San Antonio, TX

Remington Transitional Care Of San Antonio

4-star overall rating with 3-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

5423 Hamilton Wolfe Rd, San Antonio, TX

(210) 694-9494

Compare this facility

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

60

Certified beds

Average residents

59

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

2009-04-25

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

67 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.78

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.79

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.79

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

4.35

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

2.57

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.72

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.52

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.15

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.66

CMS adjusted RN staffing hours

Adjusted total hours

3.65

CMS adjusted total nurse staffing hours

Case-mix index

1.63

Higher values indicate more complex resident acuity

RN turnover

22%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,588

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

43.65

Composite VBP score used to determine payment impact.

Payment multiplier

0.9967

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.89

Baseline 23.81% · Performance 20.16% · Measure score 4.89 · Achievement 2.75 · Improvement 4.89

Healthcare-associated infections

1.14

Baseline 5.58% · Performance 7.49% · Measure score 1.14 · Achievement 1.14 · Improvement 0

Total nurse turnover

9.14

Baseline 39.62% · Performance 26.32% · Measure score 9.14 · Achievement 9.14 · Improvement 8.51

Adjusted total nurse staffing

2.29

Baseline 3.77 hours · Performance 3.73 hours · Measure score 2.29 · Achievement 2.29 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.63%
10.72%
0.9 pts worse
No Different than the National Rate · Eligible stays 406 · Observed rate 10.34% · Lower 95% interval 9.3%
Discharge to community 66.42%
50.57%
15.9 pts better
Better than the National Rate · Eligible stays 406 · Observed rate 64.29% · Lower 95% interval 62.19%
Medicare spending per beneficiary 1.05
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 280 · Denominator 280
Falls with major injury 0.36%
0.77%
0.4 pts better
Numerator 1 · Denominator 280
Discharge self-care score 46.54%
53.69%
7.1 pts worse
Numerator 101 · Denominator 217
Discharge mobility score 44.7%
50.94%
6.2 pts worse
Numerator 97 · Denominator 217
Pressure ulcers or injuries, new or worsened 2.51%
2.29%
0.2 pts worse
Numerator 7 · Denominator 279 · Adjusted rate 2.92%
Healthcare-associated infections requiring hospitalization 7.49%
7.12%
0.4 pts worse
No Different than the National Rate · Eligible stays 223 · Observed rate 6.73% · Lower 95% interval 4.93%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 145
Staff flu vaccination coverage 99.13%
42%
57.1 pts better
Numerator 114 · Denominator 115
Discharge function score 46.54%
56.45%
9.9 pts worse
Numerator 101 · Denominator 217
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 87 · Denominator 87
Transfer of health information to patient 98.4%
96.28%
2.1 pts better
Numerator 185 · Denominator 188
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 153

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
89.7%
9.3 pts better
81.7%
17.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 99.2% · Q3 99.0% · Q4 98.3% · 4Q avg 99.0%
Percentage of short-stay residents who had an outpatient emergency department visit 4.4%
12.0%
7.6 pts better
12.0%
7.6 pts better
Short Stay · 20240701-20250630 · Adjusted 4.4% · Observed 4.5% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.5%
1.2 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.3% · Q4 0.3% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.6%
88.0%
7.6 pts better
79.7%
15.9 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.8%
25.9%
7.1 pts better
23.9%
5.1 pts better
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 18.5% · Expected 23.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-06 · Fire 2025-06-06

11 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-04-26 · Fire 2024-04-26

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-10 · Fire 2023-03-10

5 health deficiencies

Top issue: Infection Control (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-07

E · Potential for more than minimal harm 2025-06-06

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-07

E · Potential for more than minimal harm 2025-06-06

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 2025-06-07

D · Potential for more than minimal harm 2023-03-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-08

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-15

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 2025-12-16

D · Potential for more than minimal harm 2025-11-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-11-19

D · Potential for more than minimal harm 2025-11-18

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 2025-11-19

E · Potential for more than minimal harm 2025-06-06

F584 · Resident Rights Deficiencies

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 2025-06-07

E · Potential for more than minimal harm 2025-06-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-06-07

E · Potential for more than minimal harm 2025-06-06

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 2025-06-07

E · Potential for more than minimal harm 2025-06-06

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-06-07

E · Potential for more than minimal harm 2025-06-06

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 2025-06-07

E · Potential for more than minimal harm 2025-06-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-07

D · Potential for more than minimal harm 2025-06-06

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-06-07

D · Potential for more than minimal harm 2025-06-06

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 2025-06-07

E · Potential for more than minimal harm 2024-04-26

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 2024-04-27

E · Potential for more than minimal harm 2024-04-26

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-04-27

E · Potential for more than minimal harm 2024-04-26

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 2024-04-27

D · Potential for more than minimal harm 2024-04-26

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2024-04-27

D · Potential for more than minimal harm 2024-04-26

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 2024-04-27

D · Potential for more than minimal harm 2024-04-26

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-27

C · Minimal harm 2024-04-26

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-04-27

D · Potential for more than minimal harm 2024-02-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-09

E · Potential for more than minimal harm 2023-03-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-12

D · Potential for more than minimal harm 2023-03-10

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 2023-03-12

D · Potential for more than minimal harm 2023-03-10

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 2023-03-12

D · Potential for more than minimal harm 2023-03-10

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 2023-03-12

Penalties and ownership

What sits behind the stars

Ownership

Regency Ihs Of San Antonio LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2018-10-01
Baird, Daniel

Corporate Officer · Individual

0% 4 facilities 2022-09-15
Carvajal, Antonio

Corporate Officer · Individual

0% 3 facilities 2024-05-16
Clapp, Barbara

Corporate Officer · Individual

0% 5 facilities 2022-09-15
Cortese, Daren

Corporate Officer · Individual

0% 4 facilities 2022-09-15
Csv Rhea Management Holdco, LLC

Operational/Managerial Control · Organization

0% 6 facilities 2022-09-15
Dekowski, Donovan

Corporate Officer · Individual

0% 59 facilities 2022-09-15
Dwd Tx Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2022-09-15
Gibson, Patricia

Corporate Officer · Individual

0% 4 facilities 2022-09-15
Gonzales, Veronica

Corporate Officer · Individual

0% 3 facilities 2024-05-16
Jack And Nancy Dwyer Workforce Development Center Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2022-09-15
Kaufman, Nicole

Corporate Director · Individual

0% 3 facilities 2022-09-15
Munoz Rubio, Kristina

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-24
Reg Hg Opco 1, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2022-09-15
Reg Hg Opco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2022-09-15
Reg Operator Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2022-09-15
Regency Ihs Of San Antonio LLC

Operational/Managerial Control · Organization

0% 1 facilities 2018-10-01
Regency Integrated Health Services LLC

Operational/Managerial Control · Organization

0% 55 facilities 2018-10-01
Regency Texas Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2022-09-15

Nearby options

Other facilities in reach

#1

Sorrento

San Antonio, TX

2-star overall rating with 2-star inspections with 21 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$0
#2

Mesa Vista Inn Health Center

San Antonio, TX

2-star overall rating with 3-star inspections with $8,160 in total fines with 17 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
3 / 5
Staffing
1 / 5
Fines
$8,160
#3

Northgate Health And Rehabilitation Center

San Antonio, TX

1-star overall rating with 2-star inspections with $39,165 in total fines with 23 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$39,165

Jump out

Supporting pages