Senior Home Review
Home›Browse›Texas›San Antonio›San Antonio Wellness & Rehabilitation
Nursing homeFAID #12183

San Antonio Wellness & Rehabilitation

1 Heartland Drive, SAN ANTONIO, TX, 78247
(210) 653-1219
sanantoniowellnessandrehab.com
154 licensed beds

CMS rates San Antonio Wellness & Rehabilitation 3 out of 5 overall. Federal inspectors issued 56 citations across 13 inspections in the last three years, with $104,627 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79Advanced Report$99
Delivered within 24–48 hours
Photo of SAN ANTONIO WELLNESS & REHABILITATION
Photo via Google · Denise Rios

Public record summary

What we can show you for free.
Bed capacity
154
CMS facility ID
455762
Care type
Nursing home
County
Bexar
Facility name
San Antonio Wellness & Rehabilitation
Street address
1 Heartland Drive
City / state / ZIP
San Antonio, TX 78247
Phone
(210) 653-1219
Website
sanantoniowellnessandrehab.com

About this facility — San Antonio Wellness & Rehabilitation

San Antonio Wellness & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 154 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Opco Skilled Management, a group of 68 facilities on this site.

Federal inspectors have cited San Antonio Wellness & Rehabilitation 56 times across 13 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $104,627 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Opco Skilled Management
Ownership type
For profit - Corporation

Registered owners & officers

Frio Hospital District
Direct owner — 100% stake — since 2024
1 Heartland Drive Tx, Llc
Additional disclosable party — since 2024
Continuum Rehab Group Llc
Additional disclosable party — since 2024
Garetz, David
Operational control — since 2024
Gibraltar Trust
Additional disclosable party — since 2024
Gonzales, Javier
Additional disclosable party — since 2023
Gurwitz, Solomon
Owner of a disclosable party — since 2025
Hagins, Elizabeth
Owner of a disclosable party — since 2025
Heartland Post Acute Llc
Operational control — since 2024
Kaplan, Esther
Owner of a disclosable party — since 2025
Kaplan, Mordechai
Owner of a disclosable party — since 2025
Magnolia Realty, Llc
Additional disclosable party — since 2024
Millennial Acquisitions, Llc
Additional disclosable party — since 2024
Mindle, Adam
Owner of a disclosable party — since 2025
Montgomery Sky Trust
Additional disclosable party — since 2024
Opco Ca Skilled Mgmt Inc.
Additional disclosable party — since 2024
Opco Texas Skilled Mgmt Llc
Additional disclosable party — since 2024
Oregon Realty, Llc
Additional disclosable party — since 2024
Ruff, Michael
Officer — since 2024
Scooper Realty, Llc
Additional disclosable party — since 2024
Silva, Luis
Additional disclosable party — since 2010
Unger, Jeffrey
Owner of a disclosable party — since 2025
Windsor Square Realty, Llc
Additional disclosable party — since 2024

