St. Francis Nursing Home in San Antonio has an overall 5-star rating, with strong quality and health inspection scores but a 3-star staffing rating; reported staffing is 3.43 hours per resident per day, below the federal benchmark of 4.1. It had $0 in fines over the last 24 months, and recent inspection citations included treatment and care, accident prevention/supervision, and safety/cleanliness concerns.
Last inspection: January 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4264.
Staffing detail
Registered nurses
0.21
Licensed practical nurses
0.94
Nurse aides
2.27
Weekend nursing
3.21
Hours per resident per day.
Total staff turnover: 22%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
7.8%6.6%Improving
Residents with a fall causing major injury
4.4%3.4%Improving
Residents with pressure ulcers (bedsores)
10.6%5.4%Improving
Residents with a urinary tract infection
2.2%3.4%Worsening
Residents who lost too much weight
5.6%5.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.7%7.6%Improving
Residents whose ability to walk got worse
4.9%11.9%Worsening
Long-stay residents on antianxiety or sleep medication
7.8%5.6%Improving
Residents with a long-term catheter
0.9%1.6%Worsening
Residents with new or worsening incontinence
27.5%23.6%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.7%—
Long-stay residents given the pneumonia vaccine
86.7%77.5%Worsening
Short-stay residents given the pneumonia vaccine
—31%—
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to have and follow a policy for how food brought in by family and visitors should be used and stored safely. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 813 — 42 CFR §483.60 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 9 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Occupancy
90.8 residents on an average day (85% of 107 beds)
Resident voice
Resident council
Medicare history
Certified for 28 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.