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Nursing home report

Westover Hills Rehabilitation & Healthcare Center

Registered name: WESTOVER HILLS REHABILITATION AND HEALTHCARE

SAN ANTONIO, TX · Medicare-certified · 124 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall

Westover Hills Rehabilitation & Healthcare Center has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) and staffing (4 stars) but a lower health inspection score (3 stars). It reported 3.56 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $12,519 in fines in the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.5636 hrs/resident/day

Quality measures

Last inspection: May 23, 2026Penalties, last 24 months: $12,519recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5636.

Staffing detail

Registered nurses
0.64
Licensed practical nurses
0.87
Nurse aides
2.05
Weekend nursing
3.09

Hours per resident per day.

Total staff turnover: 29%
Registered nurse turnover: 29%

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

1.7%1.5%No change

Residents with a fall causing major injury

2.7%6.3%Worsening

Residents with pressure ulcers (bedsores)

1.4%1.9%No change

Residents with a urinary tract infection

0%1.4%Worsening

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

12.5%13.4%Worsening

Residents whose ability to walk got worse

4.6%14.6%Worsening

Long-stay residents on antianxiety or sleep medication

10.3%17.1%Worsening

Short-stay residents newly given an antipsychotic

0%0.6%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.6%20.1%Worsening

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).

Long-stay residents given the seasonal flu vaccine

98.7%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

95.6%

Short-stay residents given the pneumonia vaccine

99.7%99.7%No change

What the inspectors found

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.

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 November 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The nursing home failed to keep medication mistakes below the allowed level. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E

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

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — 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 2 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 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 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 $12,519 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $20,156 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Nov 8, 2024

    1 days
  • Federal fine

    Nov 8, 2024

    $12,519
  • Federal fine

    Nov 10, 2023

    $7,637

Operator & ownership

Recent ownership change · Dec 1, 2023

Now operated by Guadalupe County Hospital Board, previously Sage Terrace Healthcare LLC.

Ownership
For profit - Limited Liability company
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
107.5 residents on an average day (87% of 124 beds)
Resident voice
Resident council
Medicare history
Certified for 15 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.