For profit - Corporation · 140 certified beds · CMS number 455824
Wurzbach Nursing and Rehabilitation, San Antonio, TX
CMS records 58 health deficiencies at Wurzbach Nursing and Rehabilitation in San Antonio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 13, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 3 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $34,945 in the last three years.
- 58deficiencies, 3 cycles (TX median 25)
- 21in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $34,945fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Wurzbach Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Wurzbach Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (21 deficiencies)
Standard inspection Jun 13, 2025. CMS counts 21 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 2, 2026 · Complaint inspection
2 deficiencies, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 24, 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 Jul 24, 2026
Jun 13, 2025 · Standard inspection
19 deficiencies, highest E
F949 · Behavioral health training
Requirement cited (CMS): Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
F947 · Ongoing nurse aide training
Requirement cited (CMS): Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
F946 · Compliance and ethics training
Requirement cited (CMS): Provide training in compliance and ethics.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
F945 · Infection control training
Requirement cited (CMS): Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
F944 · Quality program training
Requirement cited (CMS): Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
F943 · Abuse prevention and dementia training
Requirement cited (CMS): Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
F942 · Resident rights training for staff
Requirement cited (CMS): Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
F941 · Communication training for caregivers
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
F940 · Staff training program
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
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 Jun 14, 2025
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 Jun 14, 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 Jun 14, 2025
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 Jun 14, 2025
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 14, 2025
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 14, 2025
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 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 Jun 14, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 14, 2025
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 Jun 14, 2025
Previous cycle: 20 deficiencies (standard inspection Apr 26, 2024)
Standard inspection Apr 26, 2024. CMS counts 20 health deficiencies and 3 fire safety deficiencies in this cycle.
May 16, 2025 · Complaint inspection
1 deficiency, highest D
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 May 17, 2025
Mar 9, 2025 · Complaint inspection
4 deficiencies, highest J
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 Mar 17, 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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 26, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 17, 2025
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 17, 2025
Dec 6, 2024 · Complaint inspection
1 deficiency, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 10, 2024
Sep 26, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 18, 2024
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 Oct 18, 2024
Sep 12, 2024 · 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 Sep 16, 2024
Apr 26, 2024 · Standard + complaint inspection
11 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 May 31, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 31, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 31, 2024
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 May 31, 2024
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 May 31, 2024
F661 · Discharge summary
Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2024
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 31, 2024
F625 · Bed-hold notice
Requirement cited (CMS): Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2024
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 May 31, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2024
Earlier cycle: 17 deficiencies (standard inspection Mar 3, 2023)
Standard inspection Mar 3, 2023. CMS counts 17 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 16, 2024 · Complaint inspection
2 deficiencies, highest E
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 17, 2024
Mar 14, 2024 · Complaint inspection
1 deficiency, 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 Mar 15, 2024
Dec 1, 2023 · Complaint inspection
4 deficiencies, highest J
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), May 28, 2023
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 1, 2023
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 Dec 26, 2023
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 Dec 26, 2023
Oct 26, 2023 · Complaint inspection
1 deficiency, highest J
F678 · CPR and basic life support
Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 25, 2023
Mar 3, 2023 · Standard inspection
9 deficiencies, highest H
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2023
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 22, 2023
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 Apr 22, 2023
F696 · Prosthesis care
Requirement cited (CMS): Provide appropriate care/assistance for a resident with a prosthesis.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 22, 2023
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Apr 22, 2023
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 22, 2023
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 Apr 22, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2023
F557 · Respect and personal belongings
Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 22, 2023
Tags cited in more than one inspection
10 tags cited on more than one inspection date at Wurzbach Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F609 Reporting suspected abuse and crimes | 5 | May 16, 2025; Mar 9, 2025; Apr 26, 2024; Dec 1, 2023; Mar 3, 2023 |
| F689 Accident prevention and supervision | 4 | Jul 2, 2026; Jun 13, 2025; Mar 9, 2025 (PNC); Dec 1, 2023 (PNC) |
| F880 Infection prevention and control program | 4 | Jun 13, 2025; Apr 26, 2024; Mar 14, 2024; Mar 3, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 3 | Jun 13, 2025; Mar 9, 2025; Apr 26, 2024 |
| F761 Drug labeling and secure storage | 3 | Jul 2, 2026; Jun 13, 2025; Apr 26, 2024 |
| F842 Complete, confidential medical records | 3 | Jun 13, 2025; Dec 6, 2024; Sep 26, 2024 |
| F558 Accommodating individual needs and preferences | 2 | Jun 13, 2025; Apr 16, 2024 |
| F580 Telling residents and families about changes | 2 | Sep 26, 2024; Sep 12, 2024 |
| F684 Quality of care | 2 | Dec 1, 2023; Mar 3, 2023 |
| F695 Respiratory and oxygen care | 2 | Jun 13, 2025; Apr 26, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 9, 2025 | Fine | $10,361 |
| Dec 1, 2023 | Fine | $9,315 |
| Oct 26, 2023 | Fine | $15,269 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.13 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.51 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.66 h
- Nursing staff turnover
- 62.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Wurzbach Nursing and Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 8300 Wurzbach Rd., San Antonio, TX 78229
- Phone
- (210) 617-2200
- County
- Bexar
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Caraday Healthcare
- Certified beds
- 140
- Average residents per day
- 83.7
- In Medicare/Medicaid since
- Jun 2, 1989
- 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.
- Who at the home is responsible for reporting incidents to the state? (F609, cited 5 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 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 - Memorial Medical Nursing and Rehabilitation
San Antonio · 57 deficiencies - Windcrest Nursing and Rehabilitation
Windcrest · 38 deficiencies - Sagebrook Nursing and Rehabilitation
Cedar Park · 30 deficiencies - Trinity Care Center
Round Rock · 26 deficiencies - Hearthstone Nursing and Rehabilitation
Round Rock · 24 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.