Cycle 1
Health 2024-10-11 · Fire 2024-10-11
9 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
San Antonio, TX
Juniper Village At Lincoln Heights
4-star overall rating with 3-star inspections with $121,976 in total fines with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
855 E Basse Rd, San Antonio, TX
(210) 930-1040
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
46
Certified beds
Average residents
25
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-11-30
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.82
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.96
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.48
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
5.27
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
2.79
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.63
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.74
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,727
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.09
Composite VBP score used to determine payment impact.
Payment multiplier
1.0018
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.07
Baseline 19.24% · Performance 20.01% · Measure score 3.07 · Achievement 3.07 · Improvement 0
Healthcare-associated infections
5.73
Baseline 7.72% · Performance 6.12% · Measure score 5.73 · Achievement 5.73 · Improvement 5.37
Total nurse turnover
5.25
Baseline 52.94% · Performance 42.22% · Measure score 5.25 · Achievement 5.25 · Improvement 3.32
Adjusted total nurse staffing
5.18
Baseline 4.99 hours · Performance 4.55 hours · Measure score 5.18 · Achievement 5.18 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.47% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 301 · Observed rate 7.64% · Lower 95% interval 6.86% |
| Discharge to community | 68.23% |
50.57%
17.7 pts better
|
Better than the National Rate · Eligible stays 283 · Observed rate 64.31% · Lower 95% interval 62.42% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 89.78% |
95.27%
5.5 pts worse
|
Numerator 167 · Denominator 186 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 186 |
| Discharge self-care score | 64.38% |
53.69%
10.7 pts better
|
Numerator 94 · Denominator 146 |
| Discharge mobility score | 47.95% |
50.94%
3 pts worse
|
Numerator 70 · Denominator 146 |
| Pressure ulcers or injuries, new or worsened | 1.08% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 186 · Adjusted rate 1.04% |
| Healthcare-associated infections requiring hospitalization | 6.12% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 187 · Observed rate 4.81% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 10.64% |
8.2%
2.4 pts better
|
Numerator 5 · Denominator 47 |
| Staff flu vaccination coverage | 27.12% |
42%
14.9 pts worse
|
Numerator 16 · Denominator 59 |
| Discharge function score | 62.33% |
56.45%
5.9 pts better
|
Numerator 91 · Denominator 146 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 34 · Denominator 34 |
| Transfer of health information to patient | 97.12% |
96.28%
0.8 pts better
|
Numerator 135 · Denominator 139 |
| Resident COVID-19 vaccinations up to date | 5.33% |
25.2%
19.9 pts worse
|
Numerator 4 · Denominator 75 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.3% |
97.1%
1.8 pts worse
|
93.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.3%
3.3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.4% |
2.7%
2.7 pts worse
|
11.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.4% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
3.3%
3.3 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.0% |
18.9%
10.9 pts better
|
19.6%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.0% |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 10.7% |
0.5%
10.2 pts worse
|
1.0%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.0% |
15.0%
About the same
|
19.8%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.0% |
| Percentage of long-stay residents with pressure ulcers | 1.0% |
4.2%
3.2 pts better
|
5.1%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.9% |
89.7%
2.2 pts better
|
81.7%
10.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.0% · Q2 88.9% · Q3 96.6% · Q4 96.6% · 4Q avg 91.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.9% |
12.0%
2.1 pts better
|
12.0%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 9.2% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.4% · Q3 0.0% · Q4 1.5% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.1% |
88.0%
14.9 pts worse
|
79.7%
6.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.5% |
25.9%
3.4 pts better
|
23.9%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 20.4% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-08 · Fire 2023-09-08
7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2022-07-15 · Fire 2022-07-15
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-11
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-30
E · Potential for more than minimal harm
2024-10-11
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-10-30
E · Potential for more than minimal harm
2024-10-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-30
F · Potential for more than minimal harm
2023-09-08
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-10-27
F · Potential for more than minimal harm
2023-09-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-27
E · Potential for more than minimal harm
2023-09-08
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-27
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-10-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-30
E · Potential for more than minimal harm
2024-10-11
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-10-11
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-10-11
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-10-11
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-10-11
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-10-11
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-10-11
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-30
D · Potential for more than minimal harm
2024-10-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-30
K · Immediate jeopardy
2024-05-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-06
F · Potential for more than minimal harm
2023-09-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-27
E · Potential for more than minimal harm
2023-09-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-27
E · Potential for more than minimal harm
2023-09-08
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-09-27
E · Potential for more than minimal harm
2023-09-08
F944 · Administration Deficiencies
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2023-09-27
D · Potential for more than minimal harm
2023-09-08
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-27
D · Potential for more than minimal harm
2023-09-08
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-09-27
D · Potential for more than minimal harm
2022-07-15
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-07-16
B · Minimal harm
2022-07-15
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2022-07-16
Penalties and ownership
What sits behind the stars
$121,976
2024-05-04
Fine
Fine · fine $121,976
Fine
Ownership
S-H Forty-Nine Opco Ventures LLC
5% Or Greater Direct Ownership Interest · Organization
Cp Opco Ventures Vi LLC
5% Or Greater Indirect Ownership Interest · Organization
Juniper Management, LLC
Operational/Managerial Control · Organization
Shp Reit I LLC
5% Or Greater Indirect Ownership Interest · Organization
Shp Reit I Trs LLC
5% Or Greater Indirect Ownership Interest · Organization
Spragins, Alan
Corporate Officer · Individual
Washburn, Alexander
Corporate Officer · Individual
Weiser, Tiffany
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Asbury Care Center Of Alamo
San Antonio, TX
1-star overall rating with 1-star inspections with $88,642 in total fines with 11 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
The Village At Incarnate Word
San Antonio, TX
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Northeast Rehabilitation And Healthcare Center
San Antonio, TX
2-star overall rating with 2-star inspections with $21,645 in total fines with 20 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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