Federal inspection record · CMS data as of October 1, 2026
The Sarah Roberts French Home
1315 Texas Ave, San Antonio, TX · (210) 736-4238
- Certified beds
- 60
- Residents per day
- 40
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 13, 2022
1
How this home got 4 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.
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Staffing
★★★★★−1 star
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
The Sarah Roberts French Home carries 50 inspection points. That is fewer than 67% 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
26 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Administration7F
- F
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- F
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- E
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- E
Provide training in compliance and ethics.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- E
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Resident Assessment and Care Planning4D
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
Resident Rights4E
- E
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- 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
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.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nursing and Physician Services1D
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Quality of Life and Care1D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspection history
2026-02-05
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-11-06
15 health deficiencies · 2 fire-safety deficiencies
Top issue: Administration (6 deficiencies)
2023-10-13
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
3 h 21 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 5.2% | 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 weight1.9 pts better | 1.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.9 pts worse | 26.7% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.8 pts better | 0.0% | 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 worsened5.9 pts worse | 18.8% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.6 pts worse | 20.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 1.3% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts better | 11.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 1.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness2F
- F
Establish policies and procedures including evacuation.
- F
Provide primary/alternate means for communication.
Gas, Vacuum, and Electrical Systems2F
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke1E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
St. Francis Nursing Home
San Antonio, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0
-
Meridian Care Monte Vista
San Antonio, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 45 min
- Fines
- $23,574
-
Morningside Manor
San Antonio, TX
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 52 min
- Fines
- $5,000