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 HHS 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 HHS licensing registry · as of April 16, 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 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.