20 health deficiencies
Top issue: Resident Rights (6 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
San Antonio, TX
1-star overall rating with 1-star inspections with abuse icon flag with $296,055 in total fines with 20 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
841 Rice Rd, San Antonio, TX
(210) 648-0101
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
320
Certified beds
Average residents
101
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Creative Solutions In Healthcare
Operator or chain grouping
Approved since
2000-03-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
149 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
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
RN hours / resident day
0.59
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
0.76
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
1.63
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
2.98
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
2.51
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.70
CMS adjusted RN staffing hours
Adjusted total hours
3.55
CMS adjusted total nurse staffing hours
Case-mix index
1.15
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Program rank
2,528
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.25
Composite VBP score used to determine payment impact.
Payment multiplier
1.0032
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
6.24
Performance 38.16% · Measure score 6.24 · Achievement 6.24 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.61
Baseline 3.69 hours · Performance 4.10 hours · Measure score 3.61 · Achievement 3.61 · Improvement 1.48
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | 92.59% |
95.27%
2.7 pts worse
|
Numerator 25 · Denominator 27 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 27 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 12 · Denominator 21 |
| Discharge mobility score | 38.1% |
50.94%
12.8 pts worse
|
Numerator 8 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 11.11% |
2.29%
8.8 pts worse
|
Numerator 3 · Denominator 27 · Adjusted rate 9.19% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 115 |
| Staff flu vaccination coverage | 39.24% |
42%
2.8 pts worse
|
Numerator 62 · Denominator 158 |
| Discharge function score | 47.62% |
56.45%
8.8 pts worse
|
Numerator 10 · Denominator 21 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
97.1%
0.3 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 98.8% · Q3 96.6% · Q4 96.7% · 4Q avg 97.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.9%
2.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.4% |
3.3%
3.1 pts worse
|
3.3%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.2% · Q3 5.6% · Q4 7.7% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.9% |
2.7%
1.8 pts better
|
11.4%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.9% |
| Percentage of long-stay residents who lose too much weight | 6.8% |
3.3%
3.5 pts worse
|
5.4%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 7.1% · Q3 11.8% · Q4 3.9% · 4Q avg 6.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.6% |
18.9%
4.3 pts better
|
19.6%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 15.7% · Q3 14.3% · Q4 13.2% · 4Q avg 14.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.8% |
10.8%
2 pts better
|
16.7%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 5.6% · Q3 9.3% · Q4 12.7% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.9% |
0.0%
0.9 pts worse
|
0.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 1.1% · Q4 1.1% · 4Q avg 0.9% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.8% |
15.4%
7.4 pts worse
|
16.3%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 13.6% · Q3 23.5% · Q4 31.0% · 4Q avg 22.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.8% |
16.1%
13.7 pts worse
|
14.9%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 16.4% · Q3 28.0% · Q4 37.5% · 4Q avg 29.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.5%
0.5 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.7% |
15.0%
5.7 pts worse
|
19.8%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 13.4% · Q3 11.1% · Q4 35.1% · 4Q avg 20.7% |
| Percentage of long-stay residents with pressure ulcers | 3.5% |
4.2%
0.7 pts better
|
5.1%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 5.5% · Q3 2.7% · Q4 2.2% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.9% |
89.7%
0.8 pts worse
|
81.7%
7.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.7% · Q2 98.0% · Q3 87.2% · Q4 79.2% · 4Q avg 88.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.1% |
12.0%
6.1 pts worse
|
12.0%
6.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 20.0% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.8% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
88.0%
12 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.8% |
25.9%
9.9 pts worse
|
23.9%
11.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.8% · Observed 35.0% · Expected 23.3% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (6 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Top issue: Resident Rights (2 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Fire safety
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-07-26
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-07-26
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-29
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-08-22
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-08-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-06-23
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-06-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-23
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-06-23
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-06-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-05
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2023-06-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-05
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-06-05
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-06-05
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-06
Fire Safety
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2023-06-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-05
Inspection history
Health
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.
Corrected 2026-02-02
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-02-02
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-02-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-30
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-11-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-16
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-19
Health
Post nurse staffing information every day.
Corrected 2025-08-16
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-04
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-04
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-08-04
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-08-04
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-08-04
Health
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.
Corrected 2025-08-04
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 2025-08-04
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-08-04
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-04
Health
Dispose of garbage and refuse properly.
Corrected 2025-08-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-26
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-14
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-07-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-18
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-06-23
Health
Provide activities to meet all resident's needs.
Corrected 2024-06-23
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-23
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-23
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-06-23
Health
Provide appropriate foot care.
Corrected 2024-06-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-05
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-22
Health
Put firmly secured handrails on each side of hallways.
Corrected 2024-04-22
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-05-05
Health
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.
Corrected 2023-05-05
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-05
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-05-05
Penalties and ownership
Fine · fine $24,845
Fine
Fine · fine $10,604
Fine
Fine · fine $207,019
Fine
Fine · fine $44,605
Fine
Fine · fine $8,982
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
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