San Antonio Wellness & Rehabilitation

1 Heartland Drive, San Antonio, TX 78247

Phone: 2106531219

CMS ratings and facility information

San Antonio Wellness & Rehabilitation is a Medicare-certified nursing facility in San Antonio, Bexar County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating2 of 5
Staffing rating2 of 5
Quality measures rating4 of 5
Certified beds154
OwnershipFor profit - Corporation
CMS certification number455762

Staffing

Total nurse hours per resident day3.45
RN hours per resident day0.38
Nurse aide hours per resident day2.05
Total nursing staff turnover percent35.4
RN turnover percent37.5

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations1.94events_per_1000_resident_days20250101-20251231
Emergency-department visits1.07events_per_1000_resident_days20250101-20251231
Falls with major injury2.72percent2025Q2-2026Q1
Pressure ulcers1.48percent2025Q2-2026Q1
Urinary tract infections0.28percent2025Q2-2026Q1
Antipsychotic medication use11.71percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2026-02-200812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-02-200761Ensure 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
2026-02-200690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-02-200694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D
2026-02-200695Provide safe and appropriate respiratory care for a resident when needed.D
2026-02-200755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2026-02-200880Provide and implement an infection prevention and control program.D
2024-11-080689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-11-080812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-11-080550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-11-080585Honor 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
2024-11-080805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2023-10-060761Ensure 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
2023-10-060803Ensure 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
2023-10-060812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-10-060941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E
2023-10-060942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.E
2023-10-060944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E
2023-10-060946Provide training in compliance and ethics.E
2023-10-060949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E
2023-10-060561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D
2023-10-060641Ensure each resident receives an accurate assessment.D
2023-10-060655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2023-10-060656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-10-060657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2023-10-060686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2023-10-060690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2023-10-060726Ensure 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
2023-10-060842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-10-060880Provide and implement an infection prevention and control program.D

Penalties

DateTypeAmount
2023-12-03Fine4,627
2023-12-03Payment Denial

Ownership records

NameTypeRole
FRIO HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
RUFF, MICHAELIndividualCORPORATE OFFICER
HEARTLAND POST ACUTE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
GARETZ, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL
GURWITZ, SOLOMONIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
HAGINS, ELIZABETHIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
KAPLAN, ESTHERIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
KAPLAN, MORDECHAIIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
MINDLE, ADAMIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
UNGER, JEFFREYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
1 HEARTLAND DRIVE TX, LLCOrganizationADP OF THE SNF
CONTINUUM REHAB GROUP LLCOrganizationADP OF THE SNF
GIBRALTAR TRUSTOrganizationADP OF THE SNF
MAGNOLIA REALTY, LLCOrganizationADP OF THE SNF
MILLENNIAL ACQUISITIONS, LLCOrganizationADP OF THE SNF
MONTGOMERY SKY TRUSTOrganizationADP OF THE SNF
OPCO CA SKILLED MGMT INC.OrganizationADP OF THE SNF
OPCO TEXAS SKILLED MGMT LLCOrganizationADP OF THE SNF
OREGON REALTY, LLCOrganizationADP OF THE SNF
SCOOPER REALTY, LLCOrganizationADP OF THE SNF
WINDSOR SQUARE REALTY, LLCOrganizationADP OF THE SNF
GONZALES, JAVIERIndividualADP OF THE SNF
SILVA, LUISIndividualADP OF THE SNF

Compare nursing homes in Bexar County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.