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Nursing HomeMedicaid

San Pedro Manor

Strong Medicare quality ratings; families often praise attentive and compassionate nursing staff. Still worth an in-person visit.

515 W Ashby Pl, Monte Vista · San Antonio, TX 78212150 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 161 Google reviews

5
4
3
2
1
San Pedro Manor Nursing Home in San Antonio, TX — Street View
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What this means for your family

This facility is an excellent choice for rehabilitation, with multiple families reporting significant physical improvements in their loved ones. However, when touring, you should specifically observe the front desk interactions and ask about the protocol for communicating with the administration to ensure your concerns are handled professionally.

Google Reviews

Google Reviews

161 reviews on Google
Families considering San Pedro Manor will find a facility that has undergone significant recent renovations and a notable shift toward improved care quality. While many reviewers praise the attentive nursing staff and successful rehabilitation outcomes, some families still report concerns regarding administrative professionalism and occasional lapses in responsiveness.

Quality Themes

Tap a score for details
Food3.0Staff8.0Clean7.0Activities9.0MedsN/AMemory9.0Comms5.0ValueN/A

Strengths

  • Attentive and compassionate nursing staff
  • Effective rehabilitation and physical therapy
  • Recent facility renovations and cleanliness
  • Welcoming and professional check-in procedures

Concerns

  • Unprofessional administrative or front desk interactions (mentioned by 3 reviewers)
  • Inconsistent responsiveness to patient needs/call lights (mentioned by 2 reviewers)
  • Issues with food temperature or quality (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(5)'19(4)'21(2)'23(11)'25(53)'26(26)

Distribution · 165 analyzed

5
130
4
8
3
5
2
5
1
17
21 reviews posted between Jul 16, 2024Jul 20, 2024 · 21 were 5-star

How They Respond to Reviews

63%response rate
Good

The owner provides highly personalized responses that frequently use the reviewer's name and reference specific details from their feedback. For negative reviews, they use a professional, empathetic tone and invite direct communication to resolve issues.

Questions for Your Tour

  • 1I noticed how much the facility has been updated recently; could you tell me more about the recent renovations and how they've improved the living spaces?
  • 2We've heard wonderful things about the compassion of your nursing team, but how do you ensure that call lights and resident needs are addressed promptly during the night shifts?
  • 3Could you describe what a typical daily schedule looks like, including any social activities or group outings for the residents?
  • 4What is the process for managing medical emergencies or sudden changes in health status after regular business hours?
  • 5Since food is such an important part of daily life, how do you ensure meals are served at the right temperature and that the menu stays varied and nutritious?
  • 6I saw that the management team is very active in responding to feedback; how does the administration involve families in the continuous improvement of resident care?

Personalized based on this facility's data


Key Review Excerpts

My father left the way he came, ambulatory!

Rehab patient's family · 2025★★★★★

The nurses are great with my grandmother keeping her safe in a quiet peaceful place no beeping sounds no Interruptions with her sleep great service I love it thank you

Long-term resident's family · 2026★★★★★

The nurses here are so knowledgeable about Alzheimer’s that my nana took to the staff as family.

Memory care family member · 2020★★★★★
Source: 161 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.29hrs
39%
Registered nurses for medical care
Total Nursing
3.58hrs
87%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
64%
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

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.9%
Better than Avg
Here
2.9%
US
15.4%
TX
9.4%
Bexar
10.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.4%
Worse than Avg
Here
25.4%
US
15.3%
TX
14.9%
Bexar
14.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
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 needing more daily help over time

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
14.4%
TX
16.1%
Bexar
16.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Bexar
94.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.3%
Better than Avg
Here
13.3%
US
19.4%
TX
14.2%
Bexar
17.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
79.7%
TX
88.0%
Bexar
83.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
81.8%
TX
89.2%
Bexar
80.8%
💊

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

8deficiencies
3penalties
Near state avg (9.1)
31 complaint-triggered
$24,285 in fines

This facility has substantial deficiency concerns with families repeatedly filing complaints that triggered 33 of 58 total deficiencies across recent inspections. The most recurring problems involve fire safety and emergency preparedness, medication management, and infection control. While the facility has correction dates for all violations, the pattern of repeated issues in critical safety areas and the high volume of family complaints suggest ongoing operational challenges that warrant careful consideration during any visit.

Aug 8, 2025Routine
10
0352Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0690Potential for harm · PatternCorrected

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0576Minimal · WidespreadCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

Jul 30, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 17, 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.

May 9, 2025Complaint
1
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jun 27, 2024Routine
6
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jun 27, 2024Complaint
24
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0916Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

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.

0232Potential for harm · PatternCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

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

0917Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure electrical receptacles or cover plates have distinctive color or marking.

0584Potential for harm · IsolatedCorrected

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.

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.

Federal Penalties

Fine

Jun 27, 2024

$14,063

Payment Denial

Jun 27, 2024

72-day denial

Fine

May 17, 2024

$10,222

Ownership & Operations

Who Operates This Facility

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

WEST ASHBY HEALTHCARE, INC

Administrator

PRINCESS HERNANDEZ

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 20 of 84

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

Key personnel

Every, JoshuaManaging Control - Governing BodyGutierrez, BeverlyManaging Control - Governing BodyApolinar, AdamOfficer / DirectorBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / Director
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.

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