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Nursing HomeMedicaid Investigative

Wurzbach Nursing and Rehabilitation

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

8300 Wurzbach Rd., Northwest Side · San Antonio, TX 78229140 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 41 Google reviews

5
4
3
2
1
Wurzbach Nursing and Rehabilitation Nursing Home in San Antonio, TX — Street View
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6/ 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 (24 vs median 8.0)
  • High staff turnover (64%)
  • High RN turnover (71%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in CARADAY HEALTHCARE chain · $34,945 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for families seeking high-quality nursing care and a dedicated memory care team that actively listens to family feedback. However, while recent trends are very positive, you should verify their current protocols for resident wandering and ensure that social engagement remains a priority during all scheduled activities.

Google Reviews

Google Reviews

41 reviews on Google
Families considering Wurzbach Nursing and Rehabilitation will find a facility highly praised for its compassionate nursing staff and significant improvements in the dementia and memory care units. While many reviewers highlight exceptional person-centered care and recent upgrades in resident engagement, there is a critical concern regarding a past incident of resident wandering and a specific complaint regarding lack of engagement during recent events.

Quality Themes

FoodN/AStaff9.0Clean8.0Activities7.0MedsN/AMemory9.0Comms8.0ValueN/A

Strengths

  • Compassionate and attentive nursing and CNA staff
  • Strong improvements in dementia and memory care engagement
  • Effective clinical management of hydration and medical needs
  • Professional and helpful admissions and administration process

Concerns

  • Resident wandering/safety breach
  • Lack of staff engagement during scheduled social events

Rating Trends

Tap a year to see what changed

2345.02020(2)1.02021(1)4.82022(5)4.52023(8)4.62024(7)5.02025(9)4.32026(11)

Distribution · 43 analyzed

5
35
4
3
3
1
2
1
1
3

How They Respond to Reviews

87%response rate
Good

The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific staff members mentioned. While most responses are warm and appreciative, some use repetitive templates for positive feedback.

Questions for Your Tour

  • 1We noticed the administration is very responsive to feedback; how does the leadership team involve families in the care planning process?
  • 2What specific safety measures and monitoring are in place to prevent wandering for residents in the memory care unit?
  • 3Can you tell us more about the recent improvements in engagement and activities for residents with dementia?
  • 4How does the clinical team manage daily medical needs, such as hydration and medication, to ensure everyone stays healthy?
  • 5What is the protocol for handling medical emergencies or urgent clinical needs during the overnight hours?
  • 6How do the CNAs and nursing staff ensure that residents are actively participating and engaged during scheduled social events?

Personalized based on this facility's data


Key Review Excerpts

The gentleman handling the hydration system is doing an excellent job; my aunt used to get frequent UTI;s but this new focus has clearly made a massive difference for her health.

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

The decorations, the beautiful setup, and even a live Banda playing made the entire event unforgettable. Watching my grandmother sing along to her favorite songs absolutely melted my heart.

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

So we had my mother in law in this place that is supposed to be good and guess she was able to break out of the home with two locked doors and was found 4 miles away... I find this very very unprofessional and negligent

Long-term resident's family · 2023★★★★★
Source: 41 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
3.13hrs
76%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
71%
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

5

measures

Worse Than Avg

11

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.7%
Worse than Avg
Here
32.7%
US
19.5%
TX
18.4%
Bexar
22.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
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 on antipsychotic medication

↓ Lower is better
This Facility16.4%
Worse than Avg
Here
16.4%
US
15.4%
TX
9.4%
Bexar
10.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.1%
Worse than Avg
Here
21.1%
US
19.4%
TX
14.2%
Bexar
16.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility90.1%
Worse than Avg
Here
90.1%
US
93.4%
TX
96.9%
Bexar
94.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.8%
Better than Avg
Here
9.8%
US
15.3%
TX
14.9%
Bexar
14.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
81.8%
TX
89.2%
Bexar
83.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility31.3%
Worse than Avg
Here
31.3%
US
79.7%
TX
88.0%
Bexar
86.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.9%
Worse than Avg
Here
5.9%
US
1.6%
TX
1.5%
Bexar
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
3penalties
Well above state avg (9.1)
21 complaint-triggered
$34,945 in fines

Wurzbach Nursing and Rehabilitation has an extensive pattern of federal deficiencies, with families filing 21 complaints over 64 total violations. Recurring problems include accident hazards and inadequate supervision, medication management errors, and infection control failures. The facility has struggled with protecting residents from abuse and neglect, with repeated violations for failing to properly investigate and report incidents to authorities.

Jun 13, 2025Routine
22
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.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

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.

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when 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.

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.

0940Potential for harm · IsolatedCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0941Potential for harm · IsolatedCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

0942Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

0943Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0944Potential for harm · IsolatedCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0945Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

0946Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide training in compliance and ethics.

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0949Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

May 16, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Mar 9, 2025Complaint
4
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

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.

Dec 6, 2024Complaint
1
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.

Sep 26, 2024Complaint
2
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.

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.

Sep 12, 2024Complaint
1
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.

Federal Penalties

Fine

Mar 9, 2025

$10,361

Fine

Dec 1, 2023

$9,315

Fine

Oct 26, 2023

$15,269

Ownership & Operations

Who Operates This Facility

Owner / Operator

Caraday Wurzbach LLC

Organization Type

for profit

Management Company

CARADAY MANAGEMENT LLC

Administrator

JOSE RUIZ

Chain Affiliation

Chain Name

Caraday Healthcare

Chain Size

9 facilities nationwide

Chain avg rating: 2.6/5 · Rank 7 of 9 (Worst)

Ownership & Management

Owners

Caraday Healthcare, LLC

Owner · Organization

100%

Cara Capital LLC

Owner (parent company) · Organization

Caraday Holdings LLC

Owner (parent company) · Organization

Daybach Investments, Lp

Owner (parent company) · Organization

E&r Cunningham Investments Lp

Owner (parent company) · Organization

Tala Investments, LLC

Owner (parent company) · Organization

Ysmlc Holdings, LLC

Owner (parent company) · Organization

Choi, Maryann

Owner (parent company)

Choi, Robert

Owner (parent company)

O'donoghue-Stallard, Maire

Owner (parent company)

Stallard, Thomas

Owner (parent company)

Wood, Stephen

Owner (parent company)

Key personnel

Granite Wurzbach, LLC5% or Greater Mortgage InterestMoore, GregoryOfficer / DirectorMoore, GregoryManagerGranite Wurzbach, LLCAdp of the SnfRuiz, JoseAdp of the Snf
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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