San Antonio West Nursing and Rehabilitation
636 Cupples Rd · San Antonio, TX · 78237 · 2104340611
135 certified beds For profit - Corporation Chain: Eduro Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $373,391 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$373,391 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.72 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.72 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.36 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 4 · $373,391 |
Inspection citations (73 in the current record)
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Potential for harm · E April 30, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · D April 24, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 18, 2026 · Resident Rights
-
Potential for harm · D April 24, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 2026 · 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 May 18, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D April 24, 2026 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected May 18, 2026 · Administration
-
Potential for harm · E April 10, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D April 10, 2026
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · E April 10, 2026
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.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D April 10, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · E April 10, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · E April 10, 2026
Ensure that residents are free from significant medication errors.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · D April 10, 2026
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.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · D April 10, 2026
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Deficient, Provider has no plan of correction · Nutrition and Dietary
-
Potential for harm · E April 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has no plan of correction · Nutrition and Dietary
-
Potential for harm · D April 10, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Deficient, Provider has no plan of correction · Administration
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Potential for harm · D April 10, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has no plan of correction · Infection Control
-
Potential for harm · E April 10, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Deficient, Provider has no plan of correction · Environmental
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Potential for harm · D February 13, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected February 14, 2026 · Resident Rights
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Potential for harm · D February 13, 2026 · found via complaint
Provide appropriate foot care.
Corrected February 14, 2026 · Quality of Life and Care
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Potential for harm · D February 13, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 14, 2026 · Infection Control
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Potential for harm · D February 13, 2026 · found via complaint
Have policies on smoking.
Corrected February 14, 2026 · Environmental
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Potential for harm · E January 9, 2026 · 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 January 10, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 9, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 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 20, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 4, 2025 | Fine | $24,845 |
| January 30, 2025 | Fine | $162,019 |
| January 30, 2025 | Payment Denial | 16 days |
| January 10, 2025 | Fine | $15,556 |
| September 20, 2024 | Fine | $170,971 |
| September 20, 2024 | Payment Denial | 12 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675002 · certified since January 15, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.