Government - Hospital district · 124 certified beds · CMS number 676281
Westover Hills Rehabilitation and Healthcare, San Antonio, TX
CMS records 29 health deficiencies at Westover Hills Rehabilitation and Healthcare in San Antonio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 12, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 2 fines totaling $20,156 and 1 payment denial in the last three years.
- 29deficiencies, 3 cycles (TX median 25)
- 10in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $20,156fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Westover Hills Rehabilitation and Healthcare as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Westover Hills Rehabilitation and Healthcare may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (10 deficiencies)
Standard inspection Jun 12, 2026. CMS counts 10 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 12, 2026 · 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2026
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 20, 2026
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 Jul 20, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 20, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2026
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2026
May 23, 2026 · Complaint inspection
2 deficiencies, highest D
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 19, 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 19, 2026
Mar 9, 2026 · Complaint inspection
2 deficiencies, highest E
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 Apr 10, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 1, 2026
Previous cycle: 6 deficiencies (standard inspection Apr 25, 2025)
Standard inspection Apr 25, 2025. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Aug 21, 2025 · Complaint inspection
2 deficiencies, highest D
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 Sep 19, 2025
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 Sep 19, 2025
Apr 25, 2025 · Standard inspection
1 deficiency, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 23, 2025
Feb 14, 2025 · Complaint inspection
1 deficiency, highest E
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
- Past non-compliance (fixed before the inspection), Jun 17, 2024
Nov 8, 2024 · Complaint inspection
2 deficiencies, highest J
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 13, 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 Dec 13, 2024
Earlier cycle: 13 deficiencies (standard inspection Mar 15, 2024)
Standard inspection Mar 15, 2024. CMS counts 13 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 15, 2024 · Complaint inspection
2 deficiencies, highest E
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 9, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 9, 2024
Mar 15, 2024 · Standard inspection
9 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 Apr 26, 2024
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 Apr 26, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 26, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 26, 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 Apr 26, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 26, 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 Apr 26, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 26, 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 Apr 26, 2024
Nov 10, 2023 · Complaint inspection
2 deficiencies, highest G
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
- Past non-compliance (fixed before the inspection), Nov 10, 2023
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 Dec 11, 2023
Tags cited in more than one inspection
8 tags cited on more than one inspection date at Westover Hills Rehabilitation and Healthcare; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 3 | Jun 12, 2026; Mar 15, 2024; Nov 10, 2023 (PNC) |
| F761 Drug labeling and secure storage | 3 | Jun 12, 2026; Apr 25, 2025; Mar 15, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Nov 8, 2024; Mar 15, 2024 |
| F684 Quality of care | 2 | Nov 8, 2024; Jul 15, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Mar 9, 2026; Feb 14, 2025 (PNC) |
| F812 Food safety and sanitation | 2 | Jun 12, 2026; Mar 15, 2024 |
| F842 Complete, confidential medical records | 2 | Jun 12, 2026; Jul 15, 2024 |
| F880 Infection prevention and control program | 2 | Jun 12, 2026; Mar 15, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 8, 2024 | Fine | $12,519 |
| Nov 8, 2024 | Payment Denial | 1 days from Dec 12, 2024 |
| Nov 10, 2023 | Fine | $7,637 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.56 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.64 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.09 h
- Nursing staff turnover
- 29.2% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 4 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 4 of 5
- Quality measure rating
- 5 of 5
CMS figures for Westover Hills Rehabilitation and Healthcare, copied as published; Texas medians are ours.
Facility details
- Address
- 9922 State Hwy. 151, San Antonio, TX 78251
- Phone
- (210) 546-2273
- County
- Bexar
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- The Ensign Group
- Certified beds
- 124
- Average residents per day
- 107.5
- In Medicare/Medicaid since
- May 4, 2011
- 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 does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
- How are medications stored and secured on each unit? (F761, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 2 times)
Other nursing homes in San Antonio and the same chain
- 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 - The Eden of Las Colinas
Irving · 65 deficiencies - Northeast Rehabilitation and Healthcare Center
San Antonio · 57 deficiencies - Westpark Rehabilitation and Living
Euless · 54 deficiencies - Park Village Healthcare and Rehabilitation
DeSoto · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.