Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 301 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 51% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 11 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 235 analyzed
Personalized based on this facility's data
Key Review Excerpts
“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.”
“My GMA had to check out and go back to the hospital bc of some of the night shift employees. They were very rude to her and she is 82 years old and the sweetest thing.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
2
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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.
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.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
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.
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.
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.
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
Frio Hospital District
for profit
HEARTLAND POST ACUTE LLC
WILLIAM CLIFTON
Opco Skilled Management
66 facilities nationwide
Chain avg rating: 2.2/5 · Rank 17 of 24
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 this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
301 reviews from families & visitors
Official Website
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Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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