San Antonio West Nursing And Rehabilitation
636 CUPPLES RD, San Antonio, TX, 78237
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Eduro Healthcare
- Certified beds
- 135 · avg 92 residents/day
- Total nursing staff turnover
- 70.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $373,391 total
- Payment denials
- 2 denials
- Infection control citations
- 1
State licensing & capacity
- License number
- 308716
- Service type
- Medicare/medicaid
- Licensed capacity
- 135 beds
- Bed type breakdown
- 15 Medicare-only · 120 Medicaid/Medicare
- Current license effective
- August 1, 2025
- Current license expires
- August 1, 2028
- Initial license date
- March 1, 1973
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Maverick County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- San Antonio Nursing And Rehab Center Llc
- Administrator
- Denise C Rios
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Eduro Healthcare chain — 36 facilities across 8 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (3 on record)
- Alma Martinez
Corporate Director · since 2022
- Maverick County Hospital Distict
5% or Greater Direct Ownership Interest · 100% · since 2022
- Michael c Bewsey
Operational/managerial Control · since 2022
Recent change of ownership
August 2022 (3 years ago) · acquired from Retama Manor Nursing Center/san Antonio West
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 56)
- D0842·Jan 9, 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.
- E0656·Jan 9, 2026Complaint
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.
- D0842·Dec 19, 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.
- D0657·Dec 12, 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.
- D0580·Dec 12, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0559·Dec 12, 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.
- D0805·Nov 20, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- J0925·Oct 25, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Federal penalties
By year
- 20253 fines · $202K · 1 payment denial
- 20241 fine · $171K · 1 payment denial
Most recent events
- Sep 4, 2025Fine · $25K
- Jan 30, 2025Payment denial · 16 days · starting Mar 11, 2025
- Jan 30, 2025Fine · $162K
- Jan 10, 2025Fine · $16K
- Sep 20, 2024Payment denial · 12 days · starting Oct 19, 2024
- Sep 20, 2024Fine · $171K
Largest single fine on record: $171K.
Fire-safety citations
10 Life-Safety-Code citations on file, including 1 at severity J–L. Most recent: Jan 30, 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
San Antonio West Nursing And Rehabilitation is a 135-bed nursing home in San Antonio's Bexar County, licensed since 1973 and currently managed by San Antonio Nursing And Rehab Center LLC under Eduro Healthcare. CMS rates it 1 star overall, with a 1-star health inspection rating and substantiated findings of resident abuse within the past 36 months. Four CMS fines total $373,391. The facility is operating at roughly 68% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier. Each resident receives about 163 minutes of nursing care per day, roughly 78 minutes less than at a 4-star-staffing facility in Texas. Of those 163 minutes, only 18 are from a registered nurse. Residents here require more hands-on care than at a typical facility — sicker or less mobile on average — so those already-low staffing hours stretch thinner than the raw numbers suggest.
About 7 in 10 nursing staff left in the past year. Texas's 75th-percentile cutoff for turnover is 60% — this facility is well above it. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year. Two administrators have also left in the past year, adding organizational instability that residents feel directly.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. That finding appears alongside a 1-star health inspection rating — the lowest possible — indicating a broader pattern of deficiency citations, not a single isolated incident.
Four CMS fines total $373,391. The median among fined Texas nursing homes is $20,699; this facility's total is roughly 18 times that figure. Approximately 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 68% of its 135 licensed beds, with about 92 residents on an average day. Paired with the safety and staffing signals above, low occupancy here reflects context the other numbers already establish.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings
CMS has recorded substantiated abuse or neglect findings here within the past 36 months — ask what specific incidents occurred, what corrective actions were taken, and how staff are now monitored.
Four fines totaling $373,391
Ask what each of the four cited violations involved and what structural changes, not just one-time corrections, the facility made in response.
Two administrators in one year
Two administrators left in the past 12 months — ask who is currently in the role, how long they have been here, and who provides continuity of oversight day to day.
Nursing staff turnover at 70%
7 in 10 nursing staff left last year — ask how the facility fills open shifts, whether it relies on agency staff, and how care plans are handed off when a caregiver changes.
18 minutes of RN care per day
Residents receive an average of 18 minutes of registered-nurse time daily — ask what a registered nurse's specific responsibilities are and when one is on-site versus on call.
Eduro Healthcare chain oversight
This location is part of Eduro Healthcare — ask how corporate leadership monitors quality at this specific facility and what metrics trigger intervention from the chain.
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.