CMS PBJ Data · 2026
San Antonio, TX Nursing Home Staffing
30 facilities · City avg 3.35 HPRD · 1 rated 5 stars
30
Facilities
3.35
Avg Total HPRD
0.37
Avg RN HPRD
1/30
5-Star Rated
All Nursing Homes in San Antonio
Sorted by CMS overall star rating. Click any facility for full staffing charts and penalty history.
THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER
SAN ANTONIO, TX · Non profit
5★
4★
4.19
0.43
MORNINGSIDE MANOR
SAN ANTONIO, TX · Non profit
4★
3★
3.60
0.36
SAN PEDRO MANOR
SAN ANTONIO, TX · Government
4★
2★
3.67
0.35
⚠ 2 CMS fines on record
ST. FRANCIS NURSING HOME
SAN ANTONIO, TX · For profit
4★
3★
3.34
0.20
The Atrium Rehabilitation Center
San Antonio, TX · For profit
4★
2★
4.31
0.39
⚠ 1 CMS fine on record
SILVER CREEK NURSING AND REHABILITATION
SAN ANTONIO, TX · For profit
3★
1★
3.04
0.35
SAN JOSE NURSING CENTER
SAN ANTONIO, TX · For profit
3★
2★
3.16
0.44
INSPIRATION HILLS REHABILITATION CENTER
SAN ANTONIO, TX · For profit
3★
3★
3.21
0.26
WINDSOR MISSION OAKS
SAN ANTONIO, TX · Non profit
3★
2★
2.74
0.29
⚠ 1 CMS fine on record
Sage Park San Antonio
SAN ANTONIO, TX · For profit
3★
3★
4.32
0.99
⚠ 1 CMS fine on record
Northeast Rehabilitation and Healthcare Center
San Antonio, TX · Government
2★
2★
3.45
0.58
⚠ 2 CMS fines on record
SAN ANTONIO WELLNESS & REHABILITATION
SAN ANTONIO, TX · For profit
2★
2★
3.45
0.38
⚠ 1 CMS fine on record
Oak Park Nursing and Rehabilitation Center
San Antonio, TX · For profit
2★
2★
3.19
0.18
⚠ 1 CMS fine on record
WURZBACH NURSING AND REHABILITATION
SAN ANTONIO, TX · For profit
2★
2★
3.13
0.51
⚠ 3 CMS fines on record
PATRIOT HEIGHTS HEALTH CARE CENTER
SAN ANTONIO, TX · For profit
2★
1★
3.46
0.38
⚠ 2 CMS fines on record
HIGHLAND NURSING CENTER
SAN ANTONIO, TX · For profit
2★
4★
3.81
0.44
Golden Estates Rehabilitation Center
San Antonio, TX · For profit
2★
2★
3.29
0.34
⚠ 3 CMS fines on record
Buena Vida Nursing and Rehab-San Antonio
SAN ANTONIO, TX · Government
1★
1★
2.93
0.27
⚠ 3 CMS fines on record
MESA VISTA INN HEALTH CENTER
SAN ANTONIO, TX · For profit
1★
1★
2.59
0.20
⚠ 1 CMS fine on record
Meridian Care Monte Vista
San Antonio, TX · For profit
1★
1★
4.74
0.39
⚠ 2 CMS fines on record
Broadway Nursing & Rehabilitation
SAN ANTONIO, TX · For profit
1★
1★
3.65
0.32
⚠ 2 CMS fines on record
Castle Hills Rehabilitation and Care Center
San Antonio, TX · For profit
1★
1★
2.96
0.59
⚠ 4 CMS fines on record
MEMORIAL MEDICAL NURSING CENTER
SAN ANTONIO, TX · Government
1★
1★
2.60
0.45
⚠ 2 CMS fines on record
Avir at San Antonio
San Antonio, TX · For profit
1★
1★
2.63
0.07
⚠ 3 CMS fines on record
THE LEV AT SAN ANTONIO
SAN ANTONIO, TX · For profit
1★
1★
3.09
0.32
⚠ 1 CMS fine on record
NORTHGATE HEALTH AND REHABILITATION CENTER
SAN ANTONIO, TX · For profit
1★
1★
3.10
0.28
⚠ 1 CMS fine on record
San Antonio North Nursing and Rehabilitation
San Antonio, TX · For profit
1★
1★
2.67
0.38
⚠ 3 CMS fines on record
San Antonio West Nursing and Rehabilitation
San Antonio, TX · For profit
1★
1★
2.75
0.33
⚠ 4 CMS fines on record
Crestway Nursing & Rehabilitation
SAN ANTONIO, TX · For profit
1★
1★
3.57
0.32
⚠ 5 CMS fines on record
Parklane West Healthcare Center
San Antonio, TX · Government
1★
1★
3.74
0.28
Frequently Asked Questions
- What is the average nursing home staffing level in San Antonio?
- San Antonio nursing homes in this CMS data sample average 3.35 total nursing hours per resident per day (HPRD), with 0.37 RN HPRD. The Texas state average is 3.42 HPRD and the U.S. national average is 3.89 HPRD.
- How do I choose a nursing home in San Antonio?
- Start with the CMS staffing star rating (target 4–5 stars) and total HPRD above 3.89. Check RN HPRD (target ≥ 1.0), weekend staffing levels, staff turnover (below 30% is excellent), and penalty/fine history. Request a tour and ask about staff-to-resident ratios on evenings and weekends specifically.
- Does Medicaid cover nursing homes in San Antonio?
- Yes — Texas Medicaid covers skilled nursing facility care for eligible residents. You must meet income and asset limits and receive a level-of-care determination. Check our Medicaid eligibility tool for Texas-specific limits and the look-back period.
Data: CMS Payroll-Based Journal via Care Compare. Updated every 24 hours via ISR.