47 For-Profit Nursing Homes in Bexar County, Texas

Nurse hours

4.74 /day

Staff turnover

68%

Serious cites

0

Meridian Care Monte Vista runs 4.74 nurse hours per resident day, roughly a quarter above the national average, but that raw number hides two problems: weekend staffing drops about 15% below its own weekday level, and annual turnover sits at 68.4% against a national 45.8%, meaning most of the people providing that care are new and likely to leave. The inspection record is where it gets harder to defend, 49 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with fines totaling $28,345 and a February 2026 inspection still the most recent. The staffing ratio looks good on paper, but a home where two-thirds of caregivers turn over each year and inspectors keep finding serious problems isn't one where that number translates into steady care.

Nurse hours

3.01 /day

Staff turnover

96%

Serious cites

0

Special Focus Facility

Normandy Terrace is a 320-bed for-profit home in San Antonio, and the numbers that stand out are about people. Nurse staffing sits at 3.01 hours per resident day, roughly 22 percent under the national average, and weekends run about 18 percent thinner than weekdays. Staff turnover is 95.8 percent, more than double the national figure, meaning the aides and nurses caring for residents are, in large part, new or on their way out. The inspection record shows 49 deficiencies, six at the harm or jeopardy level and four abuse-related, with five fines totaling $287,359. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating back that up. If you're considering this home, ask hard questions about who's on the floor at night and on weekends.

Nurse hours

2.96 /day

Staff turnover

n/a

Serious cites

0

Special Focus Facility

Castle Hills Rehabilitation and Care Center is a for-profit, limited liability operation with 143 certified beds in San Antonio. Nurse staffing runs about 2.96 hours per resident per day, roughly 23 percent below the national average, and weekends fall about 15 percent under its own weekday levels. Every CMS star category here lands at 1 out of 5: health inspections, quality measures, and staffing. The deficiency record shows 72 citations, eight of them at harm or jeopardy level and two tied to abuse, with four fines totaling $112,386 and a recent inspection on September 12, 2025. That combination of thin staffing, low inspection scores, and serious deficiencies is what any family should weigh before choosing this home.

Nurse hours

2.63 /day

Staff turnover

61%

Serious cites

0

Avir At San Antonio runs on 2.63 nurse staffing hours per resident per day, roughly a third below the national average, and weekends drop about 9% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover sits at 60.7%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The inspection record shows 43 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with $29,494 in fines across three penalties. Its most recent inspection was August 30, 2025, and the corporation that owns it holds a for-profit license.

Nurse hours

2.75 /day

Staff turnover

64%

Serious cites

0

San Antonio West runs on 2.75 nurse staffing hours per resident day, about 29 percent under the national average, and weekends dip roughly 12 percent below its own weekday levels. Turnover sits at 63.6 percent against a national 45.8, most of the people caring for your family member will be new within a year. The inspection record backs this up: 73 deficiencies, six at harm or jeopardy level, four abuse-related, and $364,695 in fines. Its most recent inspection was April 2026, so the picture is current, and it includes one star each for health inspections and staffing. A for-profit corporation owns the 135-bed building.

Nurse hours

3.57 /day

Staff turnover

100%

Serious cites

0

Crestway runs on thin staffing, 3.57 nurse hours per resident day, about 8% under the national average, and weekends dip another 7% below its own weekday levels. Turnover is the bigger red flag: 100% of nursing staff leaving annually, against a national average near 46%, which means the people caring for your family member are, on average, brand new to the building. The inspection record is heavy, 65 deficiencies, five serious enough to cause harm, three tied to abuse, and five fines totaling nearly $74,000, with the most recent inspection in July 2025. This is a for-profit LLC where every federal staffing and inspection measure sits near the bottom. Worth asking hard questions before admission.

Nurse hours

3.00 /day

Staff turnover

67%

Serious cites

0

Avir At Converse runs on 3.00 nurse hours per resident day, roughly 22% under the national average, and weekends drop about 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 67.2% against a 45.8% national figure, which means caregivers are cycling out faster than residents can get used to them. The inspection record shows 50 deficiencies, four serious enough to put residents at harm or jeopardy, plus one tied to abuse, and $43,845 in fines. State inspectors were last on site in June 2026.