ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

43 For-Profit Nursing Homes in San Antonio, TX

43 of the 58 Medicare-certified nursing homes in San Antonio, TX (74%) are for-profit, and all are listed below. 1 of the 43 graded homes earn an A and 6 earn a D or F. Nurse staff turnover runs 51.4%, 2.2 points higher than the 49.2% across all homes there. St. Francis Nursing Home in San Antonio grades highest at A (86 out of 100).

How for-profit homes in San Antonio, TX compare

This group set against every nursing home in San Antonio, TX, from the current CMS release.

Nursing hours per resident per day

3.32

All homes in San Antonio, TX: 3.4

Worse than the local average

Nurse staff turnover

51.4%

All homes in San Antonio, TX: 49.2%

Worse than the local average

Average ElderGrade score

65.3/100

All homes in San Antonio, TX: 67.2/100

Worse than the local average

Grade spread

B
C
D

1 grade A, 14 grade B, 22 grade C, 6 grade D,

The best-graded for-profit home in San Antonio, TX is St. Francis Nursing Home in San Antonio, TX, grade A, 86/100.

Every for-profit nursing home in San Antonio, TX

Showing 41 to 43 of 43, best-graded first.

D

50/100

Avir At San Antonio

San Antonio, TX · Bexar County

CMS 1/5119 bedsFor-profitMedicaid
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.

D

48/100

San Antonio West Nursing And Rehabilitation

San Antonio, TX · Bexar County

CMS 1/5135 bedsFor-profitMedicaid
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.

D

48/100

Crestway Nursing & Rehabilitation

San Antonio, TX · Bexar County

CMS 1/5120 bedsFor-profitMedicaid
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.

Frequently asked questions

How many for-profit nursing homes are there in San Antonio, TX?
There are 43 for-profit Medicare-certified nursing homes in San Antonio, TX, 74% of the 58 nursing homes there.
Are for-profit nursing homes better staffed?
In San Antonio, TX they average 3.32 total nursing hours per resident per day, against 3.4 for all nursing homes in San Antonio, TX, a difference of -0.08 hours. Staff turnover averages 51.4% against 49.2%.
Which for-profit nursing home grades best in San Antonio, TX?
St. Francis Nursing Home in San Antonio, TX, grade A, 86 out of 100.
Does being for-profit mean a nursing home is safe?
No. Of the 43 graded for-profit homes in San Antonio, TX, 1 grade A and 6 grade D or F.
Do for-profit nursing homes in San Antonio, TX accept Medicaid?
41 of the 43 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in San Antonio, TX