Southeast Nursing & Rehabilitation Center
4302 E Southcross Blvd, San Antonio, TX, 78222
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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: Ruby Healthcare
- Certified beds
- 116 · avg 82 residents/day
- Total nursing staff turnover
- 38.5% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — 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 · $204,738 total
Medicare certification
- CMS Certification Number
- 675883
- Certified beds
- 116 beds · avg 82 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hamilton County Hospital District
- Chain affiliation
- Ruby Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Ruby Healthcare chain — 7 facilities. Chain-wide average overall rating 3.0 / 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 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 53)
- E0921·Apr 3, 2026Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0812·Apr 3, 2026Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- J0689·Apr 3, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0583·Apr 3, 2026Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0584·Apr 3, 2026
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D0550·Apr 3, 2026
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
Federal penalties
By year
- 20261 fine · $16K
- 20231 fine · $188K
Most recent events
- Apr 3, 2026Fine · $16K
- Jul 31, 2023Fine · $188K
Largest single fine on record: $188K.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Apr 3, 2026. 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 Southeast Nursing & Rehabilitation Centerinto 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.