Westover Hills Rehabilitation And Healthcare
9922 STATE HWY. 151, San Antonio, TX, 78251
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 · Chain: The Ensign Group
- Certified beds
- 124 · avg 110 residents/day
- Total nursing staff turnover
- 34.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 42.9% — 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)
- 2 fines · $20,156 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 311806
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 25 Medicare-only · 99 Medicaid/Medicare
- Current license effective
- December 1, 2023
- Current license expires
- December 1, 2026
- Initial license date
- May 4, 2011
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Guadalupe County Hospital Board (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Sage Terrace Healthcare Llc
- Administrator
- Jerry Hoyler
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 (11 on record)
- Sage Terrace Healthcare Llc
Adp of The Snf · since 2025
- Guadalupe County Hospital Board
5% or Greater Direct Ownership Interest · 100% · since 2023
- Jerry Hoyler
Operational/managerial Control · since 2023
- Kody Gann
Corporate Officer · since 2023
- Soon Burnam
Corporate Officer · since 2023
- Standard Bearer Healthcare Op, lp
Adp of The Snf · since 2023
+ 5 additional owners on the federal record.
Recent change of ownership
December 2023 (2 years ago) · acquired from Westover Hills Rehabilitation And Healthcare
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 29)
- D0657·Aug 21, 2025Complaint
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.
- D0641·Aug 21, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0761·Apr 25, 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.
- E0755·Feb 14, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- J0684·Nov 8, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0656·Nov 8, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0842·Jul 15, 2024Complaint
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.
- E0684·Jul 15, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20241 fine · $13K · 1 payment denial
- 20231 fine · $7,637
Most recent events
- Nov 8, 2024Payment denial · 1 day · starting Dec 12, 2024
- Nov 8, 2024Fine · $13K
- Nov 10, 2023Fine · $7,637
Largest single fine on record: $13K.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Apr 25, 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
Westover Hills Rehabilitation And Healthcare is a 124-bed nursing and rehabilitation facility in San Antonio, licensed through December 2026 and operating at about 89% of capacity. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 3-star staffing rating. It is part of The Ensign Group and managed by Sage Terrace Healthcare LLC under a Guadalupe County Hospital Board license.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — residents receive about 206 minutes of nursing care per day, roughly 35 minutes less than at a 4-star-staffing facility in Texas. That puts this facility in the bottom fifth of Texas nursing homes on staffing (about 19% of facilities statewide share this rating tier).
About 3 in 10 nursing staff left in the past year. That is below Texas's 25th-percentile cutoff, meaning turnover is better than roughly three-quarters of nursing homes in the state. For residents staying long-term, that level of stability typically means fewer caregiver changes over time.
CMS recorded 2 fines totaling $20,156 over the period covered by its data. That amount is just under the Texas median fine total of $20,699 across facilities that have been fined. Roughly 30% of Texas nursing homes had zero fines in the same period.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on evenings and weekends
Weekend nursing hours here run 3.13 per resident per day, below the weekday figure — ask how many nurses and aides are scheduled on a typical Saturday night.
What the two fines covered
CMS recorded two fines totaling $20,156 — ask what deficiencies triggered them and what changes were made in response.
Management company's day-to-day role
The licensee is a hospital district, but daily operations are run by Sage Terrace Healthcare LLC — ask who is the direct decision-maker for staffing, care plans, and complaints.
Resident Council meeting frequency
CMS records a Resident Council here but no Family Council — ask how often the council meets and how families can raise concerns outside of it.
Bed availability and wait time
The facility is running at about 89% of its 124 licensed beds — ask whether the care level your parent needs has current openings or a wait.
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.