healthcarefacts

Nursing home in San Antonio, Texas

San Antonio West Nursing and Rehabilitation

Medicare and Medicaid

636 Cupples Rd, San Antonio, TX 78237
(210) 434-0611

CMS star ratings

CMS gives this nursing home an overall star rating of 1 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 home1
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home1
  • Texas average2.8 (1,165 rated)
  • U.S. average2.8 (14,565 rated)

Staffing

  • This nursing home1
  • Texas average1.9 (1,163 rated)
  • U.S. average2.9 (14,494 rated)

Quality measures

  • This nursing home2
  • Texas average3.7 (1,162 rated)
  • U.S. average3.6 (14,495 rated)

Health inspections

Most recent standard health inspection (rating cycle 1): Apr 10, 2026. CMS counts 35 health deficiencies in rating cycle 1.

  • This nursing home35
  • 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 76 health deficiencies on 24 inspection dates since Sep 30, 2023. By level of harm: 5 immediate jeopardy, 1 actual harm, 70 potential for harm.

  • 5 Immediate jeopardy to resident health or safety
  • 1 Actual harm
  • 70 No actual harm, potential for more than minimal harm
  • 0 No actual harm, potential for minimal harm
The 10 most recent of 76 health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Jul 10, 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jul 11, 2026
Jul 10, 2026F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jul 11, 2026
Jul 10, 2026F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.Environmental DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jul 11, 2026
Jun 18, 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental DeficienciesF Potential for harm, widespreadComplaintDeficient, Provider has date of correction Jun 19, 2026
Apr 30, 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction May 1, 2026
Apr 24, 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 18, 2026
Apr 24, 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 18, 2026
Apr 24, 2026F0610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 18, 2026
Apr 24, 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 18, 2026
Apr 24, 2026F0770Provide timely, quality laboratory services/tests to meet the needs of residents.Administration DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 18, 2026
Show the other 66 deficiencies
Older health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Apr 10, 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction May 4, 2026
Apr 10, 2026F0584Honor 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.Resident Rights DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction May 22, 2026
Apr 10, 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction May 4, 2026
Apr 10, 2026F0760Ensure that residents are free from significant medication errors.Pharmacy Service DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction May 4, 2026
Apr 10, 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Apr 11, 2026
Apr 10, 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Apr 11, 2026
Apr 10, 2026F0558Reasonably accommodate the needs and preferences of each resident.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Apr 11, 2026
Apr 10, 2026F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 4, 2026
Apr 10, 2026F0761Ensure 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 DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 4, 2026
Apr 10, 2026F0808Ensure 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.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction May 4, 2026
Apr 10, 2026F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Administration DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Apr 11, 2026
Apr 10, 2026F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Apr 11, 2026
Feb 13, 2026F0583Keep residents' personal and medical records private and confidential.Resident Rights DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Feb 14, 2026
Feb 13, 2026F0687Provide appropriate foot care.Quality of Life and Care DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Feb 14, 2026
Feb 13, 2026F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Feb 14, 2026
Feb 13, 2026F0926Have policies on smoking.Environmental DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Feb 14, 2026
Jan 9, 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Jan 10, 2026
Jan 9, 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jan 10, 2026
Dec 19, 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Dec 20, 2025
Dec 12, 2025F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Resident Rights DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Dec 12, 2025
Dec 12, 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Dec 12, 2025
Dec 12, 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Dec 12, 2025
Nov 20, 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Nutrition and Dietary DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Nov 21, 2025
Oct 25, 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental DeficienciesJ Immediate jeopardy, isolatedComplaintDeficient, Provider has date of correction Oct 26, 2025
Oct 25, 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care DeficienciesG Actual harm, isolatedComplaintDeficient, Provider has date of correction Oct 26, 2025
Sep 4, 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Sep 5, 2025
Aug 18, 2025F0584Honor 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.Resident Rights DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Aug 19, 2025
Aug 18, 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Aug 19, 2025
Aug 18, 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Aug 19, 2025
Aug 18, 2025F0908Keep all essential equipment working safely.Environmental DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Aug 19, 2025
Jul 3, 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Jul 4, 2025
May 2, 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction May 3, 2025
May 2, 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction May 3, 2025
Jan 30, 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation DeficienciesK Immediate jeopardy, patternStandard, ComplaintDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0679Provide activities to meet all resident's needs.Quality of Life and Care DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0680Ensure the activities program is directed by a qualified professional.Quality of Life and Care DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service DeficienciesE Potential for harm, patternStandard, ComplaintDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0759Ensure medication error rates are not 5 percent or greater.Pharmacy Service DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0761Ensure 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 DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0583Keep residents' personal and medical records private and confidential.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0584Honor 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.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0692Provide enough food/fluids to maintain a resident's health.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 30, 2025F0803Ensure 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.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jan 31, 2025
Jan 10, 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesJ Immediate jeopardy, isolatedComplaintPast Non-Compliance May 26, 2024
Jan 10, 2025F0836Ensure 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.Administration DeficienciesF Potential for harm, widespreadComplaintDeficient, Provider has date of correction Jan 30, 2025
Jan 10, 2025F0610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jan 11, 2025
Dec 6, 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and Care DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Dec 9, 2024
Dec 6, 2024F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Dec 9, 2024
Sep 20, 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights DeficienciesJ Immediate jeopardy, isolatedComplaintDeficient, Provider has date of correction Oct 31, 2024
Sep 20, 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care DeficienciesJ Immediate jeopardy, isolatedComplaintDeficient, Provider has date of correction Oct 31, 2024
Sep 1, 2024F0693Ensure 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.Quality of Life and Care DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Oct 1, 2024
Sep 1, 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician Services DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Oct 1, 2024
Aug 10, 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Sep 15, 2024
May 15, 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jun 30, 2024
Dec 15, 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesF Potential for harm, widespreadStandardDeficient, Provider has date of correction Jan 31, 2024
Dec 15, 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jan 31, 2024
Dec 15, 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jan 31, 2024
Oct 27, 2023F0558Reasonably accommodate the needs and preferences of each resident.Resident Rights DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Dec 15, 2023
Oct 27, 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Dec 15, 2023

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home2.75 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 home0.33 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 home63.6%
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 6 penalties for this nursing home: 4 fines totaling $364,977, and 2 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds135
Average residents per day102.3
OwnershipFor profit - Corporation
Provider typeMedicare and Medicaid
Inside a hospitalNo
Continuing care retirement communityNo
Resident and family councilBoth
Automatic sprinklers in all required areasYes
ChainNot part of a chain in the CMS file
Legal business nameMAVERICK COUNTY HOSPITAL DISTRICT
First approved for Medicare and MedicaidJan 15, 1992
CountyBexar
CMS certification number675002

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Hospitals in San Antonio
HospitalCMS overall ratingTypeEmergency services
San Antonio VA Medical Center (VA South Texas Healthcare System)Acute Care - Veterans AdministrationYes
Methodist HospitalAcute Care HospitalsYes
Baptist Medical CenterAcute Care HospitalsYes
CHRISTUS Santa Rosa Medical CenterAcute Care HospitalsYes
University Health SystemAcute Care HospitalsYes
Children's Hospital of San AntonioNot availableChildrensYes
San Antonio State Hosp State SchoolNot availablePsychiatricNo
South Texas Spine and Surgical HospitalNot availableAcute Care HospitalsYes

All 58 nursing homes and 19 hospitals in San Antonio