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Nursing HomeMedicaid Investigative

San Antonio West Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

636 Cupples Rd, Inner West Side · San Antonio, TX 78237135 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 41 Google reviews

5
4
3
2
1

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8/ 10
critical Risk

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

Source: Medicare data

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 details
Food3.0Staff3.0Clean1.0Activities5.0MedsN/AMemory5.0Comms2.0ValueN/A

Strengths

  • 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

234'16(2)'18(3)'21(3)'23(5)'25(7)'26(2)

Distribution · 41 analyzed

5
16
4
4
3
0
2
1
1
20

How They Respond to Reviews

25%response rate
Generic

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.

Memory care family member · 2024★★★★★

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.

Long-term resident's family · 2025☆☆☆☆

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

Rehab patient's family · 2024★★★★★
Source: 41 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.36hrs
48%
Registered nurses for medical care
Total Nursing
2.72hrs
66%
All nurses + aides combined
Staff Turnover
71%
Lower is better (< 30% = good)
RN Turnover
70%
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
2/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.6%
Better than Avg
Here
4.6%
US
15.3%
TX
14.9%
Bexar
14.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
15.4%
TX
9.4%
Bexar
10.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.8%
Better than Avg
Here
10.8%
US
19.4%
TX
14.2%
Bexar
17.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.7%
Mixed vs Avgs
Here
3.7%
US
12.1%
TX
2.5%
Bexar
1.9%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
93.4%
TX
96.9%
Bexar
94.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
14.4%
TX
16.1%
Bexar
16.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.0%
Worse than Avg
Here
75.0%
US
81.8%
TX
89.2%
Bexar
81.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility74.2%
Worse than Avg
Here
74.2%
US
79.7%
TX
88.0%
Bexar
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.1%
Worse than Avg
Here
4.1%
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

33deficiencies
6penalties
Well above state avg (9.1)
39 complaint-triggered
$373,391 in fines

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, 2026Routine
16
0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

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.

0552Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0584Potential for harm · PatternCorrected

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.

0656Potential for harm · PatternCorrected

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.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0761Potential for harm · IsolatedCorrected

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.

0808Potential for harm · IsolatedCorrected

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.

0849Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Feb 13, 2026Complaint
4
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0926Potential for harm · IsolatedCorrected

Environmental Deficiencies

Have policies on smoking.

Jan 9, 2026Complaint
2
0656Potential for harm · PatternCorrected

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.

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.

Dec 19, 2025Complaint
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.

Dec 12, 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.

0580Potential for harm · IsolatedCorrected

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.

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 20, 2025Complaint
1
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.

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

Owner / Operator

Maverick County Hospital District

Organization Type

for profit

Management Company

SAN ANTONIO NURSING AND REHAB CENTER LLC

Administrator

DENISE C RIOS

Chain Affiliation

Chain Name

Eduro Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 2.3/5 · Rank 20 of 21 (Worst)

Ownership & Management

Owners

Maverick County Hospital Distict

Owner · Organization

100%

Key personnel

Martinez, AlmaOfficer / DirectorMaverick County Hospital DistictManagerBewsey, MichaelManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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