San Antonio Wellness & Rehabilitation
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 297 Google reviews

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What this means for your family
This facility offers excellent rehabilitation services and a highly regarded administration team. However, families must be extremely vigilant regarding night-shift staffing and call-button responsiveness, as multiple reports indicate that patient needs for hygiene and medication may be neglected during these hours.
Google Reviews
Google Reviews
297 reviews on Google“Families considering San Antonio Wellness & Rehabilitation will find a facility with a highly praised rehabilitation and nursing team, particularly noted for their compassion and professionalism. However, there are significant, recurring reports of severe understaffing, particularly on night shifts, which has led to critical concerns regarding delayed medication, hygiene neglect, and slow response to call buttons.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and professional nursing staff
- Excellent rehabilitation and physical therapy services
- Clean and modern facility environment
- Secure and well-managed visitor entry system
Concerns
- Severe understaffing leading to delayed care and hygiene neglect (mentioned by 6 reviewers)
- Slow response times to call buttons and medical emergencies (mentioned by 4 reviewers)
- Inconsistent cleanliness and unpleasant odors in some areas (mentioned by 3 reviewers)
- Issues with medication administration timing (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 231 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1With the high praise for your physical therapy team, how do you work with families to set specific rehabilitation goals for a new resident?
- 2What specific steps is the facility taking to ensure call buttons are answered promptly and that care remains consistent throughout every shift?
- 3How does the nursing team manage the daily medication schedule to ensure everything is administered accurately and on time?
- 4Since many visitors appreciate the secure entry system, how does the staff maintain that balance of safety and easy access for family members?
- 5What are some of the favorite daily activities or social events that help residents stay engaged with one another?
- 6Could you tell me more about your current cleaning protocols and how you ensure all resident areas remain fresh and well-maintained?
Personalized based on this facility's data
Key Review Excerpts
“The Staff on the Memory Care Unit on Evening and Night Shift were very professional and cared for the patients well being. Had great attitudes and made sure patients were highly safe when walking about in the Unit.”
“Every member of the staff was caring and helpful as I recovered from hip surgery in January. The rehab was excellent and put me on my way to getting better every day.”
“My 2 week stay at One Heartland Acute was beyond expectations. I have always heard horror stories about rehab centers, but not this one.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced significant challenges with 60 deficiencies across 13 surveys, with 43 stemming from family complaints. Recurring problems involve medication management, infection control, and medical record keeping, with medication issues appearing in multiple complaint-driven investigations from 2023. While all deficiencies show correction dates, the pattern of repeated complaints about fundamental care areas raises concerns about sustained quality improvements.
Jan 16, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 11, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 2, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nov 8, 2024Routine10
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Oct 18, 2024Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 16, 2024Complaint6
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Dec 3, 2023
$104,627
Payment Denial
Dec 3, 2023
11-day denial
Ownership & Operations
Who Operates This Facility
Frio Hospital District
for profit
HEARTLAND POST ACUTE LLC
WILLIAM CLIFTON
Chain Affiliation
Opco Skilled Management
64 facilities nationwide
Chain avg rating: 2.2/5 · Rank 17 of 24
Ownership & Management
Owners
Frio Hospital District
Owner · Organization
Gurwitz, Solomon
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Hagins, Elizabeth
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Esther
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Kaplan, Mordechai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mindle, Adam
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Unger, Jeffrey
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
297 reviews from families & visitors
Official Website
Visit sanantoniowellnessandrehab.com
Medicare data downloads
Original nursing home datasets
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