Nursing homes › Texas › San Antonio Wellness & Rehabilitation
One Heartland Dr, San Antonio, TX 78247 · 2106531219 · 154 certified beds
Per CMS filings, this facility is affiliated with Opco Skilled Management, a group operating 68 facilities in 5 states. Group record: average rating 2.2/5, 15 abuse citation icons, 2 facilities on the Special Focus list, $3,357,308 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 3.45 (Texas median: 3.27). RN hours: 0.38. Weekend total: 3.07. Nursing staff turnover: 35%.
All-time on record: 47 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-01-17 |
| 2025-09-11 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | complaint | corrected 2025-09-12 |
| 2025-09-11 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | complaint | corrected 2025-09-12 |
| 2025-09-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-09-12 |
| 2025-07-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-07-03 |
| 2025-07-02 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-07-03 |
| 2025-07-02 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-07-03 |
| 2024-11-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-11-09 |
| 2024-11-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-11-09 |
| 2024-11-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-11-09 |
| 2024-11-08 | 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. | D | Health | corrected 2024-11-09 |
| 2024-11-08 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2024-11-09 |
| 2024-10-18 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-10-19 |
| 2024-01-16 | Provide or obtain dental services for each resident. | E | complaint | corrected 2024-01-17 |
| 2024-01-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-01-17 |
| 2024-01-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-01-17 |
| 2024-01-16 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2024-01-17 |
| 2024-01-16 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | complaint | corrected 2024-01-17 |
| 2024-01-16 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-01-17 |
| 2023-12-03 | Ensure that residents are free from significant medication errors. | K | complaint | corrected 2023-12-04 |
| 2023-12-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-01-10 |
| 2023-12-03 | 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. | D | complaint | corrected 2023-12-04 |
| 2023-12-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-01-10 |
| 2023-10-06 | 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. | E | complaint | corrected 2023-11-10 |
| 2023-10-06 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | complaint | corrected 2023-11-10 |
| 2023-10-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2023-11-10 |
| 2023-10-06 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | complaint | corrected 2023-11-10 |
| 2023-10-06 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | complaint | corrected 2023-11-10 |
| 2023-10-06 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | complaint | corrected 2023-11-10 |
| 2023-10-06 | Provide training in compliance and ethics. | E | complaint | corrected 2023-11-10 |
| 2023-10-06 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | complaint | corrected 2023-11-10 |
| 2023-10-06 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 2023-11-10 |
| 2023-10-06 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2023-11-10 |
| 2023-10-06 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2023-11-10 |
| 2023-10-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-11-10 |
| 2023-10-06 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2023-11-10 |
| 2023-10-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2023-11-10 |
| 2023-10-06 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2023-11-10 |
| 2023-10-06 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | complaint | corrected 2023-11-10 |
| 2023-10-06 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2023-11-10 |
| Date | Type | Amount |
|---|---|---|
| 2023-12-03 | Fine | $104,627 |
| 2023-12-03 | Payment Denial | 11 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/2024 |
| RUFF, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| HEARTLAND POST ACUTE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2024 |
| GARETZ, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455762. Corrections: data@carerecords.org.