Westover Hills Rehabilitation and Healthcare

Nursing Home · San Antonio, TX

CMS overall rating 4/5 Government - Hospital district

CMS certification number676281

Contact & location

9922 State Hwy. 151
San Antonio, TX 78251
Bexar County
Phone
(210) 546-2273
ZIP code
78251 – all care providers

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Facility details

Certified beds
124
Residents per day
107.5 (87% occupied)
Ownership
Government - Hospital district
Legal name
Guadalupe County Hospital Board
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
May 4, 2011
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.6
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 1.9
Quality measures★★★★★ 5/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.56 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.64 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.87 (state 0.95 · U.S. 0.86)
Nurse aides
2.05 (state 2.00 · U.S. 2.32)
Weekend total
3.09 (state 2.98 · U.S. 3.42)
Nursing staff turnover
29.2 (state 55.3 · U.S. 45.8)%
RN turnover
28.6 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 12, 2026
Health deficiencies (last cycle)
12.0 (state 9.3 · U.S. 9.3)
From complaints
6
Citations on record (3 years)
29 health · 3 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-12 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-20
2026-06-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-20
2026-06-12 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-20
2026-06-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-20
2026-06-12 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-20
2026-06-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-20
2026-05-23 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-05-23 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-19
2026-03-09 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-10
2026-03-09 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-01
2025-08-21 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-21 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-04-25 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-23
2025-02-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-17
2024-11-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-12-13
2024-11-08 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-07-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-09
2024-07-15 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-09
2024-03-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-26
2024-03-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-26
2024-03-15 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-26
2024-03-15 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-26
2024-03-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-26
2024-03-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-26
2024-03-15 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-26
2024-03-15 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-26
2024-03-15 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-26
2023-11-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2023-11-10
2023-11-10 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-11

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $20,156 in fines.

DateTypeAmount
2024-11-08Payment Denial1 days payment denial
2024-11-08Fine$12,519
2023-11-10Fine$7,637

Ownership & management

NameRoleSince
Guadalupe County Hospital Board (organization)5%+ Direct Ownership Interest · 100%
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Fiazuddin, Faraz (individual)Administrator · NOT APPLICABLE
Hoyler, Jerry (individual)Administrator · NOT APPLICABLE
Sage Terrace Healthcare LLC (organization)Administrator · NOT APPLICABLE
Standard Bearer Healthcare Op, LP (organization)Administrator · NOT APPLICABLE
The Ensign Group INC (organization)Administrator · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Gann, Kody (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Fiazuddin, Faraz (individual)Managing Control - Governing Body · NOT APPLICABLE
Hoyler, Jerry (individual)Managing Control - Governing Body · NOT APPLICABLE
Fiazuddin, Faraz (individual)Operational/managerial Control · NOT APPLICABLE
Hoyler, Jerry (individual)Operational/managerial Control · NOT APPLICABLE
Sage Terrace Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Westover Hills Rehabilitation and Healthcare?

Westover Hills Rehabilitation and Healthcare has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Westover Hills Rehabilitation and Healthcare have?

It has 124 certified beds and cares for about 108 residents per day.

Has Westover Hills Rehabilitation and Healthcare been fined?

Yes. CMS lists 3 penalties totaling $20,156 in the last three years.

Who owns Westover Hills Rehabilitation and Healthcare?

It is part of The Ensign Group and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Westover Hills Rehabilitation and Healthcare?

(210) 546-2273. The facility is located at 9922 State Hwy. 151, San Antonio, TX 78251.

Other nursing homes in San Antonio

Compare all nursing homes in San Antonio, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.