Federal inspection record · CMS data as of October 1, 2026

Memorial Medical Nursing And Rehabilitation

307 W Cypress St, San Antonio, TX · (210) 223-5521

CMS overall rating

1 of 5

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Certified beds
135
Residents per day
99
Ownership
For-Profit
Chain
Eduro Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 20, 1985

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change (already 1)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Memorial Medical Nursing And Rehabilitation carries 205.5 inspection points. That is fewer than 9% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 205.5 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

65 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 32 4 pts
E 24 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 2 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 8, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected September 9, 2024

  2. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 16, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 9, 2024

Everything else, by area of care

Resident Assessment and Care Planning14E
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 5, 2026 · Standard · F842 · Corrected August 6, 2026

  2. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 6, 2026 · Complaint · F656 · Corrected April 19, 2026

  3. D

    Ensure each resident receives an accurate assessment.

    March 6, 2026 · Complaint · F641 · Corrected April 19, 2026

  4. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 6, 2026 · Complaint · F842 · Corrected April 19, 2026

  5. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 14, 2025 · Complaint · F842 · Corrected November 15, 2025

  6. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    June 11, 2025 · Complaint · F656 · Corrected June 12, 2025

  7. D

    Ensure each resident receives an accurate assessment.

    June 11, 2025 · Complaint · F641 · Corrected June 12, 2025

  8. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    June 11, 2025 · Complaint · F644 · Corrected June 12, 2025

  9. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    June 11, 2025 · Complaint · F657 · Corrected June 12, 2025

  10. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    May 16, 2025 · Complaint · F842 · Corrected May 17, 2025

  11. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 26, 2024 · Complaint · F656 · Corrected June 1, 2024

  12. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 26, 2024 · Complaint · F657 · Corrected June 1, 2024

  13. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 25, 2024 · Complaint · F656 · Corrected March 1, 2024

  14. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    January 25, 2024 · Complaint · F842 · Corrected March 1, 2024

Nutrition and Dietary9F
  1. F

    Dispose of garbage and refuse properly.

    August 5, 2026 · Standard · F814 · Corrected August 7, 2026

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 5, 2026 · Standard · F812 · Corrected August 6, 2026

  3. E

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    August 5, 2026 · Standard · F813 · Corrected August 6, 2026

  4. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 11, 2025 · Complaint · F812 · Corrected June 12, 2025

  5. D

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    June 11, 2025 · Complaint · F813 · Corrected June 12, 2025

  6. B

    Dispose of garbage and refuse properly.

    June 11, 2025 · Complaint · F814 · Corrected June 12, 2025

  7. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 9, 2024 · Complaint · F812 · Corrected August 10, 2024

  8. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 26, 2024 · Complaint · F812 · Corrected May 24, 2024

  9. E

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    April 26, 2024 · Complaint · F813 · Corrected May 24, 2024

Environmental9F
  1. E

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    August 5, 2026 · Standard · F912 · Corrected August 6, 2026

  2. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    August 5, 2026 · Standard · F921 · Corrected September 4, 2026

  3. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    August 5, 2026 · Standard · F925 · Corrected August 20, 2026

  4. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    August 5, 2026 · Standard · F919 · Corrected August 6, 2026

  5. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    June 11, 2025 · Complaint · F925 · Corrected June 12, 2025

  6. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    January 24, 2025 · Complaint · F919 · Corrected January 25, 2025

  7. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    January 24, 2025 · Complaint · F921 · Corrected January 25, 2025

  8. F

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    April 26, 2024 · Complaint · F925 · Corrected May 24, 2024

  9. E

    Have policies on smoking.

