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Home / Nursing Homes / Texas / San Antonio

Best Nursing Homes in San Antonio, TX, Graded A–F

All 58 graded Medicare-certified nursing homes in San Antonio, TX, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Texas peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.

CMS data as of Aug 2026 · graded Sep 11, 2026
Grade distribution — San Antonio, TX
A2
B17
C9
D16
F14
Highest graded
AArmy Residence CommunityA
San Antonio · Staffing 4.2 nurse hours per resident-da...See grade
58 facilitiesgraded in San Antonio, TX · 2 earned an A
All Texas Houston (59)Dallas (33)Fort Worth (30)Austin (25)El Paso (21)Lubbock (14)Corpus Christi (13)Tyler (13)Waco (13)
Highest in San Antonio, TX 1

Army Residence Community - San Antonio, TX · 91 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.2 nurse hours per resident-day — top 10% in Texas
  • 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
  • No fines or payment denials in 3 years
AScore 90 · ExcellentSee Full Grade
2106465200 San Antonio, Bexar County
2

The Mission At Blue Skies Of Texas East - San Antonio, TX · 80 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.9 nurse hours per resident-day — top 10% in Texas
  • 7 health deficiencies at the last standard survey (CMS severity score 28) — above median
  • $17,345 in fines in 3 years
AScore 81 · ExcellentSee Full Grade
2105685100 San Antonio, Bexar County
3

Pecan Valley Rehabilitation And Healthcare - San Antonio, TX · 124 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.4 nurse hours per resident-day — above median in Texas
  • 7 health deficiencies at the last standard survey (CMS severity score 36) — above median
  • No fines or payment denials in 3 years
BScore 79 · GoodSee Full Grade
2105812273 San Antonio, Bexar County Medicaid
4

The Village At Incarnate Word - San Antonio, TX · 60 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.8 nurse hours per resident-day — top quarter in Texas
  • 4 health deficiencies at the last standard survey (CMS severity score 20) — top quarter
  • No fines or payment denials in 3 years
BScore 79 · GoodSee Full Grade
2108297561 San Antonio, Bexar County Medicaid
5

San Pedro Manor - San Antonio, TX · 150 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — top 10% in Texas
  • 7 health deficiencies at the last standard survey (CMS severity score 40) — above median
  • $24,285 in fines in 3 years, 1 payment denials
BScore 74 · GoodSee Full Grade
2107325181 San Antonio, Bexar County Medicaid
6

Remington Transitional Care Of San Antonio - San Antonio, TX · 60 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.5 nurse hours per resident-day — top 10% in Texas
  • 11 health deficiencies at the last standard survey (CMS severity score 68) — below median
  • No fines or payment denials in 3 years
BScore 72 · GoodSee Full Grade
2106949494 San Antonio, Bexar County
7

Morningside Manor - San Antonio, TX · 147 beds · non profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — top quarter in Texas
  • 11 health deficiencies at the last standard survey (CMS severity score 72) — below median
  • $5,000 in fines in 3 years
BScore 72 · GoodSee Full Grade
2107311000 San Antonio, Bexar County Medicaid
8

The Atrium Rehabilitation Center - San Antonio, TX · 87 beds · for profit - individual CMS Care Compare · data as of Aug 2026

  • Staffing 4.3 nurse hours per resident-day — top 10% in Texas
  • 6 health deficiencies at the last standard survey (CMS severity score 32) — above median
  • $9,600 in fines in 3 years
BScore 71 · GoodSee Full Grade
2106149974 San Antonio, Bexar County Medicaid
9

St. Francis Nursing Home - San Antonio, TX · 107 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — above median in Texas
  • 4 health deficiencies at the last standard survey (CMS severity score 16) — top quarter
  • No fines or payment denials in 3 years
BScore 71 · GoodSee Full Grade
2107363177 San Antonio, Bexar County Medicaid
10

Legend Oaks Healthcare And Rehabilitation Center - - San Antonio, TX · 126 beds · for profit - individual CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — top quarter in Texas
  • 15 health deficiencies at the last standard survey (CMS severity score 56) — above median
  • No fines or payment denials in 3 years
BScore 70 · GoodSee Full Grade
2109270800 San Antonio, Bexar County Medicaid
11

Ignite Medical Resort San Antonio, Llc - San Antonio, TX · 105 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 4.0 nurse hours per resident-day — top 10% in Texas
  • 14 health deficiencies at the last standard survey (CMS severity score 84) — below median
  • No fines or payment denials in 3 years
BScore 69 · GoodSee Full Grade
2106425300 San Antonio, Bexar County
12

Lakeside Nursing And Rehabilitation Center - San Antonio, TX · 118 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — above median in Texas
  • 6 health deficiencies at the last standard survey (CMS severity score 28) — above median
  • $14,611 in fines in 3 years
BScore 69 · GoodSee Full Grade
2105103200 San Antonio, Bexar County Medicaid
13

