The Lev At San Antonio
7703 BRIARIDGE DRIVE, San Antonio, TX, 78230
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
- For profit - Limited Liability company
- Certified beds
- 106 · avg 76 residents/day
- Total nursing staff turnover
- 51.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $174,496 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 307891
- Service type
- Medicare/medicaid
- Licensed capacity
- 106 beds
- Bed type breakdown
- 34 Medicare-only · 72 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- May 5, 1994
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Mcculloch County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- The Lev At San Antonio Llc
- Administrator
- Krystal Michelle Carmona
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (10 on record)
- Aharon Shkop
Contracted Managing Employee · 100% · since 2020
- The Lev at San Antonio, Llc
Operational/managerial Control · 100% · since 2020
- Arthur Moseley
Corporate Director · since 2020
- Curtis Owens
Corporate Director · since 2020
- Mcculloch County Hospital District
Operational/managerial Control · since 2020
- Michele Derrick
Corporate Director · since 2020
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, 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 42)
- F0908·Sep 11, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- D0880·Sep 11, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Sep 11, 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.
- E0761·Sep 11, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0759·Sep 11, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0755·Sep 11, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0684·Sep 11, 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0657·Sep 11, 2025
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.
Federal penalties
By year
- 20241 fine · $174K · 1 payment denial
Most recent events
- Aug 30, 2024Payment denial · 8 days · starting Oct 4, 2024
- Aug 30, 2024Fine · $174K
Fire-safety citations
16 Life-Safety-Code citations on file. Most recent: Sep 11, 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
The Lev At San Antonio is a 106-bed nursing home in San Antonio's Bexar County, licensed for Medicare and Medicaid. CMS rates it 1 star overall — the lowest tier, placing it among the bottom 38% of Texas nursing homes on staffing alone. A single CMS fine of $174,496 has been issued, and the facility is currently running at 72% occupancy — about 76 residents in 106 licensed beds. The active license runs through April 2029.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star. Each resident receives about 190 minutes of total nursing care per day — roughly 51 minutes less than at a 4-star-staffing facility in Texas. Of that, registered nurse time amounts to about 18 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility. Residents here also require more hands-on care than at a typical nursing home — they tend to be sicker or less mobile on average — so those 190 minutes stretch thinner than the raw number suggests.
CMS issued one fine totaling $174,496. About 30% of Texas nursing homes have received no fines at all; the state median for facilities that do receive fines is $20,699. This single fine is more than eight times that median.
The facility is operating at 72% of its licensed 106 beds — roughly 76 residents on an average day. Combined with a 1-star overall rating and a fine of this size, that vacancy level reflects a facility under meaningful pressure.
On quality measures, the picture splits sharply. Long-stay residents — those living here permanently or for extended periods — rate 5 stars on CMS quality measures, the highest tier. Short-stay residents — those here for post-hospital recovery — rate 1 star. These two populations often have different care needs and different staff assignments; the gap between the two scores is unusually wide.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
The $174,000 fine
Ask what the CMS fine from the most recent inspection cycle was for, and what specific changes were made in response.
Registered nurse hours per resident
CMS records 18 minutes of RN time per resident per day here — ask how many registered nurses are on duty on a typical weekday versus a weekend shift.
Short-stay quality outcomes
CMS rates short-stay quality measures at 1 star while long-stay rates 5 stars — ask what the facility tracks for patients recovering from a hospital stay and how it measures their outcomes.
Current bed availability
The facility is running at 72% occupancy; ask whether specific wings or care levels account for the vacancies, and whether staffing levels have adjusted to match the current census.
Staffing on nights and weekends
CMS records 2.87 total nursing hours per resident on weekends — ask how the weekend staffing ratio compares to weekday coverage and who supervises overnight.
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.