The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
San Antonio West Nursing and Rehabilitation
San Antonio, TX · Medicare-certified · 135 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
San Antonio West Nursing and Rehabilitation has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and 2-star quality measures. It reports 2.75 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, and it has $364,695 in fines over the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.7525 hrs/resident/day
Quality measures
Last inspection: April 30, 2026Penalties, last 24 months: $364,695recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7525.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 0.90
- Nurse aides
- 1.52
- Weekend nursing
- 2.43
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.1%7%Improving
Residents with a fall causing major injury
0%1%Worsening
Residents with pressure ulcers (bedsores)
7.4%7.5%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.1%8%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.9%11.2%Worsening
Residents whose ability to walk got worse
9.2%6.6%Improving
Long-stay residents on antianxiety or sleep medication
22.1%17.6%Improving
Short-stay residents newly given an antipsychotic
—4%—
Residents with a long-term catheter
0%0.7%Worsening
Residents with new or worsening incontinence
7.1%8.9%Worsening
Residents with depressive symptoms
4.5%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.9%—
Long-stay residents given the pneumonia vaccine
98.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—74.2%—
Short-stay residents given the pneumonia vaccine
76%81.8%Improving
What the inspectors found
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited September 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
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- INSPECTION
Health inspection found 4 health deficiencies.
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- INSPECTION
Health inspection found 2 health deficiencies.
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- PENALTY
A federal fine of $16,149 was recorded.
- PENALTY
A federal fine of $24,845 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $162,019 was recorded.
- PENALTY
A federal fine of $15,556 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $170,971 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $364,695 in total fines · 2 payment denials.
- $16,149
Federal fine
Sep 4, 2025
- 16 days
Medicare/Medicaid payment denial
Jan 30, 2025
- $162,019
Federal fine
Jan 30, 2025
- $15,556
Federal fine
Jan 10, 2025
- 12 days
Medicare/Medicaid payment denial
Sep 20, 2024
- $170,971
Federal fine
Sep 20, 2024
Operator & ownership
Recent ownership change · Aug 1, 2022
Now operated by San Antonio West Nursing and Rehabilitation, previously Retama Manor Nursing Center/san Antonio West.
- Ownership
- For profit - Corporation
- Chain
- Part of EDURO HEALTHCARE · 35 homes · 2.4 stars avg
- Occupancy
- 102.3 residents on an average day (76% of 135 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.