Nursing home
Heritage Nursing & Rehabilitation
5437 Eisenhauer Rd, San Antonio, TX 78218 · Map
For profit - Corporation · Part of Touchstone Communities (28 facilities) · 150 certified beds
Heritage Nursing & Rehabilitation is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.44 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Apr 25, 2025 cited 15 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Heritage Nursing & Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.44 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.28 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.17 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 50.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 15.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Heritage Nursing & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 27, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Nov 27, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 8, 2025 · Full report (PDF) - Potential for harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · Mar 19, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5437 Eisenhauer Rd
San Antonio, TX 78218 - CMS certification #
- 675858
- Ownership
- For profit - Corporation
- Certified beds
- 150
- Avg residents/day
- 89.5
- Provider type
- Medicare and Medicaid
- First certified
- 2001-01-05
- Chain
- Touchstone Communities (28 facilities)
- Setting
- Urban
Part of Touchstone Communities
Touchstone Communities operates 28 nursing facilities across the United States. View all Touchstone Communities facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Heritage Nursing & Rehabilitation using Google Maps.
Other public records
- Website says Respite stays, transportation
- Workplace safety 1 OSHA workplace safety inspection since 2020, no violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Heritage Nursing & Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Our in-house team delivers 24-hour comprehensive care for short-term, long-term, and respite stays, with no outsourced staff.
(page, checked Oct 12, 2026) - Provides transportation.
Along with on-demand dining and our beauty and barber shop, Avir at Heritage offers life enrichment activities, religious services, transportation services, and an Express Recovery Unit to help short-term patients get back home faster.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 20, 2020: fatality or catastrophe inspection, partial (health). Case closed Jan 12, 2021. No violations cited. OSHA record. OSHA recorded the employer as Heritage Nursing & Rehabilitation.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Neighborhood Hospital Thousand Oaks, San Antonio. 8.5 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Windcrest Nursing and Rehabilitation, Windcrest. 1.8 miles away, straight line.
- Nearest home health agency office
- Quality Home Health Care Services, San Antonio. 2.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78218 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Marymont Dialysis Center, San Antonio, 3.1 miles away, straight line (CMS rating 3 of 5 stars)
Davita Live Oak Dialysis, Live Oak, 3.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Fmc - Village Oaks Kidney Disease Clinic, Live Oak, 3.3 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 100 Medicare hospices tell CMS they serve ZIP code 78218.
Journeys Hospice Of Texas LLC, office in San Antonio, 2.4 miles away, straight line
Amedia Hospice LLC, office in San Antonio, 4.0 miles away, straight line
Gentle Partners In Hospice LLC, office in San Antonio, 4.3 miles away, straight line - Nearest geriatric medicine practice
- Tmc Provider Group PLLC, San Antonio. 8.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Heritage Nursing & Rehabilitation a good nursing home?
CMS gives Heritage Nursing & Rehabilitation an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Heritage Nursing & Rehabilitation staffed?
Heritage Nursing & Rehabilitation reports 3.44 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Heritage Nursing & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does Heritage Nursing & Rehabilitation have?
Heritage Nursing & Rehabilitation is certified for 150 beds.