Skilled Nursing

San Antonio West Nursing and Rehabilitation

636 Cupples Rd, San Antonio, TX 78237

135beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.4h

Hrs/resident · weekday

Expected: 3.1h

2.7h

Hrs/resident · weekend

vs 2.4h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
70%
LPNs
CNAs
71%

Administrator turnover: 3 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0925Severity JOct 25, 2025

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected: Oct 26, 2025

SeriousImmediate Jeopardy0600Severity KJan 30, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Jan 31, 2025

SeriousImmediate Jeopardy0689Severity JJan 10, 2025

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

Corrected: May 26, 2024

SeriousImmediate Jeopardy0686Severity JSep 20, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected: Oct 31, 2024

SeriousImmediate Jeopardy0580Severity JSep 20, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected: Oct 31, 2024

68 standard deficiencies in the last 3 years

View all
0755Severity EApr 30, 2026

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

0770Severity DApr 24, 2026

Provide timely, quality laboratory services/tests to meet the needs of residents.

0656Severity DApr 24, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0610Severity DApr 24, 2026

Respond appropriately to all alleged violations.

0609Severity DApr 24, 2026

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

0580Severity DApr 24, 2026

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0925Severity EApr 10, 2026

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0880Severity DApr 10, 2026

Provide and implement an infection prevention and control program.

0849Severity DApr 10, 2026

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0812Severity EApr 10, 2026

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0808Severity DApr 10, 2026

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.

0761Severity DApr 10, 2026

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.

0760Severity EApr 10, 2026

Ensure that residents are free from significant medication errors.

0656Severity EApr 10, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0644Severity DApr 10, 2026

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0584Severity EApr 10, 2026

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.

0558Severity DApr 10, 2026

Reasonably accommodate the needs and preferences of each resident.

0552Severity EApr 10, 2026

Ensure that residents are fully informed and understand their health status, care and treatments.

0926Severity DFeb 13, 2026

Have policies on smoking.

0880Severity DFeb 13, 2026

Provide and implement an infection prevention and control program.

0687Severity DFeb 13, 2026

Provide appropriate foot care.

0583Severity DFeb 13, 2026

Keep residents' personal and medical records private and confidential.

0842Severity DJan 9, 2026

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0656Severity EJan 9, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0842Severity DDec 19, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0657Severity DDec 12, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0580Severity DDec 12, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0559Severity DDec 12, 2025

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0805Severity DNov 20, 2025

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0686Severity GOct 25, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0842Severity DSep 4, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0908Severity EAug 18, 2025

Keep all essential equipment working safely.

0812Severity EAug 18, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity EAug 18, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0584Severity EAug 18, 2025

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.

0842Severity EJul 3, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0921Severity EMay 2, 2025

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0812Severity EMay 2, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921Severity EJan 30, 2025

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0880Severity EJan 30, 2025

Provide and implement an infection prevention and control program.

0812Severity EJan 30, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0803Severity DJan 30, 2025

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.

0761Severity EJan 30, 2025

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.

0759Severity EJan 30, 2025

Ensure medication error rates are not 5 percent or greater.

0755Severity EJan 30, 2025

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

0692Severity DJan 30, 2025

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

0689Severity DJan 30, 2025

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

0686Severity EJan 30, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0680Severity EJan 30, 2025

Ensure the activities program is directed by a qualified professional.

0679Severity EJan 30, 2025

Provide activities to meet all resident's needs.

0656Severity DJan 30, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0584Severity DJan 30, 2025

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.

0583Severity DJan 30, 2025

Keep residents' personal and medical records private and confidential.

0550Severity EJan 30, 2025

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

0836Severity FJan 10, 2025

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

0610Severity DJan 10, 2025

Respond appropriately to all alleged violations.

0880Severity EDec 6, 2024

Provide and implement an infection prevention and control program.

0698Severity EDec 6, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0726Severity DSep 1, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0693Severity DSep 1, 2024

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0580Severity DAug 10, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0755Severity DMay 15, 2024

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

0812Severity FDec 15, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0690Severity DDec 15, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0684Severity EDec 15, 2023

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

0656Severity DOct 27, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0558Severity DOct 27, 2023

Reasonably accommodate the needs and preferences of each resident.

0812Severity EJul 13, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

MAVERICK COUNTY HOSPITAL DISTRICT· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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