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Nursing homeFAID #12204

Wurzbach Nursing and Rehabilitation

8300 Wurzbach Rd., SAN ANTONIO, TX, 78229
(210) 617-2200
140 licensed beds

CMS rates Wurzbach Nursing and Rehabilitation 3 out of 5 overall. Federal inspectors issued 65 citations across 17 inspections in the last three years, with $34,945 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Wurzbach Nursing and Rehabilitation
What we can show you for free.
Bed capacity
140
CMS facility ID
455824
Care type
Nursing home
County
Bexar
Facility name
Wurzbach Nursing and Rehabilitation
Street address
8300 Wurzbach Rd.
City / state / ZIP
San Antonio, TX 78229
Phone
(210) 617-2200

Wurzbach Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 140 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.

Federal inspectors have cited Wurzbach Nursing and Rehabilitation 65 times across 17 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $34,945 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.

What the public record shows.

Ownership & operator

Parent company
Caraday Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Caraday Healthcare, Llc
Direct owner — 100% stake — since 2020
Cara Capital Llc
Indirect owner — since 2020
Caraday Holdings Llc
Indirect owner — since 2020
Choi, Maryann
Indirect owner — since 2020
Choi, Robert
Indirect owner — since 2020
Daybach Investments, Lp
Indirect owner — since 2020
E&r Cunningham Investments Lp
Indirect owner — since 2020
Granite Wurzbach, Llc
Mortgage holder · Additional disclosable party — since 2020
Moore, Gregory
Officer · Operational control — since 2020
O'donoghue-stallard, Maire
Indirect owner — since 2020
Ruiz, Jose
Additional disclosable party — since 2020
Stallard, Thomas
Indirect owner — since 2020
Tala Investments, Llc
Indirect owner — since 2020
Wood, Stephen
Indirect owner — since 2020
Ysmlc Holdings, Llc
Indirect owner — since 2020
Zantua, Omar
Additional disclosable party — since 2006

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
1989-06-02
CMS overall rating
3 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$34,945 total
Last standard inspection
2026-08-06
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$236 per day (≈ $7,170/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
66% Medicaid · 3% Medicare · 30% private/other
Occupancy
62% (fiscal year 2023)
Vs. state median
15% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
140
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.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-06Health inspection3 citations
F-0812
D · 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 2026-08-27
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 2026-08-27
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-08-27
2026-07-02Health inspectionComplaint-triggered2 citations
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-07-24
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 2026-07-24
14 earlier / fire-safety inspections (60 citations)
2025-06-13Health inspection19 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 2025-06-14
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-14
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 2025-06-14
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-14
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-14
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-14
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 2025-06-14
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 2025-06-14
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 2025-06-14
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-14
F-0940
D · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-06-14
F-0941
D · No harm found
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-06-14
F-0942
D · No harm found
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2025-06-14
F-0943
D · No harm found
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-06-14
F-0944
D · No harm found
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-06-14
F-0945
D · No harm found
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2025-06-14
F-0946
D · No harm found
Provide training in compliance and ethics.
Corrected 2025-06-14
F-0947
D · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-06-14
F-0949
D · No harm found
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2025-06-14
2025-05-16Health inspectionComplaint-triggered1 citation
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 2025-05-17
2025-03-09Health inspectionComplaint-triggered4 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-03-17
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 2025-03-17
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-26
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 2025-03-17
2024-12-06Health inspectionComplaint-triggered1 citation
F-0842
E · 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 2024-12-10
2024-09-26Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-18
F-0842
E · 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 2024-10-18
2024-09-12Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-16
2024-04-26Health inspectionComplaint-triggered11 citations
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-05-31
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 2024-05-31
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-05-31
F-0625
D · No harm found
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.
Corrected 2024-05-31
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-05-31
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-05-31
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-31
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 2024-05-31
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-05-31
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 2024-05-31
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-05-31
2024-04-16Health inspectionComplaint-triggered2 citations
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-17
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-04-17
2024-03-14Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-03-15
2023-12-01Health inspectionComplaint-triggered4 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 2023-12-26
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-26
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-01
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-05-28
2023-10-26Health inspectionComplaint-triggered1 citation
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-10-25
2026-08-06Fire-safety inspection7 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-09-17
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-09-17
K-0341
D · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2026-09-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-09-17
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-09-17
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-09-17
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2025-06-13Fire-safety inspection3 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-26
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-07-26
2024-04-26Fire-safety inspection3 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-31
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-31
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-24

Federal penalties

2025-03-09Fine$10,361
2023-12-01Fine$9,315
2023-10-26Fine$15,269
Total fines$34,945
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 455824.
How it compares in Texas.
Inspection citations, 3 years
65
More than 92% of nursing homes in the state
State median: 33
Federal fines, 3 years
$34,945
More than 69% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.1
Higher than 28% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
62%
Higher than 80% of nursing homes in the state
State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 5 and worse on 11. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased20.1%15.8%13.5%Worse than state
Lose too much weight5.3%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 infection0.9%0.8%1.5%Worse than state
Have depressive symptoms2.3%2.3%13.5%Near state average
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury5.3%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine83.0%96.4%93.7%Worse than state
Ability to walk independently worsened12.8%12.9%12.7%Near state average
Received an antianxiety or hypnotic medication35.6%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine93.3%97.0%95.3%Near state average
With pressure ulcers2.2%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence14.8%12.5%18.3%Worse than state
Received an antipsychotic medication19.5%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.412.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days1.401.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine17.7%88.7%82.3%Worse than state
Newly received an antipsychotic medication2.9%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine20.0%85.4%80.1%Worse than state
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-0842 4 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-0880 4 inspections. Provide and implement an infection prevention and control program.
  • F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0609 4 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  • 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.
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

  • University Health System, about 0.6 miles. CMS rating 3 of 5.
  • San Antonio Va Medical Center (va South Texas Healthcare System), about 0.7 miles. CMS rating 5 of 5.
  • Methodist Hospital, about 0.7 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.645 ratings on Google
★★★★★Kedra Lamb · 2026-06-29 · via Google

“The staff is very helpful, attentive and supportive of residence needs and very easy to communicate with. Their admissions coordinator is very effective and will guide you through the admissions process whether it’s private pay or Medicaid pending. The director of nursing is wonderful and has many years of experience in long-term care which is very reassuring. The social worker has been so helpful…”

★★★★★Judith Garza · 2026-02-25 · via Google

“I traveled from Eagle Pass to visit my grandmother at Wurzbach Nursing and Rehab, where she is currently in the Dementia unit. To my surprise, they were celebrating Valentine's Day — and in the eight years my grandmother has been there, 1 have never seen anything like the celebration they hosted this year. The decorations, the beautiful setup, and even a live Banda playing made the entire event un…”

★★★★★Maria Doremus · 2026-02-24 · via Google

“Our mom is a resident in memory care. As a family member of someone with Dementia it is difficult to navigate the daily challenges this disease brings. You only hope to give your loved one the best quality of life and enjoyable days. The Nurses and CNA's that help care for our Mom daily are exceptional. Recently, a few families approached the administration about perhaps providing more activities…”

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 65 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 2026-11-06
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