Lilisity

Nursing home

San Antonio Wellness & Rehabilitation

One Heartland Dr, San Antonio, TX 78247 · Map
For profit - Corporation · Part of Opco Skilled Management (52 facilities) · 154 certified beds

Medicare and Medicaid certified
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San Antonio Wellness & Rehabilitation is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.32 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Nov 8, 2024 cited 12 deficiencies.

2 out of 5Overall CMS rating
2 out of 5Health inspections
2 out of 5Staffing
154 bedsCertified beds
  • 1 fine totaling $104,627In CMS records: 2 total penalties, 1 Medicare payment denial.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating2/5
Health inspections2/5
Staffing2/5
Quality measures4/5
Long-stay quality5/5
Short-stay quality3/5

How San Antonio Wellness & 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.

MetricThis facilityTexas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.323.403.89below avg
RN staffing (hrs/resident/day)0.350.440.68below avg
Aide staffing (hrs/resident/day)1.822.012.34below avg
Nursing staff turnover28.8%51.5%46.4%below avg
Deficiencies cited, last inspection12.09.19.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.32Total nurse hrs/resident/day
0.35RN hrs/resident/day
1.16LPN hrs/resident/day
1.82Aide hrs/resident/day
2.84Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff28.8%
Registered nurses58.3%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Nov 8, 2024Most recent inspection
12Deficiencies found
56Health inspection score
1Fines

Penalties in CMS records: 1 fine totaling $104,627, 2 total penalties, 1 Medicare payment denial.

What inspectors found at San Antonio Wellness & 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

    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 · Jan 16, 2026 · 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 · Sep 11, 2025 · Full report (PDF)
  • Potential for harm

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 11, 2025 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Resident Rights Deficiencies · Sep 11, 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 · Jul 2, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 2, 2025 · Full report (PDF)
  • Potential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 2, 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 · Nov 8, 2024 · Full report (PDF)
  • Potential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies · Nov 8, 2024 · 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 · Nov 8, 2024 · Full report (PDF)
  • Potential for harm

    Honor 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.

    Resident Rights Deficiencies · Nov 8, 2024 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies · Nov 8, 2024 · 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
One Heartland Dr
San Antonio, TX 78247
CMS certification #
455762
Ownership
For profit - Corporation
Certified beds
154
Avg residents/day
125.1
Provider type
Medicare and Medicaid
First certified
1988-07-11
Chain
Opco Skilled Management (52 facilities)
Setting
Urban

Part of Opco Skilled Management

Opco Skilled Management operates 52 nursing facilities across the United States. View all Opco Skilled Management facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around San Antonio Wellness & Rehabilitation using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
Baptist Neighborhood Hospital Thousand Oaks, San Antonio. 4.3 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
Nearest Medicare nursing home
Trucare Living Centers - Selma, Selma. 4.6 miles away, straight line.
Nearest home health agency office
All Seasons Home Health & Palliative Care, San Antonio. 2.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
H-E-B Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 78247 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Judson Dialysis, San Antonio, 2.2 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Live Oak Dialysis, Live Oak, 3.6 miles away, straight line (CMS rating 3 of 5 stars)
Davita Live Oak Dialysis, Live Oak, 3.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Hospice
98 Medicare hospices tell CMS they serve ZIP code 78247.
Blue Horizons Hospice Of Laredo, office in San Antonio, 2.1 miles away, straight line
All Seasons Hospice Of Texas, office in San Antonio, 2.1 miles away, straight line
Journeys Hospice Of Texas LLC, office in San Antonio, 4.0 miles away, straight line
Nearest geriatric medicine practice
Rise Up Rehab, LLC, San Antonio. 6.7 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 very low, inland flooding relatively low, wildfire very 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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record

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Frequently asked questions

Is San Antonio Wellness & Rehabilitation a good nursing home?

CMS gives San Antonio Wellness & Rehabilitation an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is San Antonio Wellness & Rehabilitation staffed?

San Antonio Wellness & Rehabilitation reports 3.32 total nurse hours per resident per day, compared with the Texas average of 3.40.

Has San Antonio Wellness & Rehabilitation had inspection problems?

Its most recent CMS inspection cited 12 deficiencies.

How many beds does San Antonio Wellness & Rehabilitation have?

San Antonio Wellness & Rehabilitation is certified for 154 beds.