Southeast Nursing & Rehabilitation Center
4302 EAST SOUTHCROSS BLVD., San Antonio, TX, 78222
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: Ruby Healthcare
- Certified beds
- 116 · avg 78 residents/day
- Total nursing staff turnover
- 48.4% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 83.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $188,383 total
State licensing & capacity
- License number
- 311841
- Service type
- Medicare/medicaid
- Licensed capacity
- 116 beds
- Bed type breakdown
- 116 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- January 1, 1976
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Southeast Hc Llc
- Administrator
- Adelide Ybarra
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Ruby Healthcare chain — 7 facilities. Chain-wide average overall rating 3.3 / 5.
Disclosed owners (15 on record)
- 434 Paza Drive Llc
Adp of The Snf · since 2025
- Aysan tr
Adp of The Snf · since 2025
- Brass tx Trust
Adp of The Snf · since 2025
- Cape Home Holdco Llc
Adp of The Snf · since 2025
- Genetta Beasley
Adp of The Snf · since 2025
- Gold tx Trust
Adp of The Snf · since 2025
+ 9 additional owners on the federal record.
Recent change of ownership
March 2024 (2 years ago) · acquired from Southeast Nursing & Rehabilitation Center
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 58)
- D0808·Jan 9, 2026Complaint
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- D0803·Jan 9, 2026Complaint
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- D0687·Jan 9, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate foot care.
- D0585·Jan 9, 2026Complaint
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D0550·Jan 9, 2026Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0921·Feb 12, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0919·Feb 12, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D0880·Feb 12, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20231 fine · $188K
Most recent events
- Jul 31, 2023Fine · $188K
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: Feb 12, 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
Southeast Nursing & Rehabilitation Center is a 116-bed Medicare/Medicaid nursing home in San Antonio, licensed since 1976 and managed by Southeast HC LLC under a Hospital District license. CMS rates it 2 stars overall, with a 1-star health inspection rating. One fine totaling $188,383 has been issued — roughly nine times the Texas median fine amount. Quality-of-care outcome measures rate 5 stars. The facility is operating at about 67% 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 2 stars on staffing. Each resident receives about 216 minutes of nursing care per day — roughly 25 minutes less than at a 4-star-staffing facility in Texas. RN coverage is particularly thin: 9 minutes of registered nurse time per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility. About 32% of Texas nursing homes share this staffing rating or lower.
RN turnover here is very high — roughly 8 in 10 registered nurses left in the past year. For a long-stay resident, that level of RN churn means continuity of clinical oversight is frequently interrupted.
One CMS fine totaling $188,383 has been issued against this facility. The Texas median fine across nursing homes that receive any fine is about $20,699 — this single fine is roughly nine times that figure.
The facility is operating at approximately 67% of its 116 licensed beds, with 77.5 residents on an average day. That occupancy level, paired with the staffing and inspection findings, is the full picture the numbers give.
CMS rates quality-of-care outcome measures at 5 stars — the highest rating — including a 5-star long-stay quality rating. That rating covers resident outcomes such as rates of pressure wounds, falls with injury, and decline in mobility, as tracked in CMS data.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Background on the $188,383 fine
Ask what the single CMS fine — nearly nine times the Texas median — was cited for, and what specific changes were made in response.
RN staffing and continuity
With roughly 8 in 10 RNs leaving in the past year, ask how the facility maintains registered nurse oversight and who covers clinical assessments day-to-day.
Why beds are running at 67%
The facility averages about 78 residents in 116 beds; ask whether the lower occupancy reflects a waitlist pause, admission holds, or another factor.
Health inspection rating details
The 1-star health inspection rating is the lowest possible; ask to see the most recent inspection report and what deficiencies are still under a correction plan.
Management company's role
The facility is licensed to a Hospital District but managed by Southeast HC LLC; ask who makes day-to-day staffing and care decisions and who holds accountability for compliance.
How the 5-star quality outcomes are achieved
Given the low staffing and inspection ratings, ask which specific quality measures drive the 5-star outcome score and how those results are tracked and sustained.
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.