nursing home in San Antonio, TX

Wurzbach Nursing and Rehabilitation

8300 Wurzbach Rd., San Antonio, TX 78229 · (210) 617-2200

★★★★★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

Wurzbach Nursing and Rehabilitation at a glance

Wurzbach Nursing and Rehabilitation is a 140-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 3.1 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (June 13, 2025) found 21 health citations. The Texas average is 9.4.

Federal regulators fined it 3 times in the past three years, totaling $34,945.

Nursing staff turnover is 62.3% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
140
Certified for
Medicare and Medicaid
Chain / affiliated entity
Caraday Healthcare
Medicare-certified since
June 2, 1989
Resident/family council
Resident
County
Bexar County
CMS Certification Number
455824

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)4 / 54 / 53.8 / 5Average

Staffing

This facility3.13 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)3.13 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.51 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.76 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.66 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)62.3%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)75%54.6%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility21Texas 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)2199Worse
Citations from complaint investigations (latest cycle) (lower is better)243Better
Weighted health inspection score ⓘ (lower is better)12510280.6Worse

Penalties

This facility3Texas 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)311Worse
Total fines in the past 3 years (lower is better)$34,945$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)321Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds140113107
Average residents per day847686
Occupancy59.8%67.6%80.9%

Long-stay residents

This facility5.1%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)5.1%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)2%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)17.2%9.6%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)1.2%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)19%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)11.9%14%14.1%Better
Long-stay residents who lose too much weight (lower is better)6.8%3%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)1.7%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)34%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)15.9%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)94.4%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)86.1%96.6%93.6%Worse

Short-stay residents

This facility3%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)3%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)31.3%88%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)19.7%88.9%82%Worse

Inspection citations

State inspectors cited this home for 58 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 3 rated "immediate jeopardy".

DateCitationSeverityStatus
July 2, 2026
Complaint
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 July 24, 2026
July 2, 2026
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 July 24, 2026
June 13, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected July 26, 2025
June 13, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected July 26, 2025
June 13, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
No revisit needed
June 13, 2025
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 June 14, 2025
June 13, 2025
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 June 14, 2025
June 13, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 14, 2025
June 13, 2025
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
E
Potential harm, pattern
Corrected June 14, 2025
June 13, 2025
Standard
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · Tag F0942
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
Standard
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Tag F0941
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
Standard
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Tag F0940
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
Standard
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 June 14, 2025
June 13, 2025
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
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
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 June 14, 2025
June 13, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
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 June 14, 2025
June 13, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
Standard
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
Standard
Provide training in compliance and ethics.
Administration Deficiencies · Tag F0946
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
Standard
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · Tag F0945
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
Standard
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
D
Potential harm, isolated
Corrected June 14, 2025
June 13, 2025
Standard
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943
D
Potential harm, isolated
Corrected June 14, 2025
May 16, 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 May 17, 2025
March 9, 2025
Complaint
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
J
Immediate jeopardy, isolated
Corrected September 26, 2024
March 9, 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 March 17, 2025
March 9, 2025
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected March 17, 2025
March 9, 2025
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
D
Potential harm, isolated
Corrected March 17, 2025
December 6, 2024
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
E
Potential harm, pattern
Corrected December 10, 2024
September 26, 2024
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
E
Potential harm, pattern
Corrected October 18, 2024
September 26, 2024
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected October 18, 2024
September 12, 2024
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected September 16, 2024
April 26, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected April 24, 2024
April 26, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected May 31, 2024
April 26, 2024
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 May 31, 2024
April 26, 2024
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 2024
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 May 31, 2024
April 26, 2024
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 May 31, 2024
April 26, 2024
Standard
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Tag F0661
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 2024
Standard
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 2024
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected May 31, 2024
April 26, 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 May 31, 2024
April 16, 2024
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
E
Potential harm, pattern
Corrected April 17, 2024
April 16, 2024
Complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected April 17, 2024
March 14, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected March 15, 2024
December 1, 2023
Complaint
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
J
Immediate jeopardy, isolated
Corrected December 1, 2023
December 1, 2023
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected December 26, 2023
December 1, 2023
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected May 28, 2023
December 1, 2023
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 December 26, 2023
October 26, 2023
Complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Tag F0678
J
Immediate jeopardy, isolated
Corrected October 25, 2023
March 3, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected March 4, 2023
March 3, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected March 3, 2023
March 3, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
H
Actual harm, pattern
Corrected April 22, 2023
March 3, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected April 22, 2023
March 3, 2023
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
E
Potential harm, pattern
Corrected April 22, 2023
March 3, 2023
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
E
Potential harm, pattern
Corrected April 22, 2023
March 3, 2023
Standard
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 April 22, 2023
March 3, 2023
Standard
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 April 22, 2023
March 3, 2023
Standard
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected April 22, 2023
March 3, 2023
Standard
Provide appropriate care/assistance for a resident with a prosthesis.
Quality of Life and Care Deficiencies · Tag F0696
D
Potential harm, isolated
Corrected April 22, 2023
March 3, 2023
Standard
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Tag F0770
D
Potential harm, isolated
Corrected April 22, 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 3 federal penalties in the past three years, including $34,945 in fines.

DatePenaltyAmount / length
March 9, 2025Fine$10,361
December 1, 2023Fine$9,315
October 26, 2023Fine$15,269

Owners and managers

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

NameRoleShareSince
CARADAY HEALTHCARE, LLC
Organization
5% or greater direct ownership interest100%01/01/2020
CARA CAPITAL LLC
Organization
5% or greater indirect ownership interest—01/01/2020
CARADAY HOLDINGS LLC
Organization
5% or greater indirect ownership interest—01/01/2020
CHOI, MARYANN
Individual
5% or greater indirect ownership interest—01/01/2020
CHOI, ROBERT
Individual
5% or greater indirect ownership interest—01/01/2020
DAYBACH INVESTMENTS, LP
Organization
5% or greater indirect ownership interest—01/01/2020
E&R CUNNINGHAM INVESTMENTS LP
Organization
5% or greater indirect ownership interest—01/01/2020
O'DONOGHUE-STALLARD, MAIRE
Individual
5% or greater indirect ownership interest—01/01/2020
STALLARD, THOMAS
Individual
5% or greater indirect ownership interest—01/01/2020
TALA INVESTMENTS, LLC
Organization
5% or greater indirect ownership interest—01/01/2020
WOOD, STEPHEN
Individual
5% or greater indirect ownership interest—01/01/2020
YSMLC HOLDINGS, LLC
Organization
5% or greater indirect ownership interest—01/01/2020
GRANITE WURZBACH, LLC
Organization
5% or greater mortgage interestNOT APPLICABLE01/01/2020
GRANITE WURZBACH, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2020
RUIZ, JOSE
Individual
adp of the snfNOT APPLICABLE01/01/2020
ZANTUA, OMAR
Individual
adp of the snfNOT APPLICABLE01/01/2006
MOORE, GREGORY
Individual
corporate officerNOT APPLICABLE01/01/2020
MOORE, GREGORY
Individual
operational/managerial controlNOT APPLICABLE01/01/2020

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Frequently asked questions

What is Wurzbach Nursing and Rehabilitation's rating?

Wurzbach Nursing and 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 Wurzbach Nursing and Rehabilitation receive?

Its most recent standard health inspection found 21 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Wurzbach Nursing and 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 Wurzbach Nursing and Rehabilitation?

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

Where is Wurzbach Nursing and Rehabilitation and how do I contact it?

Wurzbach Nursing and Rehabilitation is at 8300 Wurzbach Rd., San Antonio, TX 78229. Phone: (210) 617-2200.

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.