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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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 43% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 36 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 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
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Concerns
Rating Trends
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Distribution · 41 analyzed
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.
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.”
“MY MOM PASSED AWAY ON HER FIRST NIGHT IN THIS NURSING HOME! She was there only 12 hours! Do not put your loved ones there. I transferred my mom to this nursing home from another, that was giving her lack of attention.”
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
10
measures
6
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents who lost too much weight
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 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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
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.
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.
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.
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.
Federal Penalties
Fine
Sep 4, 2025
$16,149
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
Maverick County Hospital District
for profit
SAN ANTONIO NURSING AND REHAB CENTER LLC
DENISE C RIOS
Eduro Healthcare
35 facilities nationwide
Chain avg rating: 2.3/5 · Rank 20 of 21 (Lowest rating)
Owners
Maverick County Hospital Distict
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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Google Reviews
41 reviews from families & visitors
Official Website
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Medicare data downloads
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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