Nursing home
San Pedro Manor
515 W Ashby Pl, San Antonio, TX 78212 · Map
Government - Hospital district · Part of The Ensign Group (329 facilities) · 150 certified beds
San Pedro Manor is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.40 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Aug 8, 2025 cited 8 deficiencies.
- 2 fines totaling $24,285In CMS records: 3 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.
How San Pedro Manor 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) | 3.40 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.35 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.91 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 44.8% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 9.1 | 9.5 | below 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.
Penalties in CMS records: 2 fines totaling $24,285, 3 total penalties, 1 Medicare payment denial.
What inspectors found at San Pedro Manor
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 · Aug 8, 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 · Aug 8, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Aug 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Minimal
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Aug 8, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 30, 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 · Jul 17, 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 · May 9, 2025 · Full report (PDF) - Actual 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 · Jun 27, 2024 · 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 · Jun 27, 2024 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jun 27, 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
- 515 W Ashby Pl
San Antonio, TX 78212 - CMS certification #
- 455689
- Ownership
- Government - Hospital district
- Certified beds
- 150
- Avg residents/day
- 96.6
- Provider type
- Medicare and Medicaid
- First certified
- 1987-02-18
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around San Pedro Manor using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What San Pedro Manor says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
We leave the critical decisions to those who know best: the Caregivers, Doctors, and Nurses who work with our patients 24-hours a day, 7-days a week.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Medical Center, San Antonio. 1.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Meridian Care Monte Vista, San Antonio. 0.2 miles away, straight line.
- Nearest home health agency office
- Advocate Home Care, San Antonio. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Laurel Heights 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 78212 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Downtown San Antonio Dialysis, San Antonio, 1.0 mile away, straight line (CMS rating 3 of 5 stars)
Fmc - Alamo City Dialysis, San Antonio, 1.0 mile away, straight line (CMS rating 4 of 5 stars)
Christus Childrens Kidney Center, San Antonio, 1.4 miles away, straight line - Hospice
- 100 Medicare hospices tell CMS they serve ZIP code 78212.
Gentiva Hospice, office in San Antonio, 0.7 miles away, straight line
Completecare Home Health And Hospice, office in San Antonio, 0.8 miles away, straight line
A Bliss Hospice Care, office in San Antonio, 1.3 miles away, straight line - Nearest geriatric medicine practice
- University Of Texas Health Science Center At San Antonio, San Antonio. 1.3 miles away, straight line. 2 geriatric medicine doctors 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 moderate. By hazard: hurricane relatively low, inland flooding relatively high, 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.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| 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 very 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 San Pedro Manor a good nursing home?
CMS gives San Pedro Manor an overall rating of 4 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 San Pedro Manor staffed?
San Pedro Manor reports 3.40 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has San Pedro Manor had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does San Pedro Manor have?
San Pedro Manor is certified for 150 beds.