Remington Transitional Care of San Antonio
5423 Hamilton Wolfe Rd · San Antonio, TX · 78229 · 2106949494
60 certified beds Non profit - Corporation Chain: Wellsential Health
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 3.90 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
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Potential for harm · D December 15, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 18, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected November 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 18, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 6, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected June 7, 2025 · Resident Rights
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Potential for harm · D June 6, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected June 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 6, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 6, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 7, 2025 · Pharmacy Service
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Potential for harm · E June 6, 2025
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.
Corrected June 7, 2025 · Pharmacy Service
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Potential for harm · E June 6, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected June 7, 2025 · Nutrition and Dietary
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Potential for harm · E June 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2025 · Nutrition and Dietary
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Potential for harm · E June 6, 2025
Provide and implement an infection prevention and control program.
Corrected June 7, 2025 · Infection Control
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Potential for harm · D April 26, 2024
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected April 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 26, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 26, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 27, 2024 · Quality of Life and Care
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Potential for harm · E April 26, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected April 27, 2024 · Nutrition and Dietary
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Potential for harm · E April 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 27, 2024 · Nutrition and Dietary
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No harm found · C April 26, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 27, 2024 · Nutrition and Dietary
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Potential for harm · D February 9, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 9, 2024 · Infection Control
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Potential for harm · D March 10, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 12, 2023 · Pharmacy Service
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Potential for harm · D March 10, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 12, 2023 · Nutrition and Dietary
-
Potential for harm · D March 10, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 12, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E March 10, 2023
Provide and implement an infection prevention and control program.
Corrected March 12, 2023 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676216 · certified since April 25, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.