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Data / Nursing homes / Texas / Westover Hills Rehabilitation and Healthcare

Westover Hills Rehabilitation and Healthcare, San Antonio, TX: 4 star rating, fined $20,156 across 2 fines and had 1 payment denial

Westover Hills Rehabilitation and Healthcare in San Antonio, TX is owned by Guadalupe County Hospital Board, is rated 4 of 5 stars by Medicare, and was fined $20,156 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 29 health citations from inspections in that time, the latest survey on June 12, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
9922 State Hwy. 151, San Antonio, TX 78251
Overall rating
4 of 5 stars
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measure rating
5 of 5
Certified beds
124
Residents per day
109 on average
Ownership type
Government, Hospital district
Legal business name
Guadalupe County Hospital Board
Chain
The Ensign Group, 347 facilities
Fines
$20,156 across 2 fines, three years to October 1, 2026
Payment denials
1
Health citations
29, of which 2 with actual harm or immediate jeopardy
Latest survey
June 12, 2026
CMS Certification Number
676281
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
November 8, 2024Fine$12,519Not listeddata.cms.gov
November 8, 2024Payment denialNot listedDecember 12, 20241data.cms.gov
November 10, 2023Fine$7,637Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 12, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 12, 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 harmCorrectedJuly 20, 2026data.cms.gov
June 12, 2026F812Procure 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 harmCorrectedJuly 20, 2026data.cms.gov
June 12, 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 harmCorrectedJuly 20, 2026data.cms.gov
June 12, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
June 12, 2026F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2026data.cms.gov
May 23, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 19, 2026data.cms.gov
May 23, 2026F609Timely 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 harmCorrectedJune 19, 2026data.cms.gov
March 9, 2026F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 10, 2026data.cms.gov
March 9, 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 harmCorrectedApril 1, 2026data.cms.gov
August 21, 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 harmCorrectedSeptember 19, 2025data.cms.gov
August 21, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
April 25, 2025F761Ensure 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 harmCorrectedMay 23, 2025data.cms.gov
February 14, 2025F755Provide 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 harmPast noncomplianceJune 17, 2024data.cms.gov
November 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedDecember 13, 2024data.cms.gov
November 8, 2024F656Develop 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 harmCorrectedDecember 13, 2024data.cms.gov
July 15, 2024F842Safeguard 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 harmCorrectedAugust 9, 2024data.cms.gov
July 15, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 9, 2024data.cms.gov
March 15, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
March 15, 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 harmCorrectedApril 26, 2024data.cms.gov
March 15, 2024F761Ensure 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 harmCorrectedApril 26, 2024data.cms.gov
March 15, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
March 15, 2024F693Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
March 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
March 15, 2024F656Develop 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 harmCorrectedApril 26, 2024data.cms.gov
March 15, 2024F655Create 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 harmCorrectedApril 26, 2024data.cms.gov
March 15, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2024data.cms.gov
November 10, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmPast noncomplianceNovember 10, 2023data.cms.gov
November 10, 2023F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (4 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Guadalupe County Hospital BoardDirect owner100%December 1, 2023data.cms.gov
Sage Terrace Healthcare LLCOperational or managerial controlNot listedDecember 1, 2023data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedAugust 19, 2019data.cms.gov
Sage Terrace Healthcare LLCAdditional disclosable partyNot listedOctober 6, 2025data.cms.gov
Standard Bearer Healthcare OP, LPAdditional disclosable partyNot listedDecember 1, 2023data.cms.gov
The Ensign Group IncAdditional disclosable partyNot listedDecember 1, 2023data.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.