GoodStanding

Nursing home report

San Pedro Manor Health & Rehabilitation Center

Registered name: SAN PEDRO MANOR

SAN ANTONIO, TX · Medicare-certified · 150 beds

In good standing
Government-runChain member
Data as of July 1, 2026
4 of 5 overall

San Pedro Manor Health & Rehabilitation Center has an overall rating of 4 out of 5 stars. Its quality measures are strong at 5 stars, but staffing is lower at 2 stars with 3.67 reported nurse hours per resident per day versus the 4.1 federal benchmark; there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.6745 hrs/resident/day

Quality measures

Last inspection: April 30, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6745.

Staffing detail

Registered nurses
0.35
Licensed practical nurses
1.09
Nurse aides
2.24
Weekend nursing
3.23

Hours per resident per day.

Total staff turnover: 46%
Registered nurse turnover: 73%

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

4.4%7.5%Worsening

Residents with a fall causing major injury

0%2.5%Worsening

Residents with pressure ulcers (bedsores)

4.4%2.7%Improving

Residents with a urinary tract infection

0%2.5%Worsening

Residents who lost too much weight

2.5%4.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.9%12.1%Worsening

Residents whose ability to walk got worse

29%32.4%Worsening

Long-stay residents on antianxiety or sleep medication

20.3%12.2%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.7%11.9%Improving

Residents with depressive symptoms

0%2.9%Worsening

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

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

98.6%

Short-stay residents given the pneumonia vaccine

97.3%100%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — 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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: E

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. PENALTY

    A federal payment denial was recorded.

  8. PENALTY

    A federal fine of $14,063 was recorded.

  9. PENALTY

    A federal fine of $10,222 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $24,285 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Jun 27, 2024

    72 days
  • Federal fine

    Jun 27, 2024

    $14,063
  • Federal fine

    May 17, 2024

    $10,222

Operator & ownership

Recent ownership change · Apr 1, 2017

Now operated by Uvalde County Hospital Authority, previously Southwest Ltc-san Pedro, LTD.

Ownership
Government - Hospital district
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
96.8 residents on an average day (65% of 150 beds)
Resident voice
Resident council
Medicare history
Certified for 39 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.