    April 26, 2024 · Complaint · F926 · Corrected May 24, 2024

Quality of Life and Care9E
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 5, 2026 · Standard · F677 · Corrected August 6, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 5, 2026 · Standard · F689 · Corrected August 6, 2026

  3. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 5, 2026 · Standard · F695 · Corrected August 6, 2026

  4. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 17, 2026 · Complaint · F684 · Corrected January 18, 2026

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    June 11, 2025 · Complaint · F695 · Corrected June 12, 2025

  6. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 26, 2024 · Complaint · F684 · Corrected June 1, 2024

  7. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 26, 2024 · Complaint · F689 · Corrected May 24, 2024

  8. E

    Provide safe and appropriate respiratory care for a resident when needed.

    April 26, 2024 · Complaint · F695 · Corrected May 24, 2024

  9. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    February 16, 2024 · Complaint · F677 · Corrected March 9, 2024

Resident Rights6E
  1. D

    Reasonably accommodate the needs and preferences of each resident.

    August 5, 2026 · Standard · F558 · Corrected August 6, 2026

  2. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    August 5, 2026 · Standard · F584 · Corrected August 6, 2026

  3. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    November 14, 2025 · Complaint · F584 · Corrected November 15, 2025

  4. D

    Keep residents' personal and medical records private and confidential.

    June 11, 2025 · Complaint · F583 · Corrected June 12, 2025

  5. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    September 8, 2024 · Complaint · F577 · Corrected September 9, 2024

  6. E

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    April 26, 2024 · Complaint · F553 · Corrected May 10, 2024

Infection Control6F
  1. D

    Provide and implement an infection prevention and control program.

    August 5, 2026 · Standard · F880 · Corrected August 6, 2026

  2. D

    Provide and implement an infection prevention and control program.

    November 14, 2025 · Complaint · F880 · Corrected November 15, 2025

  3. E

    Provide and implement an infection prevention and control program.

    June 11, 2025 · Complaint · F880 · Corrected June 12, 2025

  4. E

    Provide and implement an infection prevention and control program.

    April 26, 2024 · Complaint · F880 · Corrected May 24, 2024

  5. F

    Provide and implement an infection prevention and control program.

    February 16, 2024 · Complaint · F880 · Corrected March 9, 2024

  6. D

    Provide and implement an infection prevention and control program.

    January 25, 2024 · Complaint · F880 · Corrected March 1, 2024

Pharmacy Service4E
  1. D

    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.

    August 5, 2026 · Standard · F761 · Corrected August 6, 2026

  2. E

    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.

    November 14, 2025 · Complaint · F761 · Corrected November 15, 2025

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    May 16, 2025 · Complaint · F755 · Corrected May 17, 2025

  4. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 16, 2024 · Complaint · F755 · Corrected March 9, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 6, 2026 · Complaint · F609 · Corrected April 19, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 2, 2024 · Complaint · F609 · Corrected June 30, 2024

  3. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    January 25, 2024 · Complaint · F607 · Corrected March 1, 2024

Nursing and Physician Services2D
  1. D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    June 11, 2025 · Complaint · F726 · Corrected June 12, 2025

  2. B

    Post nurse staffing information every day.

    July 18, 2024 · Complaint · F732 · Corrected July 19, 2024

Administration1D
  1. D

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    January 25, 2024 · Complaint · F835 · Corrected February 20, 2024

Inspection history

  1. 2026-08-05

    24 health deficiencies · 11 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (5 deficiencies)

  2. 2025-06-11

    16 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (5 deficiencies)

  3. 2024-04-26

    25 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 2 h 50 min of nursing staff time a day, 26 min of it from a registered nurse.

This home

2 h 50 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 58% of nursing staff and 67% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$35,396 in federal fines on record over the past three years.

