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San Antonio Wellness & Rehabilitation

⌖ San Antonio, TX · Bexar County
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Medicare overall rating 2 of 5 stars
Certified beds154
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About San Antonio Wellness & Rehabilitation

San Antonio Wellness & Rehabilitation is a 154-bed for-profit nursing home in San Antonio, TX. Medicare rates it 2 out of 5 stars overall (below average); the average in Texas is 2.7.

  • Inspections: 11 problems at its last full inspection (Feb 2026), close to the Texas average of 9.4. None of its recent citations were for residents being harmed.
  • Staffing: nurses and aides spend about 3 hr 27 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 35% of nursing staff left in the past year.
  • Fines: $104,627 in federal fines in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

Key details

Facility nameSan Antonio Wellness & Rehabilitation
LocationBexar County, Texas
Address1 Heartland Drive, San Antonio, TX 78247 · Bexar County
Medicare provider number455762
Ownership typeFor-profit (corporation)
Operating companyOpco Skilled Management · 68 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 11, 1988 (38 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures4 of 5Above average
Staffing2 of 5Below average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone since Sep 2025No citations for actual harm or immediate jeopardy since Sep 2025.
    Strength
  • Nursing staff turnover35% a yearTexas average: 55%
    Strength

About average

  • Health citations at last inspection11 (Feb 2026)Texas average: 9.4.
    About average
  • Nurse staffing per resident3 hr 27 min a dayTexas average: 3 hr 23 min
    About average

Things to ask about

This home hasn’t responded to these yet. Represent this home? Respond →

  • Fines and penalties1 fine totaling $104,627; 1 Medicare payment denialFederal penalties from the last three years, most recently in Dec 2023 (about 2 years ago). The national average is $30,972 per home.
    Ask about this
  • Registered nurse time per resident23 min a dayTexas average: 26 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 3 of 5 (average)

  • Sent back to the hospital33.4%State average: 25.7%
    Worse than average
  • Needed an emergency room visit15.4%State average: 12.3%
    Worse than average
  • Newly given antipsychotic drugs0.2%State average: 1.5%
    Better than average

Physical therapist time: about 1 minute a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 4 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury2.7%State average: 3.3%
    About average
  • Pressure sores (bedsores)1.5%State average: 3.8%
    Better than average
  • Given antipsychotic drugs11.7%State average: 9.6%
    Worse than average
  • Hospital stays per 1,000 resident days1.9State average: 2.2
    About average

Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 9 times.

Overall rating2★
Health inspections2★
Staffing2★
Quality of care4★
Nurse hours per resident per day3.5
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201954353.4
Jan 202044343.6
Jan 202144343.6
Jan 202233243.6
Jan 202333233.3
Jan 202422152.8
Feb 202512123.0
Feb 202622243.3
Sep 202622243.5

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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