47 For-Profit Nursing Homes in Bexar County, Texas
47 of the 62 Medicare-certified nursing homes in Bexar County, Texas (76%) are for-profit, and all are listed below. 1 of the 47 graded homes earn an A and 7 earn a D or F. Nurse staff turnover runs 52.3%, 2.3 points higher than the 50% across all homes there. St. Francis Nursing Home in San Antonio grades highest at A (86 out of 100).
How for-profit homes in Bexar County, Texas compare
This group set against every nursing home in Bexar County, Texas, from the current CMS release.
Nursing hours per resident per day
3.33
All homes in Bexar County, Texas: 3.4
Worse than the local average
Nurse staff turnover
52.3%
All homes in Bexar County, Texas: 50%
Worse than the local average
Average ElderGrade score
64.9/100
All homes in Bexar County, Texas: 66.8/100
Worse than the local average
Grade spread
B
C
D
1 grade A, 15 grade B, 24 grade C, 7 grade D,
The best-graded for-profit home in Bexar County, Texas is
St. Francis Nursing Home
in San Antonio, TX, grade A, 86/100.
Every for-profit nursing home in Bexar County, Texas
Sorrento runs 112 certified beds in San Antonio under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 3.55 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 16% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover at 55.2% runs nearly ten points above the national rate, meaning the people providing that care are frequently new. Inspections closed in August 2025 with 50 deficiencies on record, two tied to abuse, though none reached harm or jeopardy level. The five-star quality measure score reflects reported clinical outcomes, not the hands available to deliver them.
Oak Park runs on 3.19 nursing hours per resident each day, roughly 17% under the national average of 3.86, and weekends dip even below its own weekday numbers. Staff turnover sits at 50% against a national rate near 46%, so the people caring for residents keep changing. Behind those numbers is an inspection record with 53 deficiencies, including one at the harm level and two tied to abuse, plus a $9,280 fine. All three CMS star ratings, health inspections, quality measures, staffing, come in at 2 out of 5. Ownership is for-profit and individual. The last inspection was March 13, 2026, so the record is recent, not stale.
Avir At Heritage runs on thin nursing coverage: 3.26 nurse hours per resident each day, roughly 16 percent under the national figure, and weekends drop about 14 percent below its own weekday levels. That staffing picture is the main reason its CMS staffing rating sits at just one star out of five, even though its last inspection in April 2025 produced no deficiencies at the harm or jeopardy level and nothing abuse-related. Staff turnover of 54.3 percent tops the national average of 45.8 percent, which matters for a 150-bed for-profit home because residents see more unfamiliar faces. The inspection record looks clean on paper, but consistently low hours and high churn are what a family should weigh when deciding.
Wurzbach runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and it gets thinner on weekends, dropping about 15% below its own weekday level. That matters more when you consider 62.3% of staff turned over last year, well above the 45.8% national average, meaning the people providing that care are often new. The inspection record is heavy: 56 deficiencies, four serious enough to put residents in harm's way and nine tied to abuse, with three fines totaling $34,945 and a June 2025 inspection. Quality measures score well, but strong numbers on paper don't offset thin weekend staffing and that turnover.
Patriot Heights runs 3.46 nurse hours per resident day, roughly 11% under the national average, and weekends dip about 15% below what the home itself staffs Monday through Friday. That thin weekend coverage matters more when you look at the record: 25 deficiencies, three at harm or jeopardy level, two tied to abuse, and $28,033 in fines across two penalties. Annual turnover sits at 50%, above the 45.8% national figure, so the people providing care keep changing. The quality measure score looks strong, but that reflects charted clinical outcomes, not whether enough hands are present on a Saturday. The last inspection was September 5, 2025.
River City Care Center runs 92 certified beds under individual for-profit ownership, and its nurse staffing sits at 3.22 hours per resident day, roughly 17% under the national average, with weekends about 13% thinner than weekdays. That shortfall shows up in the federal staffing rating, which lands at the lowest tier. The inspection record is the heavier concern: 36 deficiencies on file, including two at the level where residents were actually harmed or put in jeopardy, plus one tied to abuse, and $23,410 in fines across two penalties. Its quality measure score looks good on paper, but that's largely self-reported data, and the last full inspection was in July 2025. The families I'd tell to look hardest at this one are those needing consistent hands-on care, especially on weekends.
Harbor Valley runs leaner on nursing hours than most homes in the country, 3.58 per resident day against a national average of 3.86, and weekends get thinner still, with about 12% less coverage than weekdays. That matters, because 40 deficiencies sit on the current record, including two at the harm level and three tied to abuse, and the last inspection was in December 2025. Staff turnover at 43.8% is actually slightly better than the typical home, which suggests the problem isn't retention so much as how many hands are scheduled. For-profit, individually owned, 120 beds. Ask about weekend staffing and how the abuse citations were resolved.
Stone Oak Care Center runs about 2.88 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 14% below its own weekday levels. That matters because the people in these beds need help every day, not just Monday through Friday. Annual turnover sits at 59.8%, well above the 45.8% national figure, so the staff who are there are often new. The current record includes 39 deficiencies, one at the harm level and three tied to abuse. The last inspection was July 2025, so that record is recent.
The Estates at Shavano Park runs on thinner nursing coverage than most homes nationally, 3.67 nurse hours per resident day against a 3.86 average, and weekends get leaner still, dropping roughly 12% below its own weekday pace. That gap matters most when families visit on Saturdays and Sundays. Staff turnover sits at 63.4%, well above the 45.8% national figure, so the aides and nurses caring for residents are changing often. Inspectors cited 32 deficiencies, two tied to abuse, though none rose to the harm level; the most recent visit was March 2026, so the record is current. The for-profit LLC ownership structure adds no care capacity on its own.
