San Antonio West Nursing and Rehabilitation
State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-10-25 — IMMEDIATE JEOPARDY (tag F0925, severity J)
Environmental Deficiencies · correction not recorded in CMS data
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
2025-10-25 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-01-30 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-01-10 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-20 — IMMEDIATE JEOPARDY (tag F0580, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-09-20 — IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
2.26
state median 2.67
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.27
registered nurses only
Contract (agency) staff
7%
share of all nursing hours
Nursing staff turnover
64%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
6 enforcement action(s), totaling $364,695 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-04 | Fine | $16,149 |
| 2025-01-30 | Fine | $162,019 |
| 2025-01-30 | Payment Denial | payment denial |
| 2025-01-10 | Fine | $15,556 |
| 2024-09-20 | Fine | $170,971 |
| 2024-09-20 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Corporation. Part of the EDURO HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- KEYSTONE POST-ACUTE (FRESNO, CA) —
- SKYLINE HEIGHTS NURSING AND REHABILITATION (BILLINGS, MT) —
- YELLOWSTONE RIVER NURSING AND REHABILITATION (BILLINGS, MT) —
- ELKHORN HEALTHCARE AND REHABILITATION (CLANCY, MT) —
- COPPER RIDGE HEALTH AND REHABILITATION CENTER (BUTTE, MT) —
- COONEY HEALTHCARE AND REHABILITATION (HELENA, MT) —
- EASTERN MONTANA VETERANS HOME (GLENDIVE, MT) —
- SOUTHWEST MONTANA VETERANS HOME (BUTTE, MT) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-30 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-24 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-24 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-24 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-24 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-24 | F0770 | Administration Deficiencies | D | not recorded |
| 2026-04-10 | F0552 | Resident Rights Deficiencies | E | not recorded |
| 2026-04-10 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-10 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2026-04-10 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-10 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-04-10 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-04-10 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-04-10 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-04-10 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-04-10 | F0849 | Administration Deficiencies | D | not recorded |
| 2026-04-10 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-04-10 | F0925 | Environmental Deficiencies | E | not recorded |
| 2026-02-13 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-13 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-13 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-02-13 | F0926 | Environmental Deficiencies | D | not recorded |
| 2026-01-09 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-01-09 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-19 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-12 | F0559 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-12 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-12 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-11-20 | F0805 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-10-25 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-10-25 | F0925 | Environmental Deficiencies | J | not recorded |
| 2025-09-04 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-18 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-08-18 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-18 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-18 | F0908 | Environmental Deficiencies | E | not recorded |
| 2025-07-03 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-05-02 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-05-02 | F0921 | Environmental Deficiencies | E | not recorded |
| 2025-01-30 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-01-30 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-30 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-30 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2025-01-30 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-30 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-01-30 | F0680 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-01-30 | F0686 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-01-30 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-30 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-30 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-01-30 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-01-30 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-01-30 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-01-30 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-01-30 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-01-30 | F0921 | Environmental Deficiencies | E | not recorded |
| 2025-01-10 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-01-10 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-01-10 | F0836 | Administration Deficiencies | F | not recorded |
| 2024-12-06 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-12-06 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-09-20 | F0580 | Resident Rights Deficiencies | J | not recorded |
| 2024-09-20 | F0686 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-09-01 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-01 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-08-10 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-15 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-12-15 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-12-15 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-15 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-10-27 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-27 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-13 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |