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Nursing home report

THE LEV AT SAN ANTONIO

SAN ANTONIO, TX · Medicare-certified · 106 beds

Needs attention
For-profit
Data as of September 1, 2026
1 of 5 overall

THE LEV AT SAN ANTONIO has a 1 out of 5 overall rating, with especially weak staffing at 1 star and reported nurse staffing below the federal benchmark (3.09 vs 4.1 hours per resident per day). Its health inspection rating is 2 stars, quality measures are 3 stars, there were no fines in the last 24 months, and it carries an attention flag for the lowest overall rating.

Facility ratings

Health inspections

Staffing

3.0884 hrs/resident/day

Quality measures

Last inspection: July 24, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0884.

Staffing detail

Registered nurses
0.32
Licensed practical nurses
0.66
Nurse aides
2.10
Weekend nursing
2.72

Hours per resident per day.

Total staff turnover: 42%
Registered nurse turnover: 20%

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

0%4.9%Worsening

Residents with a fall causing major injury

2.8%0%Improving

Residents with pressure ulcers (bedsores)

2.4%3.4%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

5.1%1.7%Improving

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

13.5%8.8%Improving

Long-stay residents on antianxiety or sleep medication

22.6%26.6%Worsening

Short-stay residents newly given an antipsychotic

—0%—

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

10.9%18.7%Worsening

Residents with depressive symptoms

0%2.1%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

—82.8%—

Short-stay residents given the pneumonia vaccine

97.8%100%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 home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The nursing home failed to keep essential equipment working safely. Cited September 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 908 — 42 CFR §483.90 — S/S: F

The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited July 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 605 — 42 CFR §483.12 — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited September 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — 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 5 health deficiencies.

    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 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 14 health deficiencies.

    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 $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

Recent ownership change · Apr 1, 2020

Now operated by The Lev at San Antonio, previously San Antonio Residence and Rehabilitation Center.

Ownership
For profit - Limited Liability company
Occupancy
77.5 residents on an average day (73% 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.