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Nursing HomeMedicaid

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.

1 Heartland Drive, Uptown Central · San Antonio, TX 78247154 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 297 Google reviews

5
4
3
2
1
San Antonio Wellness & Rehabilitation Nursing Home in San Antonio, TX — Street View
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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 details
Food7.0Staff6.0Clean6.0Activities8.0Meds3.0Memory8.0Comms4.0ValueN/A

Strengths

  • 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

2343.82023(56)4.52024(61)4.42025(95)4.62026(19)

Distribution · 231 analyzed

5
173
4
20
3
5
2
2
1
31
10 reviews posted between Sep 2, 2025Sep 5, 2025 · 8 were 5-star

How They Respond to Reviews

0%response rate

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.

Memory care family member · 2026★★★★★

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.

Rehab patient · 2025★★★★★

My 2 week stay at One Heartland Acute was beyond expectations. I have always heard horror stories about rehab centers, but not this one.

Rehab patient · 2024★★★★★
Source: 297 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
53%
Registered nurses for medical care
Total Nursing
3.60hrs
88%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
54%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

13

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Bexar
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.4%
Better than Avg
Here
16.4%
US
19.5%
TX
18.4%
Bexar
22.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
93.4%
TX
96.9%
Bexar
94.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Bexar
98.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.4%
Mixed vs Avgs
Here
15.4%
US
19.4%
TX
14.2%
Bexar
17.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility12.6%
Mixed vs Avgs
Here
12.6%
US
15.4%
TX
9.4%
Bexar
10.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
TX
89.2%
Bexar
80.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.9%
Better than Avg
Here
96.9%
US
79.7%
TX
88.0%
Bexar
83.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bexar
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
2penalties
Above state avg (9.1)
39 complaint-triggered
$104,627 in fines

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, 2026Complaint
1
0842Potential for harm · IsolatedCorrected

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, 2025Complaint
3
0559Potential for harm · IsolatedCorrected

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.

0603Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

0842Potential for harm · IsolatedCorrected

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, 2025Complaint
3
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0657Potential for harm · IsolatedCorrected

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, 2024Routine
10
0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0222Potential for harm · PatternCorrected

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.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0585Potential for harm · IsolatedCorrected

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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Oct 18, 2024Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 16, 2024Complaint
6
0791Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690Potential for harm · IsolatedCorrected

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.

0726Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

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

Owner / Operator

Frio Hospital District

Organization Type

for profit

Management Company

HEARTLAND POST ACUTE LLC

Administrator

WILLIAM CLIFTON

Chain Affiliation

Chain Name

Opco Skilled Management

Chain Size

64 facilities nationwide

Chain avg rating: 2.2/5 · Rank 17 of 24

Ownership & Management

Owners

Frio Hospital District

Owner · Organization

100%

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

Ruff, MichaelOfficer / DirectorHansen Hunter LLCManagerHeartland Post Acute LLCManagerGaretz, DavidManager1 Heartland Drive TX, LLCAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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