For profit - Individual · 134 certified beds · CMS number 675138

Inspiration Hills Rehabilitation Center, San Antonio, TX

CMS records 30 health deficiencies at Inspiration Hills Rehabilitation Center in San Antonio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 4, 2026. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Inspiration Hills Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Inspiration Hills Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (13 deficiencies)

Standard inspection Jun 4, 2026. CMS counts 13 health deficiencies and 7 fire safety deficiencies in this cycle.

Jun 4, 2026 · Standard inspection

11 deficiencies, highest E

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 5, 2026

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 5, 2026

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 5, 2026

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 5, 2026

F693 · Feeding tube use and care

Requirement cited (CMS): Ensure 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 5, 2026

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 5, 2026

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 5, 2026

F679 · Activities program

Requirement cited (CMS): Provide activities to meet all resident's needs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 5, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 5, 2026

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 5, 2026

F585 · Grievances and how they are handled

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 5, 2026

Mar 5, 2026 · Complaint inspection

1 deficiency, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 6, 2026

Nov 26, 2025 · Complaint inspection

1 deficiency, highest D

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 12, 2025
Previous cycle: 10 deficiencies (standard inspection Apr 4, 2025)

Standard inspection Apr 4, 2025. CMS counts 10 health deficiencies and 3 fire safety deficiencies in this cycle.

Apr 4, 2025 · Standard + complaint inspection

10 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 7, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Apr 23, 2025

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 23, 2025

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 23, 2025

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 23, 2025

F688 · Range of motion and mobility

Requirement cited (CMS): Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 23, 2025

F685 · Vision and hearing services

Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 23, 2025

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 14, 2025

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 23, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 23, 2025
Earlier cycle: 7 deficiencies (standard inspection Feb 23, 2024)

Standard inspection Feb 23, 2024. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.

Feb 23, 2024 · Standard inspection

6 deficiencies, highest F

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2024

F773 · Ordering labs and reporting results

Requirement cited (CMS): Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2024

F770 · Timely laboratory services

Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2024

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2024

F563 · Receiving visitors

Requirement cited (CMS): Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Feb 28, 2024

Jan 11, 2024 · Complaint inspection

1 deficiency, highest B

F640 · Submitting assessment data on time

Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity
B No actual harm, potential for minimal harm, pattern
Status
Correction date Jan 25, 2024

Tags cited in more than one inspection

6 tags cited on more than one inspection date at Inspiration Hills Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan4Jun 4, 2026; Nov 26, 2025; Apr 4, 2025; Feb 23, 2024
F689 Accident prevention and supervision2Jun 4, 2026; Apr 4, 2025
F759 Medication error rate under 5 percent2Jun 4, 2026; Apr 4, 2025
F760 No significant medication errors2Apr 4, 2025; Feb 23, 2024
F812 Food safety and sanitation2Jun 4, 2026; Apr 4, 2025
F880 Infection prevention and control program2Mar 5, 2026; Apr 4, 2025

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.21 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.26 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.98 h
Nursing staff turnover
41.4% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measure rating
3 of 5

CMS figures for Inspiration Hills Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
1939 Bandera Rd, San Antonio, TX 78228
Phone
(210) 434-0671
County
Bexar
Accepts
Medicare and Medicaid
Ownership
For profit - Individual
Chain (CMS)
Paramount Healthcare
Certified beds
134
Average residents per day
82.7
In Medicare/Medicaid since
Mar 19, 1993
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
  • How do nurses double-check medications before giving them? (F759, cited 2 times)
  • What happens when a medication error is discovered, and who is notified? (F760, cited 2 times)

Other nursing homes in San Antonio and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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