Federal inspection record · CMS data as of October 1, 2026
Wurzbach Nursing And Rehabilitation
8300 Wurzbach Rd., San Antonio, TX · (210) 617-2200
- Certified beds
- 140
- Residents per day
- 80
- Ownership
- For-Profit
- Chain
- Caraday Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 2, 1989
1
How this home got 3 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
★★★★★no change
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Wurzbach Nursing And Rehabilitation carries 80 inspection points. That is fewer than 44% 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
52 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 (3)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation8D
- D
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.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service7E
- 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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights7E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- E
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning6E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Quality of Life and Care6E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control5E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
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.
- E
Provide and implement an infection prevention and control program.
Administration5D
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- D
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D
Provide training in compliance and ethics.
- D
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Nutrition and Dietary3E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-08-06
5 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-06-13
25 health deficiencies · 3 fire-safety deficiencies
Top issue: Administration (5 deficiencies)
2024-04-26
22 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 6 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 6 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 43% 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
Fines and payment denials
$34,945 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-09 | Fine | $10,361 |
| 2023-12-01 | Fine | $9,315 |
| 2023-10-26 | Fine | $15,269 |
6
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 days0.6 pts better | 1.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.4 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts worse | 83.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.7 pts worse | 93.3% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts worse | 5.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptomsAbout the same | 2.3% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts worse | 5.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication17.8 pts worse | 35.6% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.7 pts worse | 19.5% | 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 worsened0.1 pts better | 12.8% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.3 pts worse | 20.1% | 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 infection0.1 pts worse | 0.9% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts worse | 14.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine71 pts worse | 17.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts worse | 2.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine65.4 pts worse | 20.0% | 85.4% | 80.1% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Caraday Healthcare, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Cara Capital LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Caraday Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Choi, Maryann | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Choi, Robert | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Daybach Investments, LP | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| E&R Cunningham Investments LP | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Granite Wurzbach, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Granite Wurzbach, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Moore, Gregory | Corporate Officer · Individual | 0% | 10 facilities |
| Moore, Gregory | Operational/Managerial Control · Individual | 0% | 10 facilities |
| O'donoghue-Stallard, Maire | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Ruiz, Jose | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stallard, Thomas | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Tala Investments, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Wood, Stephen | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Ysmlc Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Zantua, Omar | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install a fire alarm system that can be heard throughout the facility.
- E
Inspect, test, and maintain automatic sprinkler systems.
Services5D
- D
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress2E
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
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