nursing home in San Antonio, TX
Westover Hills Rehabilitation and Healthcare
9922 State Hwy. 151, San Antonio, TX 78251 · (210) 546-2273
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Westover Hills Rehabilitation and Healthcare at a glance
Westover Hills Rehabilitation and Healthcare is a 124-bed government nursing home in San Antonio, Texas (Bexar County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.6 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (June 12, 2026) found 10 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $20,156.
Nursing staff turnover is 29.2% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 124
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- May 4, 2011
- Resident/family council
- Resident
- County
- Bexar County
- CMS Certification Number
- 676281
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 1.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.56 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.64 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.05 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.09 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 29.2% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 73.8 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $20,156 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 124 | 113 | 107 | |
| Average residents per day | 108 | 76 | 86 | |
| Occupancy | 86.7% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1% | 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) | 10.3% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.7% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.4% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.3% | 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) | 12.3% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 17.9% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.7% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.6% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 12, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected July 20, 2026 |
| June 12, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected July 20, 2026 |
| June 12, 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 | E Potential harm, pattern | Corrected July 20, 2026 |
| June 12, 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 July 20, 2026 |
| June 12, 2026 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 | D Potential harm, isolated | Corrected July 20, 2026 |
| June 12, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 20, 2026 |
| June 12, 2026 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 July 20, 2026 |
| June 12, 2026 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected July 20, 2026 |
| May 23, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 19, 2026 |
| May 23, 2026 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 June 19, 2026 |
| March 9, 2026 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected April 10, 2026 |
| March 9, 2026 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 April 1, 2026 |
| August 21, 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 September 19, 2025 |
| August 21, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 19, 2025 |
| April 25, 2025 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected May 23, 2025 |
| April 25, 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 | E Potential harm, pattern | Corrected May 23, 2025 |
| February 14, 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 | E Potential harm, pattern | Corrected June 17, 2024 |
| November 8, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected December 13, 2024 |
| November 8, 2024 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 December 13, 2024 |
| July 15, 2024 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 August 9, 2024 |
| July 15, 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 | D Potential harm, isolated | Corrected August 9, 2024 |
| March 15, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 26, 2024 |
| March 15, 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 April 26, 2024 |
| March 15, 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 | D Potential harm, isolated | Corrected April 26, 2024 |
| March 15, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 26, 2024 |
| March 15, 2024 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected April 26, 2024 |
| March 15, 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 | D Potential harm, isolated | Corrected April 26, 2024 |
| March 15, 2024 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 26, 2024 |
| March 15, 2024 Standard | 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 April 26, 2024 |
| March 15, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected April 26, 2024 |
| November 10, 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 | G Actual harm, isolated | Corrected November 10, 2023 |
| November 10, 2023 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected December 11, 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 $20,156 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 8, 2024 | Payment Denial | 1 days from December 12, 2024 |
| November 8, 2024 | Fine | $12,519 |
| November 10, 2023 | Fine | $7,637 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD Organization | 5% or greater direct ownership interest | 100% | 12/01/2023 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 08/19/2019 |
| FIAZUDDIN, FARAZ Individual | adp of the snf | NOT APPLICABLE | 03/30/2023 |
| HOYLER, JERRY Individual | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| SAGE TERRACE HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 10/06/2025 |
| STANDARD BEARER HEALTHCARE OP, LP Organization | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| THE ENSIGN GROUP INC Organization | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 12/01/2023 |
| GANN, KODY Individual | corporate officer | NOT APPLICABLE | 12/01/2023 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| FIAZUDDIN, FARAZ Individual | managing control - governing body | NOT APPLICABLE | 03/30/2023 |
| HOYLER, JERRY Individual | managing control - governing body | NOT APPLICABLE | 12/01/2023 |
| FIAZUDDIN, FARAZ Individual | operational/managerial control | NOT APPLICABLE | 03/30/2023 |
| HOYLER, JERRY Individual | operational/managerial control | NOT APPLICABLE | 12/01/2023 |
| SAGE TERRACE HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 12/01/2023 |
Other nursing homes near Westover Hills Rehabilitation and Healthcare
Windemere at Westover Hills
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★★★★★2Below averageLas Colinas of Westover
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★★★★★2Below averageLakeside Nursing and Rehabilitation Center
8707 Lakeside Parkway, San Antonio, TX 78245 · 1.7 mi
Government · 118 beds · Part of The Ensign Group
★★★★★5Much above averageSilver Creek Nursing and Rehabilitation
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For-profit · 120 beds · Part of Eduro Healthcare
★★★★★3AverageLegend Oaks Healthcare and Rehabilitation - West S
222 Bertetti Dr, San Antonio, TX 78227 · 3.7 mi
For-profit · 124 beds · Part of The Ensign Group
★★★★★3AverageThe Mission at Blue Skies of Texas East
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Non-profit · 80 beds
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Westover Hills Rehabilitation and Healthcare's rating?
Westover Hills Rehabilitation and Healthcare has 4 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 Westover Hills Rehabilitation and Healthcare receive?
Its most recent standard health inspection found 10 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Westover Hills Rehabilitation and Healthcare 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 Westover Hills Rehabilitation and Healthcare?
It is government - hospital district and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Westover Hills Rehabilitation and Healthcare and how do I contact it?
Westover Hills Rehabilitation and Healthcare is at 9922 State Hwy. 151, San Antonio, TX 78251. Phone: (210) 546-2273.
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.