Nursing home report
Registered name: WESTOVER HILLS REHABILITATION AND HEALTHCARE
SAN ANTONIO, TX · Medicare-certified · 124 beds
Westover Hills Rehabilitation & Healthcare Center in San Antonio has a 4-star overall rating, with strong quality measures (5 stars) and staffing (4 stars), but a middling health inspection rating (3 stars). It reports 3.56 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has had $12,519 in fines in the last 24 months, and has a recent federal penalty flag.
Health inspections
Staffing
3.5636 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5636.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, immediate jeopardy to residents.
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 November 2023 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to properly label and securely store medications and biologicals. Cited June 2026 — limited pattern, potential for harm.
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 June 2026 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited March 2026 — limited pattern, potential for harm.
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 6 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
A federal payment denial was recorded.
A federal fine of $12,519 was recorded.
On record with Medicare: 2 fines · $20,156 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Nov 8, 2024
Federal fine
Nov 8, 2024
Federal fine
Nov 10, 2023
Now operated by Guadalupe County Hospital Board, previously Sage Terrace Healthcare LLC.
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.
