San Antonio West Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 41 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (34 vs median 8.0)
- High staff turnover (70%)
- High RN turnover (67%)
Bottom 25% in Texas · Critically understaffed (RN) · Very high staff turnover · Worst in EDURO HEALTHCARE chain · $373,391 in fines · Abuse citation
What this means for your family
While certain nurses and the rehab team provide excellent care, the facility has a troubling recent trend of hygiene issues and communication breakdowns. If you choose this facility, you must proactively monitor your loved one's oxygen equipment and hygiene, and insist on regular updates from the nursing staff.
Google Reviews
Google Reviews
41 reviews on Google“Families should exercise extreme caution, as recent reviews frequently report serious issues with hygiene, including strong odors of urine, and critical lapses in medical care such as improper oxygen use. While some long-term residents and their families praise specific nurses and the rehabilitation therapy, there is a significant pattern of reports regarding unprofessional communication and neglectful behavior.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate individual nurses and CNAs
- Effective rehabilitation and therapy services
- Engaging activity programs for residents
Concerns
- Unsanitary conditions and strong odors of urine (mentioned by 4 reviewers)
- Unprofessional or rude communication from staff and administration (mentioned by 5 reviewers)
- Neglect regarding medical equipment and monitoring (mentioned by 2 reviewers)
- Poor food quality and dietary issues (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 41 analyzed
How They Respond to Reviews
The owner uses highly templated, repetitive responses that vary only by the reviewer's name. While they acknowledge negative feedback, they rely on standardized scripts to offer follow-up calls rather than addressing specific complaints.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nurses and CNAs; how do you ensure that level of care remains consistent across all shifts?
- 2What specific steps are being taken to ensure the facility remains clean, fresh, and well-maintained for the residents?
- 3Could you tell us more about the daily activity programs and how you keep residents engaged with the community?
- 4How does the administration handle communication with families to ensure we are always kept in the loop regarding medical updates or changes?
- 5What is the process for monitoring medical equipment and ensuring all necessary health technology is functioning correctly for resident safety?
- 6We'd love to hear more about the dining experience, specifically how the dietary team manages meal quality and nutritional needs?
Personalized based on this facility's data
Key Review Excerpts
“My husband was here for almost a year before he passed away last week after struggling with Alzheimer's since 2019 (and probably longer). They took such excellent care of him. The staff treated him so well and helped me when I needed it.”
“When my grandma first arrived they were so attentive them after they kept ignoring her. If have to call or show up. The hallways smell like urine, there was a few lady who you can tell loved there job. Mickey, Blanca took care of her very well.”
“They are very fast and responsive and Brittney the nurse is a sweetheart she always calls me and tells me how my and how she is feeling and also the staff is very friendly and helpful and fast at returning calls”
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
10
measures
5
measures
2
measures
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
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 needing more daily help over time
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 shows a concerning pattern of ongoing care issues with families frequently filing complaint reports triggering half of all federal inspections. The most recurring problems involve food service and nutrition, medication management, and medical record keeping. Recent serious deficiencies include abuse protection failures and pressure ulcer care problems, with some issues appearing to persist across multiple surveys, indicating systemic challenges in maintaining consistent care standards.
Apr 10, 2026Routine16
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Feb 13, 2026Complaint4
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Have policies on smoking.
Jan 9, 2026Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Dec 19, 2025Complaint1
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.
Dec 12, 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.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 20, 2025Complaint1
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Federal Penalties
Fine
Sep 4, 2025
$24,845
Fine
Jan 30, 2025
$162,019
Payment Denial
Jan 30, 2025
16-day denial
Fine
Jan 10, 2025
$15,556
Fine
Sep 20, 2024
$170,971
Payment Denial
Sep 20, 2024
12-day denial
Ownership & Operations
Who Operates This Facility
Maverick County Hospital District
for profit
SAN ANTONIO NURSING AND REHAB CENTER LLC
DENISE C RIOS
Chain Affiliation
Eduro Healthcare
35 facilities nationwide
Chain avg rating: 2.3/5 · Rank 20 of 21 (Worst)
Ownership & Management
Owners
Maverick County Hospital Distict
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
41 reviews from families & visitors
Official Website
Visit sanantoniowesthc.com
Medicare data downloads
Original nursing home datasets
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