San Antonio West Nursing and Rehabilitation
Nursing Home Facility
636 Cupples Rd, San Antonio, TX 78237
San Antonio West Nursing and Rehabilitation is a senior care community located in San Antonio, TX. It provides nursing home care and senior living for older adults in the San Antonio area. To learn more or schedule a tour, call (210) 434-0611.
San Antonio West Nursing and Rehabilitation is licensed for 135 beds, about typical for the area, where senior care communities in San Antonio average about 169 beds.
Federal reporting puts occupancy at about 76% of its licensed beds. That is above the San Antonio average of roughly 65%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Antonio average about 2.3 stars. Its most recent standard health inspection was in April 2026 and recorded 36 deficiencies.
Residents receive about 2.8 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Communities in San Antonio average about 3.4 hours. Nursing staff turnover over the past year was about 64%, which is high and can affect continuity of care.
The community is located in Bexar County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 73 problems at San Antonio West Nursing and Rehabilitation. 6 findings involved harm to a resident, including 5 that put residents in immediate danger. 43 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $364,695. Medicare also stopped paying for new admissions twice in that period.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, widespread
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Administration
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Could cause more than minimal harm, a pattern
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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Could cause more than minimal harm, one or a few residents
Administration
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate foot care.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Environmental
Have policies on smoking.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Environmental
Keep all essential equipment working safely.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
San Antonio West Nursing and Rehabilitation offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 135
- Occupancy 76%
- Nursing hours per resident/day 2.8
- Annual staff turnover 64%
- Last health inspection April 2026
Resident & family reviews
No one has shared a review of San Antonio West Nursing and Rehabilitation yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.