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Nursing HomeMedicaid

Westover Hills Rehabilitation and Healthcare

Strong Medicare quality ratings; families often praise compassionate and professional therapy team. Still worth an in-person visit.

9922 State Hwy. 151, Far West Side · San Antonio, TX 78251124 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 326 Google reviews

5
4
3
2
1
Westover Hills Rehabilitation and Healthcare Nursing Home in San Antonio, TX — Street View
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What this means for your family

This facility offers an excellent physical and occupational therapy team that many families find essential for post-surgery recovery. However, you must be extremely vigilant regarding hygiene and medication; multiple families have reported serious incidents of bedsores and medication errors. If you choose this facility, establish a frequent visitation schedule to ensure your loved one's basic care needs are being met.

Google Reviews

Google Reviews

326 reviews on Google
Families considering Westover Hills Rehabilitation and Healthcare will find a facility with a highly praised therapy and nursing team, often described as compassionate and professional. However, there are significant, recurring reports of serious neglect, including issues with hygiene, medication errors, and delayed response to call lights. While many visitors find the facility clean and well-maintained, others have reported severe medical complications and skin breakdown due to inadequate care.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean7.0Activities5.0Meds2.0MemoryN/AComms5.0ValueN/A

Strengths

  • Compassionate and professional therapy team
  • Clean and well-maintained facility
  • Friendly and welcoming front desk staff
  • Effective rehabilitation and post-surgery recovery

Concerns

  • Inadequate hygiene and hygiene-related skin issues (mentioned by 4 reviewers)
  • Staffing shortages leading to slow response times (mentioned by 4 reviewers)
  • Medication management errors (mentioned by 2 reviewers)
  • Lack of communication between shifts or with families (mentioned by 2 reviewers)
  • Difficulty meeting specific dietary needs (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.52024(40)4.62025(137)4.12026(35)

Distribution · 212 analyzed

5
168
4
20
3
6
2
2
1
16
25 reviews posted between Aug 3, 2025Aug 15, 2025 · 24 were 5-star
12 reviews posted between Aug 10, 2025Aug 15, 2025 · 11 were 5-star

How They Respond to Reviews

47%response rate
Good

The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific staff members or details mentioned. They handle negative feedback by inviting direct contact, though they occasionally use a defensive tone when disputing specific claims.

Questions for Your Tour

  • 1We've heard wonderful things about your therapy team's professionalism; how do you coordinate their care with the nursing staff to ensure a smooth recovery?
  • 2With the facility being so well-maintained, what specific protocols do you have in place to ensure consistent hygiene and skin care for all residents?
  • 3How do you ensure that important medical updates and medication changes are communicated clearly between shifts and to us as a family?
  • 4What is the process for managing specific dietary needs or special meal requests to ensure every resident's nutritional requirements are met?
  • 5In the event of a medical emergency during the night, what is the immediate procedure for notifying the family and providing care?
  • 6What kind of daily activities or social events do you have planned to keep residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The nurses,CNA,ma, and the rest of the staff are wonderful, I was there for almost 2 months and didn’t have any trouble. I fell in love with the staff which includes therapists!

Rehab patient · 2026★★★★

My grandfather stayed there for 2 weeks and his health declined so fast, it was absolutely ridiculous! He had a 3rd degree bed sore once he left the facility and got back home, he’s currently in the hospital because they found a blood clot in his leg and lungs the rehab had stopped his blood thinners!

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

The facility was clean, the staff is amazing and the care is top notch. Randi Garcia has been absolutely wonderful and extremely helpful

Long-term resident's family · 2025★★★★★
Source: 326 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.57hrs
76%
Registered nurses for medical care
Total Nursing
3.62hrs
88%
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
41%
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

15

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
15.4%
TX
9.4%
Bexar
10.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
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 on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.4%
Better than Avg
Here
12.4%
US
19.5%
TX
18.4%
Bexar
21.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
14.4%
TX
16.1%
Bexar
16.1%
💉

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 Facility99.8%
Better than Avg
Here
99.8%
US
81.8%
TX
89.2%
Bexar
81.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.6%
Better than Avg
Here
95.6%
US
79.7%
TX
88.0%
Bexar
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.1%
Better than Avg
Here
0.1%
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

5deficiencies
3penalties
Near state avg (9.1)
17 complaint-triggered
$20,156 in fines

Westover Hills has concerning patterns with 16 complaint-triggered deficiencies from families reporting issues, indicating ongoing problems with care planning, medication management, and treatment quality. The facility repeatedly struggles with resident assessments, care plan development, and medical record management, with these issues persisting across multiple surveys from 2023 through 2024, suggesting systemic challenges that may impact resident care quality.

Mar 9, 2026Complaint
2
0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

Aug 21, 2025Complaint
2
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

Apr 25, 2025Routine
2
0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

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.

Feb 14, 2025Complaint
1
0755Potential for harm · PatternResolved (past non-compliance)

Pharmacy Service Deficiencies

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

Nov 8, 2024Complaint
2
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Jul 15, 2024Complaint
2
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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

Nov 8, 2024

$12,519

Payment Denial

Nov 8, 2024

1-day denial

Fine

Nov 10, 2023

$7,637

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guadalupe County Hospital Board

Organization Type

for profit

Management Company

SAGE TERRACE HEALTHCARE LLC

Administrator

JERRY HOYLER

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 22 of 84

Ownership & Management

Owners

Guadalupe County Hospital Board

Owner · Organization

100%

Key personnel

Fiazuddin, FarazManaging Control - Governing BodyHoyler, JerryManaging Control - Governing BodyBurnam, SoonOfficer / DirectorGann, KodyOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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