Government - Hospital district · 150 certified beds · CMS number 455689
San Pedro Manor, San Antonio, TX
CMS records 30 health deficiencies at San Pedro Manor in San Antonio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 8, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $24,285 and 1 payment denial in the last three years.
- 30deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $24,285fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for San Pedro Manor as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and San Pedro Manor may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Aug 8, 2025. CMS counts 7 health deficiencies and 4 fire safety deficiencies in this cycle.
Apr 30, 2026 · Complaint inspection
1 deficiency, highest D
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 4, 2026
Aug 8, 2025 · Standard inspection
6 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2025
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 9, 2025
F576 · Phone, mail, and internet access
Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Aug 9, 2025
Previous cycle: 14 deficiencies (standard inspection Jun 27, 2024)
Standard inspection Jun 27, 2024. CMS counts 14 health deficiencies and 18 fire safety deficiencies in this cycle.
Jul 30, 2025 · 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 Jul 31, 2025
Jul 17, 2025 · Complaint inspection
1 deficiency, highest D
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 Jul 18, 2025
May 9, 2025 · Complaint inspection
1 deficiency, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 6, 2025
Jun 27, 2024 · Standard + complaint inspection
11 deficiencies, highest G
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 5, 2024
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 5, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 5, 2024
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 Aug 5, 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 Aug 5, 2024
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 Aug 5, 2024
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Aug 5, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 5, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 5, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 5, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 5, 2024
Earlier cycle: 9 deficiencies (standard inspection May 12, 2023)
Standard inspection May 12, 2023. CMS counts 9 health deficiencies and 4 fire safety deficiencies in this cycle.
Jun 27, 2024 · Complaint inspection
1 deficiency, highest F
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 Aug 5, 2024
May 17, 2024 · Complaint inspection
2 deficiencies, highest J
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 May 18, 2024
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Dec 22, 2023
Apr 2, 2024 · Complaint inspection
1 deficiency, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2024
May 12, 2023 · Standard inspection
5 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 15, 2023
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2023
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 May 15, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at San Pedro Manor; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 4 | Aug 8, 2025; Jul 30, 2025; Jun 27, 2024; May 17, 2024 |
| F812 Food safety and sanitation | 3 | Aug 8, 2025; Jun 27, 2024; May 12, 2023 |
| F842 Complete, confidential medical records | 3 | Jul 17, 2025; Jun 27, 2024; May 12, 2023 |
| F689 Accident prevention and supervision | 2 | Jun 27, 2024; May 17, 2024 (PNC) |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jun 27, 2024 | Fine | $14,063 |
| Jun 27, 2024 | Payment Denial | 72 days from Jul 31, 2024 |
| May 17, 2024 | Fine | $10,222 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.67 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.35 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.23 h
- Nursing staff turnover
- 45.6% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 4 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for San Pedro Manor, copied as published; Texas medians are ours.
Facility details
- Address
- 515 W Ashby Pl, San Antonio, TX 78212
- Phone
- (210) 732-5181
- County
- Bexar
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 150
- Average residents per day
- 96.8
- In Medicare/Medicaid since
- Feb 18, 1987
- 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 do staff track and report infections among residents? (F880, cited 4 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 3 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
Other nursing homes in San Antonio
- San Antonio West Nursing and Rehabilitation
San Antonio · 76 deficiencies - Parklane West Healthcare Center
San Antonio · 68 deficiencies - Castle Hills Rehabilitation and Care Center
San Antonio · 67 deficiencies - Crestway Nursing & Rehabilitation
San Antonio · 65 deficiencies - Oak Park Nursing and Rehabilitation Center
San Antonio · 60 deficiencies - Wurzbach Nursing and Rehabilitation
San Antonio · 58 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.