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F
Critical

ASBURY CARE CENTER OF ALAMO

8223 BROADWAY · SAN ANTONIO, TX 78209

2108280606 · For profit - Limited Liability company

237 beds71.8 residents143 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ASBURY CARE CENTER OF ALAMO receives an overall staffing grade of F (Critical). With 3.2939 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2061 HPRD, below the recommended 0.75. It is 0.60 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.2% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2939 HPRD — needs 0.19 more hours per resident per day.
⚠️RN staffing (0.2061 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.2939hrs/resident/day▼ 0.60
CMS benchmark: 3.48
RN HPRD
0.2061hrs/resident/day▼ 0.48
Recommended: 0.75
Weekend Drop-off
12.2%
3.4115 weekday → 2.9953 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
1.5926hrs/resident/day
Direct care aides
LPN HPRD
0.9532hrs/resident/day
Licensed practical nurses
Consistency
0.2949std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Bexar County Average-0.09 HPRD
3.39
03.29 HPRD
vs. Texas State Average-0.11 HPRD
3.40
03.29 HPRD
vs. National Average-0.60 HPRD
3.90
03.29 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ASBURY CARE CENTER OF ALAMO ★
SAN ANTONIO · This facility
—
F
3.29390.2061★☆☆☆☆
NORTHEAST REHABILITATION AND HEALTHCARE CENTER
SAN ANTONIO
2.7 mi
C
3.44710.5534★★☆☆☆
Castle Hills Rehabilitation and Care Center
San Antonio
2.9 mi
D
2.53580.3521★☆☆☆☆
WINDCREST NURSING AND REHABILITATION
WINDCREST
4.4 mi
D
2.91180.2834★☆☆☆☆
MERIDIAN CARE MONTE VISTA
SAN ANTONIO
4.7 mi
D
4.63420.347★☆☆☆☆
SAN PEDRO MANOR
SAN ANTONIO
4.7 mi
D
3.40360.3485★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
44
Total Deficiencies
$88,642
Fines Assessed
Aug 23, 2025Health
4 deficiencies cited· Includes actual harm
▼
Jan 24, 2025Health
7 deficiencies cited
▼
Oct 1, 2024Health
2 deficiencies cited
▼
Feb 23, 2024Health
3 deficiencies cited
▼
Nov 19, 2023Health
16 deficiencies cited· Includes actual harm
▼
Nov 3, 2023Health
3 deficiencies cited
▼
Sep 1, 2023Health
1 deficiency cited
▼
Feb 23, 2023Health
2 deficiencies cited
▼
Feb 9, 2023Health
1 deficiency cited
▼
Sep 16, 2022Health
5 deficiencies cited
▼

Penalty History

Aug 23, 2025Fine
$32,580
Nov 3, 2023Fine
$56,062
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.