THE LEV AT SAN ANTONIO has an overall 1-star rating, with 2 stars for health inspections, 1 star for staffing, and 3 stars for quality measures. It reported 3.11 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $174,496 in fines over the last 24 months, and a recent federal penalty.
Last inspection: March 19, 2026Penalties, last 24 months: $174,496recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1136.
Staffing detail
Registered nurses
0.32
Licensed practical nurses
0.63
Nurse aides
2.16
Weekend nursing
2.77
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 40%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
0.7%Worsening
Residents with a fall causing major injury
2.5%Improving
Residents with pressure ulcers (bedsores)
2.1%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.1%Worsening
Residents whose ability to walk got worse
7.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
24.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
12.7%Improving
Residents with depressive symptoms
0.5%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
82.8%Steady
Short-stay residents given the pneumonia vaccine
98.9%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to keep essential equipment working safely. Cited September 2025 — widespread issue, potential for harm.
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F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited August 2024 — limited pattern, potential for harm.
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F-Tag 883 — 42 CFR §483.80 — 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 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 14 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $174,496 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $174,496 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Aug 30, 2024
8 days
Federal fine
Aug 30, 2024
$174,496
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
78.6 residents on an average day (74% of 106 beds)
Resident voice
Resident council
Medicare history
Certified for 38 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.