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Nursing homeFAID #14645

Westover Hills Rehabilitation and Healthcare

9922 STATE HWY. 151, SAN ANTONIO, TX, 78251
(210) 546-2273
124 licensed beds
★★★★★4/5CMS Five-Star overall3/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
124
CMS facility ID
676281
Care type
Nursing home
County
Bexar
Facility name
Westover Hills Rehabilitation and Healthcare
Street address
9922 STATE HWY. 151
City / state / ZIP
San Antonio, TX 78251
Phone
(210) 546-2273

Westover Hills Rehabilitation and Healthcare is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 124 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Westover Hills Rehabilitation and Healthcare 32 times across 13 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $20,156 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 August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
The Ensign Group
Ownership type
Government - Hospital district

Registered owners & officers

Guadalupe County Hospital Board
Direct owner — 100% stake — since 2023
Burnam, Soon
Officer — since 2023
Ensign Services Inc
Additional disclosable party — since 2019
Fiazuddin, Faraz
Governing body · Operational control · Additional disclosable party — since 2023
Gann, Kody
Officer — since 2023
Hoyler, Jerry
Governing body · Operational control · Additional disclosable party — since 2023
Keetch, Chad
Officer — since 2011
Sage Terrace Healthcare Llc
Operational control · Additional disclosable party — since 2023
Standard Bearer Healthcare Op, Lp
Additional disclosable party — since 2023
The Ensign Group Inc
Additional disclosable party — since 2023

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2011-05-04
CMS overall rating
4 of 5 stars
Health deficiencies
12 at the last standard inspection
Federal fines
$20,156 total
Last standard inspection
2026-06-12
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$417 per day (≈ $12,680/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
51% Medicaid · 8% Medicare · 41% private/other
Occupancy
81% (fiscal year 2023)
Vs. state median
51% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
124
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 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-12Health inspection6 citations
F-0578
D · No harm found
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.
Corrected 2026-07-20
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-07-20
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 2026-07-20
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 2026-07-20
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-07-20
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-07-20
2026-05-23Health inspectionComplaint-triggered2 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 2026-06-19
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-06-19
10 earlier / fire-safety inspections (24 citations)
2026-03-09Health inspectionComplaint-triggered2 citations
F-0755
D · 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 2026-04-01
F-0759
E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-04-10
2025-08-21Health inspectionComplaint-triggered2 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-09-19
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 2025-09-19
2025-04-25Health inspection1 citation
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 2025-05-23
2025-02-14Health inspectionComplaint-triggered1 citation
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 2024-06-17
2024-11-08Health inspectionComplaint-triggered2 citations
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 2024-12-13
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-13
2024-07-15Health inspectionComplaint-triggered2 citations
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-09
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 2024-08-09
2024-03-15Health inspection9 citations
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-04-26
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-26
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-26
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-26
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-04-26
F-0758
D · No harm found
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.
Corrected 2024-04-26
F-0761
D · 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 2024-04-26
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 2024-04-26
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-26
2023-11-10Health inspectionComplaint-triggered2 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2023-12-11
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-10
2026-06-12Fire-safety inspection2 citations
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-07-20
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-07-20
2025-04-25Fire-safety inspection1 citation
K-0343
F · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2025-05-23

Federal penalties

2024-11-08Fine$12,519
2023-11-10Fine$7,637
2024-11-08Medicare payment denial — 1 days
Total fines$20,156
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 676281.
What people say on Google.
4.3358 ratings on Google
★★★★sweetie jen · 2026-08-07 · via Google

“The medical staff have been thorough in monitoring my mom’s labs and explaining and adjusting as needed. They’ve also been very attentive. It gives me peace of mind to have my mom under their care while she recovers.”

★Xavier Ortiz · 2026-02-22 · via Google

“My mother broke her hip and she is at this facility for 100 day rehab. It is a very noisy place, the staff is not very warming, they never really introduce themselves when starting conversations and half of them did not know my mother's hip was broken, trying to get her to do things. First impression was parking, the handicap parking is full of leaves with apparently rocks underneath them, you c…”

★★★★★Christine Nentwich · 2026-07-06 · via Google

“If you cant stay the night with your loved one & they will only be in rehab for a week or two this is the place to be. The staff are always happy & it feels like there is a party going on in the hallway. There is so much positive energy its hard not to want to work & get healthy. PT staff is the best. They push enough to challenge the patient’s to improve not break their spirits.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
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 32 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.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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