San Pedro Manor
515 W. ASHBY PLACE, San Antonio, TX, 78212-3802
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
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 150 · avg 97 residents/day
- Total nursing staff turnover
- 44.8% — 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
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $24,285 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 312988
- Service type
- Medicare/medicaid
- Licensed capacity
- 150 beds
- Bed type breakdown
- 44 Medicare-only · 106 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- July 1, 2026
- Initial license date
- February 18, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- West Ashby Healthcare, Inc
- Administrator
- Princess Hernandez
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 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 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 32)
- 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.
- D0842·Jul 17, 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.
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 Mar 1, 2026.
About this community
San Pedro Manor is a 150-bed Medicare/Medicaid nursing home in San Antonio's Bexar County, operated by West Ashby Healthcare under a hospital district license. CMS rates it 4 stars overall, with a 5-star quality-of-care rating but a 2-star staffing rating. Occupancy runs at about 64% of licensed beds. Three administrators have turned over in the past year.
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 — the bottom third of Texas nursing homes on this measure. Each resident receives about 204 minutes of total nursing care per day, roughly 37 minutes less than at a 4-star-staffing facility in Texas. Of that, only about 21 minutes involve a registered nurse, compared to 37 minutes at a 4-star threshold.
Three administrators have left in the past year. Leadership changes at that pace tend to ripple into day-to-day operations — care-plan continuity, staff direction, and vendor relationships all run through that office.
San Pedro Manor has received 2 CMS fines totaling $24,285 since the most recent inspection cycle. The state median for fined facilities in Texas is about $20,699; about 30% of Texas nursing homes have no fines at all.
The facility is running at roughly 64% of its 150 licensed beds — about 97 residents per day on average. At that level, beds are available without a waitlist.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Three administrators in one year
Three administrators have left in the past 12 months — ask who is currently in the role, how long they have been here, and whether a permanent hire is in place.
Staffing levels on nights and weekends
The 2-star staffing rating reflects about 204 daily nursing minutes per resident; ask how that coverage holds up on evenings, nights, and weekends, when the facility reports 3.0 hours per resident.
Why so many beds are empty
The facility is at roughly 64% of licensed capacity — ask what is driving the lower census and whether it has affected department staffing or service availability.
Recent CMS fines and corrections
Two CMS fines totaling $24,285 have been issued — ask what the violations were, and what specific changes were made in response.
Resident Council participation
A Resident Council meets here but there is no Family Council — ask how families are formally notified of concerns raised in Resident Council meetings.
Management company's day-to-day role
West Ashby Healthcare manages the facility on behalf of the Guadalupe County Hospital District — ask which entity sets staffing budgets and handles hiring decisions.
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.