Nursing home in San Antonio, Texas
Wurzbach Nursing and Rehabilitation
Medicare and Medicaid
8300 Wurzbach Rd., San Antonio, TX 78229
(210) 617-2200
CMS star ratings
CMS gives this nursing home an overall star rating of 2 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home2
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home2
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home2
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Jun 13, 2025. CMS counts 21 health deficiencies in rating cycle 1.
- This nursing home21
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 49 health deficiencies on 12 inspection dates since Sep 30, 2023. By level of harm: 3 immediate jeopardy, 46 potential for harm.
- 3 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 46 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jul 2, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 24, 2026 |
| Jul 2, 2026 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 24, 2026 |
| Jun 13, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0692 | Provide enough food/fluids to maintain a resident's health.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
Show the other 39 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jun 13, 2025 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0946 | Provide training in compliance and ethics.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Nursing and Physician Services Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| Jun 13, 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment.Administration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 14, 2025 |
| May 16, 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 17, 2025 |
| Mar 9, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Sep 26, 2024 |
| Mar 9, 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 17, 2025 |
| Mar 9, 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 17, 2025 |
| Mar 9, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 17, 2025 |
| Dec 6, 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Dec 10, 2024 |
| Sep 26, 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Oct 18, 2024 |
| Sep 26, 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 18, 2024 |
| Sep 12, 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Sep 16, 2024 |
| Apr 26, 2024 | F0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0761 | 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.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 31, 2024 |
| Apr 26, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 31, 2024 |
| Apr 16, 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Apr 17, 2024 |
| Apr 16, 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Apr 17, 2024 |
| Mar 14, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 15, 2024 |
| Dec 1, 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Dec 1, 2023 |
| Dec 1, 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Dec 26, 2023 |
| Dec 1, 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Dec 26, 2023 |
| Dec 1, 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | D Potential for harm, isolated | Complaint | Past Non-Compliance May 28, 2023 |
| Oct 26, 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Oct 25, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.13 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.51 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home62.3%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 3 penalties for this nursing home: 3 fines totaling $34,945, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 140 |
|---|---|
| Average residents per day | 83.7 |
| Ownership | For profit - Corporation |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Caraday Healthcare (8 facilities) |
| Legal business name | CARADAY WURZBACH LLC |
| First approved for Medicare and Medicaid | Jun 2, 1989 |
| County | Bexar |
| CMS certification number | 455824 |
Also in San Antonio
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|---|---|---|---|---|
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| Silver Creek Nursing and Rehabilitation | 120 | For profit - Limited Liability company | ||
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| Mesa Vista Inn Health Center | 144 | For profit - Corporation | ||
| Northeast Rehabilitation and Healthcare Center | 120 | Government - Hospital district | ||
| The Lev at San Antonio | 106 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| San Antonio VA Medical Center (VA South Texas Healthcare System) | Acute Care - Veterans Administration | Yes | |
| Methodist Hospital | Acute Care Hospitals | Yes | |
| Baptist Medical Center | Acute Care Hospitals | Yes | |
| CHRISTUS Santa Rosa Medical Center | Acute Care Hospitals | Yes | |
| University Health System | Acute Care Hospitals | Yes | |
| Children's Hospital of San Antonio | Not available | Childrens | Yes |
| San Antonio State Hosp State School | Not available | Psychiatric | No |
| South Texas Spine and Surgical Hospital | Not available | Acute Care Hospitals | Yes |