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Nursing HomeMedicaid Investigative

The Lev at San Antonio

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

7703 Briaridge Drive, San Antonio, TX 78230106 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 106 Google reviews

5
4
3
2
1
The Lev at San Antonio 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 (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (17 vs median 8.0)
  • High staff turnover (52%)

Bottom 25% in Texas · Critically understaffed (RN) · $174,496 in fines

Source: Medicare data

What this means for your family

The facility shows a strong upward trend in satisfaction, with recent reviews highly praising the nursing and rehab teams. However, families should remain vigilant and specifically ask about protocols for call-bell response times and skin integrity monitoring, as historical patterns of neglect are a significant concern.

Google Reviews

Google Reviews

106 reviews on Google
Families considering The Lev at San Antonio will find a facility praised for its compassionate, family-like nursing staff and excellent rehabilitation/physical therapy services. While many recent reviews highlight a clean and welcoming environment, there are serious, recurring allegations regarding neglect, specifically concerning bedsores, hygiene, and slow response times to call buttons.

Quality Themes

Tap a score for details
Food2.0Staff8.0Clean7.0Activities9.0MedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • High-quality rehabilitation and physical therapy
  • Clean and well-maintained facility
  • Engaging resident activities and social programs

Concerns

  • Slow response times to call buttons (mentioned by 4 reviewers)
  • Issues with patient hygiene and bathing (mentioned by 3 reviewers)
  • Neglect leading to bedsores (mentioned by 2 reviewers)
  • Inconsistent communication from staff to families (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(8)'21(7)'23(16)'25(11)'26(35)

Distribution · 108 analyzed

5
78
4
8
3
2
2
1
1
19
20 reviews posted between Mar 9, 2026Mar 13, 2026 · 18 were 5-star

How They Respond to Reviews

83%response rate
Good

The owner provides highly personalized responses that frequently use the reviewer's name and specifically reference staff members or details mentioned in the text. They consistently reinforce the facility's core values, such as compassion, teamwork, and family-like care.

Questions for Your Tour

  • 1I noticed some families have shared how much they appreciate the compassionate nursing staff here; how do you ensure that level of attentive care remains consistent for every resident?
  • 2Could you tell me more about your protocols for responding to call buttons, especially during the night shifts when fewer staff members are on duty?
  • 3What specific steps does your team take to ensure residents are maintaining high standards of personal hygiene and skin integrity during their daily care routines?
  • 4How does the facility manage communication with families to ensure we are always kept in the loop regarding any changes in our loved one's health?
  • 5What does the daily schedule look like in terms of social programs and activities to keep residents engaged with one another?
  • 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The care of my grandfather has been beyond exceptional. The staff has been excellent and communicating and comforting when needed.

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

The nurses and therapists (physical therapists and mental wellness therapists) are all top notch.

Visitor · 2026★★★★★

I have both of my grandparents here and the staff really do treat them like family. My grandpa tells me how nice las muchachas are and they are so patient with him, even when he's in one of his moods

Long-term resident's family · 2026★★★★★
Source: 106 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
42%
Registered nurses for medical care
Total Nursing
3.11hrs
76%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
40%
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
3/ 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 Facility0.7%
Better than Avg
Here
0.7%
US
15.4%
TX
9.4%
Bexar
10.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
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 Facility7.1%
Better than Avg
Here
7.1%
US
14.4%
TX
16.1%
Bexar
16.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
15.3%
TX
14.9%
Bexar
14.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
19.4%
TX
14.2%
Bexar
17.1%
💉

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%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
81.8%
TX
89.2%
Bexar
80.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility82.8%
Mixed vs Avgs
Here
82.8%
US
79.7%
TX
88.0%
Bexar
84.4%
💊

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

16deficiencies
2penalties
Well above state avg (9.1)
16 complaint-triggered
$174,496 in fines

This facility has significant ongoing issues with families filing 13 complaints over 10 surveys, indicating persistent care problems. The most recurring issues involve medication management, resident assessment and care planning, and safety/environment concerns. Problems with medication errors, inadequate resident assessments, and safety violations appear repeatedly across multiple surveys from 2023 through 2025, suggesting systemic issues that persist despite corrections. While all deficiencies show correction dates, the pattern of repeated violations in core care areas raises concerns about lasting improvements.

Mar 19, 2026Complaint
1
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.

Sep 11, 2025Routine
21
0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0352Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · PatternCorrected

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.

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.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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.

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.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0584Minimal · WidespreadCorrected

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.

Aug 14, 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.

Apr 3, 2025Complaint
4
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Aug 30, 2024Routine
12
0684Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

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.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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.

0222Potential for harm · IsolatedCorrected

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.

Aug 9, 2024Complaint
4
0757Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0842Potential for harm · PatternCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

Federal Penalties

Fine

Aug 30, 2024

$174,496

Payment Denial

Aug 30, 2024

8-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Mcculloch County Hospital District

Organization Type

for profit

Management Company

SAN ANTONIO SNF MANAGEMENT LLC

Administrator

RICARDO LOPEZ

Ownership & Management

Key personnel

Shkop, AharonContracted Managing EmployeeJones, TimothyW-2 Managing EmployeeDerrick, MicheleOfficer / DirectorJolliff, SusanOfficer / DirectorJones, TimothyOfficer / 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.

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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