Wurzbach Nursing and Rehabilitation
8300 Wurzbach Rd · San Antonio, TX · 78229 · 2106172200
140 certified beds For profit - Corporation Chain: Caraday Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $10,361 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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 3 · $34,945 |
Inspection citations (56 in the current record)
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Potential for harm · D June 13, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 14, 2025 · Resident Rights
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Potential for harm · D June 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 14, 2025 · Resident Rights
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Potential for harm · E June 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 14, 2025 · Quality of Life and Care
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Potential for harm · E June 13, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 14, 2025 · Pharmacy Service
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Potential for harm · D June 13, 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 14, 2025 · Pharmacy Service
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Potential for harm · E June 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 14, 2025 · Nutrition and Dietary
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Potential for harm · D June 13, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 13, 2025
Provide and implement an infection prevention and control program.
Corrected June 14, 2025 · Infection Control
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Potential for harm · D June 13, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected June 14, 2025 · Administration
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Potential for harm · D June 13, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected June 14, 2025 · Administration
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Potential for harm · D June 13, 2025
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected June 14, 2025 · Resident Rights
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Potential for harm · D June 13, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected June 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 13, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected June 14, 2025 · Administration
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Potential for harm · D June 13, 2025
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected June 14, 2025 · Infection Control
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Potential for harm · D June 13, 2025
Provide training in compliance and ethics.
Corrected June 14, 2025 · Administration
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Potential for harm · D June 13, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected June 14, 2025 · Nursing and Physician Services
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Potential for harm · D June 13, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected June 14, 2025 · Administration
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Potential for harm · D May 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · D March 9, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 9, 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 March 17, 2025 · Pharmacy Service
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Potential for harm · E December 6, 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 December 10, 2024 · 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 |
|---|---|---|
| March 9, 2025 | Fine | $10,361 |
| December 1, 2023 | Fine | $9,315 |
| October 26, 2023 | Fine | $15,269 |
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 455824 · certified since June 2, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.