Federal inspection record · CMS data as of October 1, 2026
St. Francis Nursing Home
630 W Woodlawn Ave, San Antonio, TX · (210) 736-3177
- Certified beds
- 107
- Residents per day
- 93
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- July 31, 1997
1
How this home got 5 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
St. Francis Nursing Home carries 33 inspection points. That is fewer than 83% of Texas's 1,166 rated homes.
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
16 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights3D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Keep residents' personal and medical records private and confidential.
Nutrition and Dietary3E
- C
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service1D
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Resident Assessment and Care Planning1D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspection history
2026-01-23
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2024-10-18
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-09-08
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 13 min of it from a registered nurse.
This home
3 h 16 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 28% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better | 0.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine22 pts worse | 74.4% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts worse | 96.8% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 5.6% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.4 pts better | 5.4% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.9 pts better | 6.9% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.4 pts better | 9.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.7 pts better | 7.1% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts worse | 1.6% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts worse | 2.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.4 pts worse | 18.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts worse | 5.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine56.3 pts worse | 32.4% | 88.7% | 82.3% |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
·
Other homes nearby
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- J
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-
San Pedro Manor
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-
San Antonio North Nursing and Rehabilitation
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