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1988-07-11
CMS overall rating
3 of 5 stars
Health deficiencies
8 at the last standard inspection
Federal fines
$104,627 total
Last standard inspection
2026-02-20
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$262 per day (≈ $7,960/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
51% Medicaid · 6% Medicare · 44% private/other
Occupancy
72% (fiscal year 2023)
Vs. state median
5% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
154
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-20Health inspection7 citations
F-0690
D · No harm found
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 2026-02-21
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2026-02-21
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-02-21
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-02-21
F-0761
E · No harm found
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 2026-02-21
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-21
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-02-21
2026-01-16Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-17
10 earlier / fire-safety inspections (48 citations)
2025-09-11Health inspectionComplaint-triggered3 citations
F-0559
D · No harm foundFrom a complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-09-12
F-0603
D · No harm foundFrom a complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected 2025-09-12
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-12
2025-07-02Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-03
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-07-03
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-03
2024-11-08Health inspection5 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-09
F-0585
D · No harm found
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-11-09
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-09
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-11-09
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-09
2024-10-18Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-10-19
2024-01-16Health inspectionComplaint-triggered6 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-17
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-17
F-0690
D · No harm foundFrom a complaint
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 2024-01-17
F-0726
D · No harm foundFrom a complaint
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 2024-01-17
F-0791
E · No harm foundFrom a complaint
Provide or obtain dental services for each resident.
Corrected 2024-01-17
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-01-17
2023-12-03Health inspectionComplaint-triggered4 citations
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-10
F-0760
K · Immediate jeopardyFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2023-12-04
F-0761
D · No harm foundFrom a complaint
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 2023-12-04
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-10
2023-10-06Health inspectionComplaint-triggered18 citations
F-0561
D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-11-10
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2023-11-10
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-11-10
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-10
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-10
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-10
F-0690
D · No harm foundFrom a complaint
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 2023-11-10
F-0726
D · No harm foundFrom a complaint
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 2023-11-10
F-0761
E · No harm foundFrom a complaint
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 2023-11-10
F-0803
E · No harm foundFood safetyFrom a complaint
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 2023-11-10
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-10
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-10
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-11-10
F-0941
E · No harm foundFrom a complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2023-11-10
F-0942
E · No harm foundFrom a complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2023-11-10
F-0944
E · No harm foundFrom a complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2023-11-10
F-0946
E · No harm foundFrom a complaint
Provide training in compliance and ethics.
Corrected 2023-11-10
F-0949
E · No harm foundFrom a complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2023-11-10
2026-02-20Fire-safety inspection2 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-02-20
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-02-19
2024-11-08Fire-safety inspection5 citations
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-11-07
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2024-11-07
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-07
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-07
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-11-07
2023-10-06Fire-safety inspection1 citation
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-10

Federal penalties

2023-12-03Fine$104,627
2023-12-03Medicare payment denial — 11 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455762.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
56
More than 85% of nursing homes in the state
State median: 33
Federal fines, 3 years
$104,627
More than 87% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.6
Higher than 77% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
39%
Higher than 19% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased10.1%15.8%13.5%Better than state
Lose too much weight6.4%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury1.6%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine86.9%96.4%93.7%Near state average
Ability to walk independently worsened9.5%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication15.4%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine99.0%97.0%95.3%Near state average
With pressure ulcers1.5%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence14.1%12.5%18.3%Worse than state
Received an antipsychotic medication10.6%9.8%15.4%Near state average
Hospitalizations per 1000 long-stay resident days1.292.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days0.711.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine77.2%88.7%82.3%Worse than state
Newly received an antipsychotic medication0.4%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine69.4%85.4%80.1%Worse than state
Were rehospitalized after a nursing home admission35.1%25.5%23.4%Worse than state
Had an outpatient emergency department visit13.4%12.2%11.8%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0880 4 inspections. Provide and implement an infection prevention and control program.
  • F-0842 4 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-0690 3 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-0761 3 inspections. 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.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What its owners also hold

  • Frio Hospital District has an ownership stake on file at 22 nursing homes, averaging 1.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Baptist Neighborhood Hospital Thousand Oaks, about 5.7 miles. CMS rating 5 of 5.
  • Methodist Hospital Stone Oak, about 6.0 miles. CMS rating 4 of 5.
  • South Texas Spine and Surgical Hospital, about 6.2 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.1314 ratings on Google
★★Michelle My Belle · 2026-07-23 · via Google

“My father in law hospiced here in 2024. They had him in a semi private room. Finally moving him to a private to die in peace. Although that didn't stop the staff from being loud. We had to tell them and put a sign on the door to keep quiet and NOT bring him food as he couldn't eat anyway. The nurse refused to follow hospice orders for meds and actually argued with me about them. It had to go to th…”

★Omar Rod · 2026-06-19 · via Google

“My family member was here and was viciously attacked by three Brown recluse spider bites, and they suffered two terrible falls from bed! And yet, after all this chaos and pain, I am still waiting—no answer, no explanation, no accountability for how this could possibly have happened! It’s beyond frustrating—completely unacceptable! I had no choice but to move my family member to protect them becaus…”

★★★★★Nina C. · 2026-07-10 · via Google

“We really felt the love & concern they showed to a friend we visited today. The smell in there was clean. The people were kind, and our friend said they were treating him very well.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 56 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
$79$99 Advanced

Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered