Westover Hills Rehabilitation and Healthcare
9922 State Hwy. 151 · San Antonio, TX · 78251 · 2105462273
124 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Federal penalties on record: $12,519 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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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 | 3.62 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 3.16 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 2 · $20,156 |
Inspection citations (29 in the current record)
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Potential for harm · D March 9, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 1, 2026 · Pharmacy Service
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Potential for harm · E March 9, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · D August 21, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 25, 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 May 23, 2025 · Pharmacy Service
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Potential for harm · E February 14, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 17, 2024 · Pharmacy Service
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Immediate jeopardy · J November 8, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · D November 8, 2024 · 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 December 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 15, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 9, 2024 · Quality of Life and Care
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Potential for harm · D July 15, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 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 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 26, 2024 · Pharmacy Service
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Potential for harm · D March 15, 2024
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 April 26, 2024 · Pharmacy Service
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Potential for harm · E March 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 26, 2024 · Nutrition and Dietary
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Potential for harm · E March 15, 2024
Provide and implement an infection prevention and control program.
Corrected April 26, 2024 · Infection Control
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Actual harm · G November 10, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 10, 2023 · Quality of Life and Care
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Potential for harm · D November 10, 2023 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected December 11, 2023 · Resident Rights
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Potential for harm · D July 14, 2023 · 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 August 25, 2023 · Resident Rights
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Potential for harm · D July 14, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 14, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 14, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 25, 2023 · 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 |
|---|---|---|
| November 8, 2024 | Fine | $12,519 |
| November 8, 2024 | Payment Denial | 1 days |
| November 10, 2023 | Fine | $7,637 |
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 676281 · certified since May 4, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.