Southeast Nursing & Rehabilitation Center
4302 E Southcross Blvd · San Antonio, TX · 78222 · 2103331223
116 certified beds Government - Hospital district Chain: Ruby 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).
- Federal penalties on record: $16,355 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.
RN staffing in the bottom 10% nationally
0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 3.31 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 2 · $204,738 |
Inspection citations (53 in the current record)
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Immediate jeopardy · J April 3, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 4, 2026 · Quality of Life and Care
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Potential for harm · D April 3, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 4, 2026 · Resident Rights
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Potential for harm · D April 3, 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.
Corrected April 4, 2026 · Resident Rights
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Potential for harm · D April 3, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 4, 2026 · Resident Rights
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Potential for harm · E April 3, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 4, 2026 · Nutrition and Dietary
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Potential for harm · E April 3, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 4, 2026 · Environmental
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Potential for harm · D January 9, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 12, 2026 · Resident Rights
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Potential for harm · D January 9, 2026 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected January 23, 2026 · Resident Rights
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Potential for harm · D January 9, 2026 · found via complaint
Provide appropriate foot care.
Corrected January 28, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026 · found via complaint
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 January 28, 2026 · Nutrition and Dietary
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Potential for harm · D January 9, 2026 · found via complaint
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.
Corrected January 28, 2026 · Nutrition and Dietary
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Potential for harm · D February 12, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 13, 2025 · Resident Rights
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Potential for harm · E February 12, 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 February 13, 2025 · Resident Rights
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Potential for harm · D February 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 13, 2025 · Quality of Life and Care
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Potential for harm · D February 12, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 13, 2025 · Pharmacy Service
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Potential for harm · D February 12, 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 February 13, 2025 · Pharmacy Service
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Potential for harm · F February 12, 2025
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 February 13, 2025 · Nutrition and Dietary
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Potential for harm · F February 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 13, 2025 · Nutrition and Dietary
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Potential for harm · D February 12, 2025
Dispose of garbage and refuse properly.
Corrected February 13, 2025 · Nutrition and Dietary
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Potential for harm · D February 12, 2025
Provide and implement an infection prevention and control program.
Corrected February 13, 2025 · Infection Control
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Potential for harm · D February 12, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 13, 2025 · Environmental
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Potential for harm · E February 12, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 13, 2025 · Environmental
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Potential for harm · D January 13, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected January 15, 2024 · Resident Rights
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Potential for harm · D January 13, 2024 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected January 19, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 3, 2026 | Fine | $16,355 |
| July 31, 2023 | Fine | $188,383 |
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 675883 · certified since September 6, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.