nursing home in San Antonio, TX

San Antonio Wellness & Rehabilitation

1 Heartland Drive, San Antonio, TX 78247 · (210) 653-1219

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★2
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

San Antonio Wellness & Rehabilitation at a glance

San Antonio Wellness & Rehabilitation is a 154-bed for-profit nursing home in San Antonio, Texas (Bexar County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.5 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (February 20, 2026) found 11 health citations. The Texas average is 9.4.

Federal regulators fined it 1 time in the past three years, totaling $104,627.

Nursing staff turnover is 35.4% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
154
Certified for
Medicare and Medicaid
Chain / affiliated entity
Opco Skilled Management
Medicare-certified since
July 11, 1988
Resident/family council
Resident
County
Bexar County
CMS Certification Number
455762

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)4 / 53.7 / 53.6 / 5Average
Long-stay quality rating (higher is better)5 / 54 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)3 / 53.2 / 53.3 / 5Average

Staffing

This facility3.45 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.45 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.38 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.05 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.07 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)35.4%55.3%45.8%Better
Registered nurse turnover (yearly) (lower is better)37.5%54.6%42.9%Better
Administrators who left in the past year (lower is better)011Better

Inspections

This facility11Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1199Worse
Citations from complaint investigations (latest cycle) (lower is better)443Worse
Weighted health inspection score ⓘ (lower is better)125.310280.6Worse

Penalties

This facility1Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$104,627$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds154113107
Average residents per day1177686
Occupancy76.2%67.6%80.9%

Long-stay residents

This facility2.7%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.7%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)1.5%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)11.7%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.3%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)11.5%15.8%13.9%Better
Long-stay residents whose walking worsened (lower is better)13.5%14%14.1%Average
Long-stay residents who lose too much weight (lower is better)5.5%3%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)0%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)16.2%18%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)15.2%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)91.6%96.6%93.6%Average

Short-stay residents

This facility0.2%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.2%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)96.9%88%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)92%88.9%82%Better

Inspection citations

State inspectors cited this home for 49 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
February 20, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected February 20, 2026
February 20, 2026
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected February 19, 2026
February 20, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected February 21, 2026
February 20, 2026
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected February 21, 2026
February 20, 2026
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected February 21, 2026
February 20, 2026
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected February 21, 2026
February 20, 2026
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected February 21, 2026
February 20, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected February 21, 2026
February 20, 2026
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected February 21, 2026
January 16, 2026
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected January 17, 2026
September 11, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected September 12, 2025
September 11, 2025
Complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies · Tag F0559
D
Potential harm, isolated
Corrected September 12, 2025
September 11, 2025
Complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603
D
Potential harm, isolated
Corrected September 12, 2025
July 2, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected July 3, 2025
July 2, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected July 3, 2025
July 2, 2025
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected July 3, 2025
November 8, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
F
Potential harm, widespread
Corrected November 7, 2024
November 8, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
E
Potential harm, pattern
Corrected November 7, 2024
November 8, 2024
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
E
Potential harm, pattern
Corrected November 7, 2024
November 8, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected November 7, 2024
November 8, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected November 7, 2024
November 8, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected November 9, 2024
November 8, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected November 9, 2024
November 8, 2024
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
D
Potential harm, isolated
Corrected November 9, 2024
November 8, 2024
Standard
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Tag F0585
D
Potential harm, isolated
Corrected November 9, 2024
November 8, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected November 9, 2024
October 18, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected October 19, 2024
January 16, 2024
Complaint
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Tag F0791
E
Potential harm, pattern
Corrected January 17, 2024
January 16, 2024
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected January 17, 2024
January 16, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected January 17, 2024
January 16, 2024
Complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected January 17, 2024
January 16, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected January 17, 2024
January 16, 2024
Complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected January 17, 2024
December 3, 2023
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
K
Immediate jeopardy, pattern
Corrected December 4, 2023
December 3, 2023
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected January 10, 2024
December 3, 2023
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected December 4, 2023
December 3, 2023
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected January 10, 2024
October 6, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected November 10, 2023
October 6, 2023
Complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · Tag F0942
E
Potential harm, pattern
Corrected November 10, 2023
October 6, 2023
Complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Tag F0941
E
Potential harm, pattern
Corrected November 10, 2023
October 6, 2023
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected November 10, 2023
October 6, 2023
Complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
E
Potential harm, pattern
Corrected November 10, 2023
October 6, 2023
Complaint
Provide training in compliance and ethics.
Administration Deficiencies · Tag F0946
E
Potential harm, pattern
Corrected November 10, 2023
October 6, 2023
Complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
E
Potential harm, pattern
Corrected November 10, 2023
October 6, 2023
Complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected November 10, 2023
October 6, 2023
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected November 10, 2023
October 6, 2023
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected November 10, 2023
October 6, 2023
Complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected November 10, 2023
October 6, 2023
Complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected November 10, 2023
October 6, 2023
Complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected November 10, 2023
October 6, 2023
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected November 10, 2023
October 6, 2023
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected November 10, 2023
October 6, 2023
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected November 10, 2023
October 6, 2023
Complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected November 10, 2023
October 6, 2023
Complaint
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected November 10, 2023
October 6, 2023
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected November 10, 2023
September 21, 2023
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected October 13, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $104,627 in fines.

