds, the facility is running at about 81% occupancy — ask whether specific bed types or units have shorter waits and what the admission process looks like.
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.