DatePenaltyAmount
2024-09-08Fine$21,769
2024-02-16Fine$13,627

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better1.82.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better1.22.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts worse77.7%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine16.1 pts worse80.9%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better2.7%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.1 pts worse4.4%2.3%13.5%
Percentage of long-stay residents who lose too much weight1.2 pts better1.7%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medicationAbout the same17.8%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.1 pts better6.7%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2 pts better10.9%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.9 pts better13.9%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse0.4%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection2.3 pts worse3.1%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse14.2%12.5%18.3%
Percentage of long-stay residents with pressure ulcers6.2 pts worse9.9%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6 pts worse82.7%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better10.6%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse1.8%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine42 pts worse43.4%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission18 pts worse43.5%25.5%23.4%

·

Who owns and runs it

17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Apolinar, AdamCorporate Director · Individual0%38 facilities
Apolinar, AdamCorporate Officer · Individual0%38 facilities
Bewsey, MichaelIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%26 facilities
Contreras, TerriCorporate Officer · Individual0%19 facilities
Contreras, TerriOperational/Managerial Control · Individual0%19 facilities
Contreras, TerriAdp Of The SNF · Individual0%19 facilities
Jaca, RosalindaOperational/Managerial Control · Individual0%1 facilities
Jaca, RosalindaAdp Of The SNF · Individual0%1 facilities
Olivo, JoacimCorporate Director · Individual0%1 facilities
Olivo, JoacimOperational/Managerial Control · Individual0%1 facilities
Olivo, JoacimAdp Of The SNF · Individual0%1 facilities
San Pedro Nursing And Rehab Center LLCOperational/Managerial Control · Organization0%1 facilities
San Pedro Nursing And Rehab Center LLCAdp Of The SNF · Organization0%1 facilities
Smv San Antonio Memorial LLCAdp Of The SNF · Organization0%1 facilities
Zarate, JocelynCorporate Director · Individual0%2 facilities
Zarate, JocelynOperational/Managerial Control · Individual0%2 facilities
Zarate, JocelynAdp Of The SNF · Individual0%2 facilities

·

Fire safety

22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    August 5, 2026 · K345 · Corrected August 25, 2026

  2. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 5, 2026 · K321 · Corrected September 4, 2026

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 5, 2026 · K353 · Corrected August 25, 2026

  4. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    August 5, 2026 · K374 · Corrected August 8, 2026

  5. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    June 11, 2025 · K345 · Corrected June 12, 2025

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 11, 2025 · K353 · Corrected June 12, 2025

  7. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 11, 2025 · K372 · Corrected June 12, 2025

Services5E
  1. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    August 5, 2026 · K521 · Not yet marked corrected

  2. E

    Have properly installed electrical wiring and gas equipment.

    June 11, 2025 · K511 · Corrected June 12, 2025

  3. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    June 11, 2025 · K521 · Not yet marked corrected

  4. E

    Have properly installed electrical wiring and gas equipment.

    April 26, 2024 · K511 · Corrected April 29, 2024

  5. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    April 26, 2024 · K521 · Corrected April 26, 2024

Miscellaneous4F
  1. F

    Have simulated fire drills held at unexpected times.

    August 5, 2026 · K712 · Corrected August 7, 2026

  2. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    August 5, 2026 · K741 · Corrected August 21, 2026

  3. E

    Have simulated fire drills held at unexpected times.

    June 11, 2025 · K712 · Corrected June 12, 2025

  4. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    June 11, 2025 · K741 · Corrected June 12, 2025

Gas, Vacuum, and Electrical Systems3E
  1. E

    Ensure proper usage of power strips and extension cords.

    August 5, 2026 · K920 · Corrected August 6, 2026

  2. E

    Have generator or other power source capable of supplying service within 10 seconds.

    June 11, 2025 · K918 · Corrected June 12, 2025

  3. E

    Have generator or other power source capable of supplying service within 10 seconds.

    April 26, 2024 · K918 · Corrected April 29, 2024

Emergency Preparedness2F
  1. F

    Establish policies and procedures including evacuation.

    August 5, 2026 · E20 · Corrected August 15, 2026

  2. F

    Conduct risk assessment and an All-Hazards approach.

    August 5, 2026 · E6 · Corrected August 6, 2026

Egress1F
  1. F

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    August 5, 2026 · K222 · Corrected September 11, 2026

·

Other homes nearby

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  2. San Pedro Manor

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  3. Meridian Care Monte Vista

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