San Pedro Manor
515 W Ashby Pl, San Antonio, TX, 78212
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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
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 150 · avg 96 residents/day
- Total nursing staff turnover
- 46.8% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 63.6% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $24,285 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 455689
- Certified beds
- 150 beds · avg 96 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Uvalde County Hospital Authority
- Chain affiliation
- The Ensign Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 338 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (9 on record)
- West Ashby Healthcare, Inc.
Adp of The Snf · since 2025
- Adam Apolinar
Corporate Officer · since 2022
- Joshua Every
Operational/managerial Control · since 2022
- 515wap, Llc
Adp of The Snf · since 2021
- Beverly s Gutierrez
Operational/managerial Control · since 2021
- Uvalde County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2021
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 30)
- D0580·Apr 30, 2026Complaint
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.
- E0880·Aug 8, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Aug 8, 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.
- E0804·Aug 8, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0690·Aug 8, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0583·Aug 8, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- C0576·Aug 8, 2025
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D0880·Jul 30, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20242 fines · $24K · 1 payment denial
Most recent events
- Jun 27, 2024Payment denial · 72 days · starting Jul 31, 2024
- Jun 27, 2024Fine · $14K
- May 17, 2024Fine · $10K
Largest single fine on record: $14K.
Fire-safety citations
26 Life-Safety-Code citations on file. Most recent: Aug 8, 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 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 Pedro Manorinto 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.