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 HHS 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 HHS licensing registry · as of April 16, 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 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.