The Sarah Roberts French Home - San Antonio, TX · 60 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — above median in Texas
  • 4 health deficiencies at the last standard survey (CMS severity score 16) — top quarter
  • No fines or payment denials in 3 years
BScore 69 · GoodSee Full Grade
2107364238 San Antonio, Bexar County Medicaid
14

Windemere At Westover Hills - San Antonio, TX · 112 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • 5 health deficiencies at the last standard survey (CMS severity score 24) — top quarter
  • $8,281 in fines in 3 years
BScore 68 · GoodSee Full Grade
2106726190 San Antonio, Bexar County Medicaid
15

Patriot Heights Health Care Center - San Antonio, TX · 74 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.5 nurse hours per resident-day — above median in Texas
  • 5 health deficiencies at the last standard survey (CMS severity score 36) — above median
  • $28,033 in fines in 3 years
BScore 67 · GoodSee Full Grade
2106966005 San Antonio, Bexar County Medicaid
16

Westover Hills Rehabilitation And Healthcare - San Antonio, TX · 124 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — top quarter in Texas
  • 12 health deficiencies at the last standard survey (CMS severity score 60) — above median
  • $20,156 in fines in 3 years, 1 payment denials
BScore 67 · GoodSee Full Grade
2105462273 San Antonio, Bexar County Medicaid
17

Sorrento - San Antonio, TX · 112 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — top quarter in Texas
  • 13 health deficiencies at the last standard survey (CMS severity score 72) — below median
  • No fines or payment denials in 3 years
BScore 66 · GoodSee Full Grade
2106163250 San Antonio, Bexar County Medicaid
18

Coronado At Stone Oak - San Antonio, TX · 112 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026

  • Staffing 3.4 nurse hours per resident-day — above median in Texas
  • 12 health deficiencies at the last standard survey (CMS severity score 56) — below median
  • No fines or payment denials in 3 years
BScore 65 · GoodSee Full Grade
2104025750 San Antonio, Bexar County Medicaid
19

Legend Oaks Healthcare And Rehabilitation - West S - San Antonio, TX · 124 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — top quarter in Texas
  • 11 health deficiencies at the last standard survey (CMS severity score 68) — below median
  • $8,632 in fines in 3 years
BScore 65 · GoodSee Full Grade
2106731700 San Antonio, Bexar County Medicaid
20

Hunters Pond Rehabilitation And Healthcare - San Antonio, TX · 128 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — above median in Texas
  • 9 health deficiencies at the last standard survey (CMS severity score 52) — above median
  • $66,531 in fines in 3 years
CScore 61 · AverageSee Full Grade
2104772200 San Antonio, Bexar County Medicaid
21

Parklane West Healthcare Center - San Antonio, TX · 124 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — top 10% in Texas
  • 33 health deficiencies at the last standard survey (CMS severity score 188) — bottom quarter
  • No fines or payment denials in 3 years
CScore 59 · AverageSee Full Grade
2108291400 San Antonio, Bexar County Medicaid
22

Southeast Nursing & Rehabilitation Center - San Antonio, TX · 116 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.6 nurse hours per resident-day — top quarter in Texas
  • 11 health deficiencies at the last standard survey (CMS severity score 123) — bottom quarter
  • $10,631 in fines in 3 years
CScore 59 · AverageSee Full Grade
2103331223 San Antonio, Bexar County Medicaid
23

Avir At Heritage - San Antonio, TX · 150 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.3 nurse hours per resident-day — above median in Texas
  • 9 health deficiencies at the last standard survey (CMS severity score 44) — above median
  • No fines or payment denials in 3 years
CScore 55 · AverageSee Full Grade
2106469576 San Antonio, Bexar County Medicaid
24

San Antonio Wellness & Rehabilitation - San Antonio, TX · 154 beds · for profit - corporation CMS Care Compare · data as of Aug 2026

  • Staffing 3.5 nurse hours per resident-day — top quarter in Texas
  • 11 health deficiencies at the last standard survey (CMS severity score 60) — above median
  • $104,627 in fines in 3 years, 1 payment denials
CScore 55 · AverageSee Full Grade
2106531219 San Antonio, Bexar County Medicaid
25

The Rio At Mission Trails - San Antonio, TX · 124 beds · government - hospital district CMS Care Compare · data as of Aug 2026

  • Staffing 3.7 nurse hours per resident-day — top 10% in Texas
  • 18 health deficiencies at the last standard survey (CMS severity score 84) — below median
  • $153,825 in fines in 3 years
CScore 54 · AverageSee Full Grade
2105310569 San Antonio, Bexar County Medicaid
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Texas nursing homes by city

How we grade nursing homes

What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Texas facilities in the same size band; A ≥ 80, B ≥ 65, C ≥ 50, D ≥ 35, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.