Mesa Vista Inn Health Center runs 144 certified beds in San Antonio under corporate for-profit ownership, and its nurse staffing sits at 2.59 hours per resident day, about a third below the national average of 3.86. Weekends drop roughly another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 44 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,160. CMS gives the home one star for staffing and two for health inspections, though its quality measure score is a middle-of-the-road three. The most recent inspection was April 24, 2026.
Sonterra Health Center runs on thin nursing coverage, 3.53 hours per resident day, roughly 9% under the national average, and weekends are leaner still, about 19% below its own weekday level. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in a turnover rate of 54.6%, nearly nine points above the national figure. Its current record carries 50 deficiencies, including five at the harm or jeopardy level and five tied to abuse, along with three fines totaling $80,964. A May 2025 inspection is recent, but the inspection rating is still below average. It's owned by a hospital district, which may explain some stability, but the numbers here are hard to read as reassuring.
The Heights At Medical Center runs on 3.00 nurse hours per resident day, roughly 22% under the national average, and its own weekend coverage drops another 10% below weekdays. Staff turnover sits at 56.3%, well above the 45.8% national figure, so the people left covering those shifts are often new. Inspectors cited 44 deficiencies, three of them serious enough to put residents in harm's way, and fined the home twice for $22,052 combined. A for-profit LLC operates the 134-bed building, and its last inspection was August 2025. Resident outcome measures look better than the staffing does, but the hands-on care numbers are what families feel day to day.
Huebner Creek runs on thin nursing coverage. At 2.52 nurse hours per resident day, it sits about 35% under the national average of 3.86, and weekends drop roughly 24% below what the home already staffs on weekdays. That matters when you're thinking about who answers a call light on a Saturday.
The inspection record is heavier than the staffing picture alone would suggest: 54 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The last inspection was March 2026, so the findings are recent, not stale. A single fine of $14,327 is on file. Limited liability ownership, 146 beds, and quality measures that rate better than the staffing and inspection scores, a gap worth asking about directly.
Golden Estates runs 3.29 nurse hours per resident day, about 15% under the national average, and weekends drop roughly another 20% below its own weekday staffing. Nearly six in ten staff left over the past year, 58.5% turnover against a 45.8% national figure, which means the people caring for your relative are often new and still learning the building. The record shows 32 deficiencies, including six at harm or jeopardy level and two tied to abuse, plus three fines totaling $161,844. That inspection history and thin staffing sit behind the low marks, even though the quality measure score looks better on paper.
Broadway Nursing & Rehabilitation runs 237 certified beds in San Antonio under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.65 nurse hours per resident day, under the national average, with weekends about 13% leaner than weekdays. Annual turnover sits at 51.4%, so more than half the nursing staff leaves each year. The inspection record shows 50 deficiencies, including 3 at harm or jeopardy level and 8 abuse-related, with two fines totaling $84,129. CMS rated staffing 1 out of 5 stars and health inspections 2 out of 5, though quality measures scored 4. Ask about weekend coverage and how they screen and supervise staff.
The Lev At San Antonio runs about 106 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.09 nurse hours per resident per day, it sits roughly 20 percent under the national average of 3.86, and weekends drop about 12 percent below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 41.5 percent, a bit better than the 45.8 percent national figure, but the inspection record carries more weight: 40 deficiencies, including one at harm or jeopardy level and one abuse-related, plus a single $174,496 fine. The most recent inspection was September 11, 2025.
The Enclave runs on thinner nursing coverage than most homes, 3.63 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below what it manages on weekdays, so the thinnest shifts land when families tend to visit. Staff turnover sits at 60.9%, well above the 45.8% national figure, which means the people caring for residents keep changing. Inspectors cited 46 deficiencies on the current record, including three tied to abuse and one at the harm level, and the last inspection was in August 2025. That combination of low staffing, high turnover, and repeat citations is what drives the low rating here.
Windcrest Nursing and Rehabilitation runs 180 certified beds under corporate ownership, and the staffing numbers are the first thing that stands out. At 2.90 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, with weekends running about 6% thinner than its own weekdays. Turnover is 59.4% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 38 deficiencies, five at harm or jeopardy level and seven tied to abuse, plus four fines totaling $199,073. Quality measures rate well, but that's a narrow bright spot next to thin staffing and a 2/5 inspection rating.
San Antonio North runs on 2.67 nursing hours per resident per day, roughly a third below the national average, and weekend coverage drops another 13% below its own weekday level. That thin staffing shows up in the numbers: a 55.9% annual turnover rate, well above the 45.8% national figure, and 62 deficiencies on the current record, including four at the harm or jeopardy level and six tied to abuse. Inspectors were last on site July 31, 2025, and the state has fined the for-profit operator three times, totaling $37,800. When a building is cited this often while running this lean, families should ask direct questions about who is on the floor at night.
Northgate runs on 3.10 nurse hours per resident per day, about a fifth below the national average, and weekends dip even further. Three in four employees left last year, against a national rate around 46%, which means the people at the bedside keep changing. Inspectors have written 54 deficiencies, including one at the harm level and three tied to abuse, with a $27,710 fine on record from a July 2025 visit. The quality star is high, but that measure leans on self-reported data. Licensed staffing and inspection results are where this home sits at the bottom.
Frequently asked questions
How many for-profit nursing homes are there in Bexar County, Texas?
There are 47 for-profit Medicare-certified nursing homes in Bexar County, Texas, 76% of the 62 nursing homes there.
Are for-profit nursing homes better staffed?
In Bexar County, Texas they average 3.33 total nursing hours per resident per day, against 3.4 for all nursing homes in Bexar County, Texas, a difference of -0.07 hours. Staff turnover averages 52.3% against 50%.
Which for-profit nursing home grades best in Bexar County, Texas?