DatePenaltyAmount / length
December 3, 2023Payment Denial11 days from December 30, 2023
December 3, 2023Fine$104,627

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FRIO HOSPITAL DISTRICT
Organization
5% or greater direct ownership interest100%01/01/2024
1 HEARTLAND DRIVE TX, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
CONTINUUM REHAB GROUP LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
GIBRALTAR TRUST
Organization
adp of the snfNOT APPLICABLE01/01/2024
GONZALES, JAVIER
Individual
adp of the snfNOT APPLICABLE12/06/2023
MAGNOLIA REALTY, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
MILLENNIAL ACQUISITIONS, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
MONTGOMERY SKY TRUST
Organization
adp of the snfNOT APPLICABLE01/01/2024
OPCO CA SKILLED MGMT INC.
Organization
adp of the snfNOT APPLICABLE01/01/2024
OPCO TEXAS SKILLED MGMT LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
OREGON REALTY, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
SCOOPER REALTY, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
SILVA, LUIS
Individual
adp of the snfNOT APPLICABLE03/11/2010
WINDSOR SQUARE REALTY, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
RUFF, MICHAEL
Individual
corporate officerNOT APPLICABLE01/01/2024
GURWITZ, SOLOMON
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE06/25/2025
HAGINS, ELIZABETH
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE03/31/2025
KAPLAN, ESTHER
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE06/25/2025
KAPLAN, MORDECHAI
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE03/31/2025
MINDLE, ADAM
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE06/25/2025
UNGER, JEFFREY
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE06/25/2025
GARETZ, DAVID
Individual
operational/managerial controlNOT APPLICABLE01/01/2024
HEARTLAND POST ACUTE LLC
Organization
operational/managerial controlNOT APPLICABLE01/01/2024

Other nursing homes near San Antonio Wellness & Rehabilitation

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    For-profit · 128 beds

    ★★★★★2Below average
  2. Advanced Rehabilitation & Healthcare of Live Oak

    8221 Palisades Drive, Live Oak, TX 78233 · 4 mi

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    ★★★★★3Average
  3. Avir at Converse

    7700 Mesquite Pass, Converse, TX 78109 · 4.5 mi

    For-profit · 100 beds · Part of Avir Health Group

    ★★★★★1Much below average
  4. Windcrest Nursing and Rehabilitation

    8800 Fourwinds Dr., Windcrest, TX 78239 · 4.7 mi

    For-profit · 180 beds · Part of Caraday Healthcare

    • New owner (last 12 months)
    ★★★★★1Much below average
  5. Crestway Nursing & Rehabilitation

    7181 Crestway Rd., San Antonio, TX 78239 · 4.9 mi

    For-profit · 120 beds

    ★★★★★1Much below average
  6. Army Residence Community

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All nursing homes in San Antonio, TX · Compare side by side

Frequently asked questions

What is San Antonio Wellness & Rehabilitation's rating?

San Antonio Wellness & Rehabilitation has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did San Antonio Wellness & Rehabilitation receive?

Its most recent standard health inspection found 11 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does San Antonio Wellness & Rehabilitation accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns San Antonio Wellness & Rehabilitation?

It is for profit - corporation and part of Opco Skilled Management. The ownership section on this page lists the owners and managers reported to CMS.

Where is San Antonio Wellness & Rehabilitation and how do I contact it?

San Antonio Wellness & Rehabilitation is at 1 Heartland Drive, San Antonio, TX 78247. Phone: (210) 653-1219.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.