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Nursing HomeMedicaid Investigative

Southeast Nursing & Rehabilitation Center

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

4302 East Southcross Blvd., Pecan Valley · San Antonio, TX 78222116 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 83 Google reviews

5
4
3
2
1
Southeast Nursing & Rehabilitation Center Nursing Home in San Antonio, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (17 vs median 8.0)
  • High RN turnover (83%)

Below average in Texas · Critically understaffed (RN) · Above average staffing · Worst in RUBY HEALTHCARE chain · $188,383 in fines

Source: Medicare data

What this means for your family

The facility's physical therapy department is a standout strength for post-acute recovery. However, families must be extremely vigilant regarding hygiene standards and the responsiveness of nursing staff to call lights, as multiple reports suggest significant neglect during off-hours.

Google Reviews

Google Reviews

83 reviews on Google
Families considering Southeast Nursing & Rehabilitation Center will find a polarized environment. While many reviewers praise the high-quality physical therapy department and certain friendly nursing staff, there are frequent and serious allegations regarding neglect, hygiene issues, and theft of resident property.

Quality Themes

Tap a score for details
Food3.0Staff3.0Clean2.0Activities8.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Top-notch physical therapy and rehab services
  • Friendly and caring rehabilitation staff
  • Engaging activity programs for residents
  • Improved building appearance and cleanliness in recent years

Concerns

  • Unresponsive call lights and neglectful care (mentioned by 5 reviewers)
  • Issues with hygiene and unpleasant odors (mentioned by 4 reviewers)
  • Allegations of theft or mismanagement of resident funds (mentioned by 3 reviewers)
  • Staff unprofessionalism and poor communication (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(1)'18(6)'20(6)'22(7)'24(15)'26(1)

Distribution · 85 analyzed

5
47
4
4
3
1
2
1
1
32

How They Respond to Reviews

23%response rate
Generic

The owner relies heavily on pre-written templates that vary slightly depending on the star rating. While they attempt to redirect serious allegations to private channels, the responses rarely address the specific details of the complaints.

Questions for Your Tour

  • 1We've heard great things about your physical therapy and rehab services; could you tell us more about how the rehab team works with residents to meet their mobility goals?
  • 2What specific steps is the facility taking to ensure call lights are answered promptly and that residents' immediate needs are met by the nursing staff?
  • 3Could you describe your current protocols for maintaining cleanliness and managing odors in the resident rooms and common areas?
  • 4How does the facility ensure clear and consistent communication between the nursing staff and family members regarding a resident's daily care and well-being?
  • 5What kind of daily activities or social programs do you have planned to keep residents engaged and connected with one another?
  • 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

I was in the rehabilitation section. The staff could not have been more friendly and helpful. Rooms were clean. Very beautiful property.

Rehab patient · 2024★★★★★

The physical therapists there are top notch and the therapy department gets five stars. As do alot of the nurses and aide there.

Former resident · 2024☆☆☆☆

The place smelled like urine, rooms are dirty, paint on walls were scrape or peeling off. I saw a nurse eating in the hallway. Patients were left unattended.

Visitor · 2024☆☆☆☆
Source: 83 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.16hrs
22%
Registered nurses for medical care
Total Nursing
3.58hrs
87%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
67%
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 · 16 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility77.1%
Worse than Avg
Here
77.1%
US
93.4%
TX
96.9%
Bexar
94.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
15.4%
TX
9.4%
Bexar
10.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.1%
Better than Avg
Here
3.1%
US
15.3%
TX
14.9%
Bexar
14.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
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 whose bladder or bowel control got worse

↓ Lower is better
This Facility9.1%
Better than Avg
Here
9.1%
US
19.4%
TX
14.2%
Bexar
17.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
19.5%
TX
18.4%
Bexar
21.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility40.7%
Worse than Avg
Here
40.7%
US
81.8%
TX
89.2%
Bexar
81.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.0%
Worse than Avg
Here
3.0%
US
1.6%
TX
1.5%
Bexar
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
2penalties
Well above state avg (9.1)
40 complaint-triggered
$188,383 in fines

This facility has a concerning pattern of 40 complaint-triggered deficiencies from families filing reports, including serious issues with abuse prevention, nursing competency, and patient safety. The most recurring problems involve medication management, care planning, and maintaining safe living conditions, with many issues persisting across multiple surveys from 2022 through 2026. While the facility reports correcting deficiencies, the high volume of family complaints suggests ongoing care quality concerns that warrant careful consideration.

Jan 9, 2026Complaint
5
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.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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.

Feb 12, 2025Routine
16
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

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.

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.

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.

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.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0656Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Jan 13, 2024Complaint
16
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.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

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.

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.

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

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.

Jan 13, 2024Routine
4
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.

0200Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Dec 1, 2023Complaint
1
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Oct 13, 2023Complaint
2
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0656Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

Apr 3, 2026

$16,355

Fine

Jul 31, 2023

$188,383

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

SOUTHEAST HC LLC

Administrator

ADELIDE YBARRA

Chain Affiliation

Chain Name

Ruby Healthcare

Chain Size

7 facilities nationwide

Chain avg rating: 3.3/5 · Rank 7 of 7 (Worst)

Ownership & Management

Key personnel

Hooper, GradyOfficer / DirectorMesquite Hc Snf LLCManagerSoutheast Hc LLCManagerBeasley, GenettaManagerScheiner, EliezerManager
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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