GoodStanding

Nursing home report

SAN PEDRO MANOR

SAN ANTONIO, TX · Medicare-certified · 150 beds

Needs attention
Government-runChain member
4 of 5 overall

SAN PEDRO MANOR has an overall rating of 4 out of 5 stars, with strong quality measures but weaker staffing at 2 out of 5 stars; reported nurse staffing is 3.58 hours per resident per day versus the 4.1 federal benchmark. It also had $24,285 in fines in the last 24 months and a recent federal penalty, while its health inspection rating is 3 out of 5 stars.

Facility ratings

Health inspections

Staffing

3.583 hrs/resident/day

Quality measures

Last inspection: August 8, 2025Penalties, last 24 months: $24,285recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.583.

Staffing detail

Registered nurses
0.29
Licensed practical nurses
1.10
Nurse aides
2.19
Weekend nursing
3.27

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 64%

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

2.7%2.4%No change

Residents with a fall causing major injury

0%3.3%Worsening

Residents with pressure ulcers (bedsores)

8.5%2.5%Improving

Residents with a urinary tract infection

1.4%0%Improving

Residents who lost too much weight

2.9%6.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

9.4%5.6%Improving

Residents whose ability to walk got worse

29%14.4%Improving

Long-stay residents on antianxiety or sleep medication

20.8%15.9%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

13.9%11.9%Improving

Residents with depressive symptoms

0%1.2%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

100%100%No change

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 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

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

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 6 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $14,063 was recorded.

  7. 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

Ownership
Government - Hospital district
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
95.5 residents on an average day (64% 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.