San Antonio Wellness & Rehabilitation
1 HEARTLAND DRIVE, San Antonio, TX, 78247
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: Opco Skilled Management
- Certified beds
- 154 · avg 125 residents/day
- Total nursing staff turnover
- 28.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 58.3% — higher 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 · $104,627 total
- Payment denials
- 1 denial
- Infection control citations
- 4
State licensing & capacity
- License number
- 311751
- Service type
- Medicare/medicaid
- Licensed capacity
- 154 beds
- Bed type breakdown
- 67 Medicare-only · 87 Medicaid/Medicare
- Current license effective
- July 10, 2024
- Current license expires
- January 1, 2027
- Initial license date
- July 11, 1988
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Heartland Post Acute Llc
- Administrator
- William Clifton
Texas HHS licensing registry · as of April 16, 2026
About this community
San Antonio Wellness & Rehabilitation is a 154-bed nursing home in San Antonio's Bexar County, accepting both Medicare and Medicaid. CMS rates it 2 stars overall, with a 2-star staffing rating and a single fine of $104,627 since the last inspection cycle. Quality-of-care measures for long-stay residents score 5 stars, while overall health inspections rate 2 stars. Managed by Heartland Post Acute LLC under a hospital district license, the facility currently houses about 125 residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 200 minutes of nursing care per day — roughly 41 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
About 3 in 10 nursing staff left in the past year — below the Texas 25th-percentile cutoff of 42%, meaning turnover is better than roughly three-quarters of nursing homes in this state. That stability in the care team stands alongside a 2-star staffing rating, pointing to a workforce that stays but that is stretched across more residents than peers.
CMS recorded one fine totaling $104,627. That is more than five times the Texas median fine of $20,699 among facilities that receive any fine at all, and about 30% of Texas facilities have received no fines in the same period. A single fine of this size reflects a serious deficiency finding rather than routine paperwork violations.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What triggered the $104,627 fine
One CMS fine totaling $104,627 was recorded — ask specifically what deficiency it cited, whether it has been corrected, and how the facility documented the fix.
Staffing levels on evenings and weekends
Reported weekend nursing hours average 2.845 per resident per day, below the already-low weekday figure — ask how many nurses and aides are on the floor on a Saturday night.
RN coverage throughout the day
Registered-nurse hours average about 21 minutes per resident per day; ask which hours an RN is on-site and who handles clinical decisions when no RN is present.
How residents raise concerns
The facility has a Resident Council but no Family Council — ask how family members are expected to surface concerns when a resident cannot do so independently.
Management company's role day-to-day
The facility is licensed to Frio Hospital District but operated by Heartland Post Acute LLC — ask which entity sets staffing budgets and care policies, and who the direct supervisor of the administrator is.
Current bed availability and wait time
With 125 residents in 154 licensed beds, the facility is running at about 81% occupancy — ask whether specific bed types or units have shorter waits and what the admission process looks like.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.