Wurzbach Nursing And Rehabilitation
8300 WURZBACH RD., San Antonio, TX, 78229
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 - Corporation · Chain: Caraday Healthcare
- Certified beds
- 140 · avg 83 residents/day
- Total nursing staff turnover
- 64% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $34,945 total
State licensing & capacity
- License number
- 307662
- Service type
- Medicare/medicaid
- Licensed capacity
- 140 beds
- Bed type breakdown
- 10 Medicare-only · 130 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- August 1, 1982
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Caraday Wurzbach Llc (Limited Liability Company (LLC))
- Operator / manager
- Caraday Management Llc
- Administrator
- Jose Ruiz
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Caraday Healthcare chain — 9 facilities. Chain-wide average overall rating 2.6 / 5.
Disclosed owners (16 on record)
- Cara Capital Llc
5% or Greater Indirect Ownership Interest · 20% · since 2020
- Caraday Healthcare, Llc
5% or Greater Direct Ownership Interest · 100% · since 2020
- Caraday Holdings Llc
5% or Greater Indirect Ownership Interest · 100% · since 2020
- Daybach Investments, lp
5% or Greater Indirect Ownership Interest · 20% · since 2020
- E&r Cunningham Investments lp
5% or Greater Indirect Ownership Interest · 20% · since 2020
- Granite Wurzbach, Llc
5% or Greater Mortgage Interest · 100% · since 2020
+ 10 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 56)
- D0949·Jun 13, 2025
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D0947·Jun 13, 2025
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D0946·Jun 13, 2025
Administration Deficiencies
Provide training in compliance and ethics.
- D0945·Jun 13, 2025
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- D0944·Jun 13, 2025
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D0943·Jun 13, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D0942·Jun 13, 2025
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- D0941·Jun 13, 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Federal penalties
By year
- 20251 fine · $10K
- 20232 fines · $25K
Most recent events
- Mar 9, 2025Fine · $10K
- Dec 1, 2023Fine · $9,315
- Oct 26, 2023Fine · $15K
Largest single fine on record: $15K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Jun 13, 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
Wurzbach Nursing And Rehabilitation is a 140-bed Medicare- and Medicaid-certified nursing home in San Antonio, operated by Caraday Management LLC. CMS rates it 1 star overall — the lowest tier, shared by roughly 38% of Texas nursing homes. The facility has received 3 CMS fines totaling $34,945 since its last inspection cycle and carries a 1-star staffing rating. Two administrators have turned over in the past year. The license is active through January 2027.
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 184 minutes of nursing care per day — 57 minutes less than at a 4-star-staffing facility in Texas. Of those minutes, only 14 come from a registered nurse. Residents here require more hands-on care than at a typical facility — less mobile or medically complex on average — so the same staffing hours stretch thinner than the raw minutes suggest.
Roughly 6 in 10 nursing staff left in the past year, and about 7 in 10 registered nurses did the same. Texas nursing homes at the 75th percentile see 60% total turnover; this facility sits above that mark. A long-stay resident will likely go through two or three primary caregivers during their time here.
Two administrators have left in the past year — a level of organizational instability that residents experience directly in day-to-day care continuity.
CMS recorded 3 fines totaling $34,945. The state median for fined facilities in Texas is $20,699; this facility's total runs about 69% above that. Roughly 30% of Texas nursing homes have no fines at all.
The facility is operating at about 59% of its licensed 140 beds, with an average of 82.6 residents on any given day. That low occupancy rate, set alongside the staffing, turnover, and fine signals, is a concrete data point to raise with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Two administrators in one year
Two administrators have left in the past 12 months — ask who is currently in the role, how long they have been in place, and whether a permanent hire has been made.
Registered nurse coverage on nights and weekends
RN hours average just 14 minutes per resident per day — ask specifically how many registered nurses are on the floor during overnight and weekend shifts.
Staff continuity for long-stay residents
About 6 in 10 nursing staff left in the past year; ask how the facility assigns consistent aides to residents and what the current open-position count looks like.
The three CMS fines
CMS issued 3 fines totaling $34,945 — ask what deficiencies triggered each fine and what specific process changes were made in response.
Why occupancy is running at 59%
Fewer than 83 of 140 licensed beds are occupied on average — ask whether planned renovations, staffing shortfalls, or other factors are limiting admissions.
Resident Council participation
A Resident Council meets here but no Family Council exists — ask how family members are currently able to raise concerns between scheduled meetings.
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.