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D
Poor

SAN ANTONIO WELLNESS & REHABILITATION

ONE HEARTLAND DR · SAN ANTONIO, TX 78247

2106531219 · For profit - Corporation

154 beds125.1 residents161 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SAN ANTONIO WELLNESS & REHABILITATION receives an overall staffing grade of D (Poor). With 3.3227 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3492 HPRD, below the recommended 0.75. It is 0.57 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.07% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3227 HPRD — needs 0.16 more hours per resident per day.
⚠️RN staffing (0.3492 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3227hrs/resident/day▼ 0.57
CMS benchmark: 3.48
RN HPRD
0.3492hrs/resident/day▼ 0.33
Recommended: 0.75
Weekend Drop-off
19.07%
3.512 weekday → 2.8421 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4904hrs/resident/day
Direct care aides
LPN HPRD
1.1592hrs/resident/day
Licensed practical nurses
Consistency
0.3862std 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-0.06 HPRD
3.39
03.32 HPRD
vs. Texas State Average-0.08 HPRD
3.40
03.32 HPRD
vs. National Average-0.57 HPRD
3.90
03.32 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
SAN ANTONIO WELLNESS & REHABILITATION ★
SAN ANTONIO · This facility
—
D
3.32270.3492★★☆☆☆
WINDCREST NURSING AND REHABILITATION
WINDCREST
4.7 mi
D
2.91180.2834★☆☆☆☆
ASBURY CARE CENTER OF ALAMO
SAN ANTONIO
6.5 mi
F
3.29390.2061★☆☆☆☆
NORTHEAST REHABILITATION AND HEALTHCARE CENTER
SAN ANTONIO
6.7 mi
C
3.44710.5534★★☆☆☆
Castle Hills Rehabilitation and Care Center
San Antonio
7.2 mi
D
2.53580.3521★☆☆☆☆
THE LEV AT SAN ANTONIO
SAN ANTONIO
10.5 mi
D
3.16180.3085★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
50
Total Deficiencies
$104,627
Fines Assessed
Sep 11, 2025Health
3 deficiencies cited
▼
Jul 2, 2025Health
3 deficiencies cited
▼
Nov 8, 2024Health
5 deficiencies cited
▼
Oct 18, 2024Health
1 deficiency cited
▼
Jan 16, 2024Health
6 deficiencies cited
▼
Dec 3, 2023Health
4 deficiencies cited· Includes actual harm
▼
Oct 6, 2023Health
18 deficiencies cited
▼
Sep 21, 2023Health
1 deficiency cited
▼
Aug 23, 2023Health
2 deficiencies cited
▼
Apr 7, 2023Health
2 deficiencies cited
▼
Mar 1, 2023Health
2 deficiencies cited
▼
Aug 26, 2022Health
3 deficiencies cited
▼

Penalty History

Dec 3, 2023Fine
$104,627
Dec 3, 2023Payment Denial
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.