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Data / Nursing homes / Texas / San Antonio Wellness & Rehabilitation

San Antonio Wellness & Rehabilitation, San Antonio, TX: 3 star rating, fined $104,627 across 1 fine and had 1 payment denial

San Antonio Wellness & Rehabilitation in San Antonio, TX is owned by Frio Hospital District, is rated 3 of 5 stars by Medicare, and was fined $104,627 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 48 health citations from inspections in that time, the latest survey on February 20, 2026, and 1 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
1 Heartland Drive, San Antonio, TX 78247
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5
Certified beds
154
Residents per day
114 on average
Ownership type
For profit, corporation
Legal business name
Frio Hospital District
Chain
OPCO Skilled Management, 68 facilities
Fines
$104,627 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
48, of which 1 with actual harm or immediate jeopardy
Latest survey
February 20, 2026
CMS Certification Number
455762
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 3, 2023Fine$104,627Not listeddata.cms.gov
December 3, 2023Payment denialNot listedDecember 30, 202311data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
February 20, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2026data.cms.gov
February 20, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2026data.cms.gov
February 20, 2026F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2026data.cms.gov
February 20, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2026data.cms.gov
February 20, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2026data.cms.gov
February 20, 2026F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2026data.cms.gov
February 20, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2026data.cms.gov
January 16, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2026data.cms.gov
September 11, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2025data.cms.gov
September 11, 2025F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2025data.cms.gov
September 11, 2025F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 12, 2025data.cms.gov
July 2, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
July 2, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
July 2, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
November 8, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 9, 2024data.cms.gov
November 8, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 9, 2024data.cms.gov
November 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 9, 2024data.cms.gov
November 8, 2024F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 9, 2024data.cms.gov
November 8, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 9, 2024data.cms.gov
October 18, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 19, 2024data.cms.gov
January 16, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
January 16, 2024F791Provide or obtain dental services for each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
January 16, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
January 16, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
January 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
January 16, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2024data.cms.gov
December 3, 2023F760Ensure that residents are free from significant medication errors.K: pattern, immediate jeopardyCorrectedDecember 4, 2023data.cms.gov
December 3, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2024data.cms.gov
December 3, 2023F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 4, 2023data.cms.gov
December 3, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2024data.cms.gov
October 6, 2023F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F946Provide training in compliance and ethics.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov
October 6, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 10 individual or personal trusts (1 managers, 7 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Frio Hospital DistrictDirect owner100%January 1, 2024data.cms.gov
Heartland Post Acute LLCOperational or managerial controlNot listedJanuary 1, 2024data.cms.gov
1 Heartland Drive TX, LLCAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
Continuum Rehab Group LLCAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
Gibraltar TrustAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
Magnolia Realty, LLCAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
Millennial Acquisitions, LLCAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
Montgomery Sky TrustAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
OPCO Ca Skilled MGMT Inc.Additional disclosable partyNot listedJanuary 1, 2024data.cms.gov
OPCO Texas Skilled MGMT LLCAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
Oregon Realty, LLCAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
Scooper Realty, LLCAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
Windsor Square Realty, LLCAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.