18 Independent Nursing Homes in Bexar County, Texas

Nurse hours

4.19 /day

Staff turnover

40%

Serious cites

0

Nurse staffing here runs about 4.19 hours per resident per day, roughly 8% above the national average, and the health inspection and quality measure ratings both come in at 5 out of 5. Weekend coverage drops about 16% below the home's own weekday level, though, so care can look thinner on Saturdays and Sundays than the weekday numbers suggest. Staff turnover sits at 40%, a bit better than the 45.8% national figure. The current record shows 18 deficiencies, none at the harm or jeopardy level, but two tied to abuse, which is worth asking about directly.

Nurse hours

3.60 /day

Staff turnover

16%

Serious cites

0

Morningside Manor runs on a non-profit model with 147 beds, and the numbers show a stable operation. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends dip roughly 4% below its own weekday levels, worth knowing if your family visits mostly on Saturdays and Sundays. What stands out is turnover: 15.8% against a national average of 45.8%, which suggests caregivers here tend to stay. The inspection record shows 26 deficiencies, none at harm or jeopardy level, though one is abuse-related. State inspectors were last in on August 7, 2025, so the picture is current.

Nurse hours

3.34 /day

Staff turnover

23%

Serious cites

0

St. Francis runs a tight ship on retention, 22.9% turnover is roughly half the national rate, which means the aides and nurses you meet on Monday are likely still there in six months. That consistency matters more than headline numbers when you're trusting strangers with daily care. The tradeoff shows up in hours: 3.34 nurse staffing hours per resident day, about 14% under the national average, and weekends dip roughly 4% below the home's own weekday level. State inspectors last visited in January 2026 and logged 20 deficiencies, two serious enough to involve harm or jeopardy. The building is corporate-owned and has solid inspection and quality marks, but the staffing number is the one to ask about on your tour.

Nurse hours

3.84 /day

Staff turnover

27%

Serious cites

0

The Village at Incarnate Word runs a tight ship on staffing, with nurse hours per resident day essentially matching the national average and a staff turnover rate of 27%, well below the 45.8% typical elsewhere. That retention matters, because it means the same caregivers are likely still there next year. Weekend coverage dips about 10% below weekday levels, which is worth asking about directly. On the inspection side, 17 deficiencies show up on the current record, but none reached harm or jeopardy and none involved abuse, and the most recent survey is from December 2025. As a nonprofit, it answers to a board rather than shareholders.

Nurse hours

4.87 /day

Staff turnover

58%

Serious cites

0

The Mission at Blue Skies of Texas East runs 4.87 nurse hours per resident day, about 26 percent above the national average, which is real coverage. But weekends drop roughly 18 percent below its own weekday level, and 57.6 percent of staff left last year against a national 45.8 percent, so the people providing that care keep changing. The current record shows 25 deficiencies, two at harm or jeopardy level and one abuse-related, with a $17,345 fine and an inspection in July 2025. Nonprofit ownership and a 4-star inspection rating suggest decent systems, but the turnover and weekend gaps tell you to ask who's actually on the floor on a Sunday.

Nurse hours

n/a /day

Staff turnover

42%

Serious cites

0

Highland Nursing Center is a 53-bed for-profit in San Antonio where the clinical quality scores look better than the inspection history. The staffing picture is mixed: 3.81 nurse hours per resident day sits just under the national average, and weekends run about 7% thinner than weekdays, but turnover at 42.4% is actually a bit better than the national 45.8%. What pulls the record down is the deficiency list, 39 total, including one at the harm or jeopardy level and six tied to abuse. The last inspection was in late March 2026, so the findings are recent enough to matter. If you're considering this home, ask directly how those abuse-related deficiencies were resolved.

Nurse hours

3.16 /day

Staff turnover

33%

Serious cites

0

San Jose Nursing Center runs lean on bedside staff, 3.16 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday numbers. That thin coverage shows up in the staffing star rating, though the home holds onto workers better than most, with turnover at 33.3% compared to 45.8% nationally. The current inspection record lists 32 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last full inspection came in April 2025. Quality measures score well; the hands-on care hours are where this San Antonio for-profit falls short.

Nurse hours

4.32 /day

Staff turnover

n/a

Serious cites

0

Sage Park San Antonio runs 46 certified beds under a for-profit partnership, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average of 3.86. That headline number comes with a catch: weekend staffing drops about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the harder part to swallow. Twenty-seven deficiencies, one of them serious enough to reach harm or jeopardy level, plus a single fine of $121,976. The most recent inspection was January 9, 2026. Quality measures score well, but a recent inspection with that many findings and a six-figure penalty tells you the day-to-day care has had real problems.

Nurse hours

3.67 /day

Staff turnover

46%

Serious cites

0

San Pedro Manor runs 3.67 nursing hours per resident day, about 5% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin weekend coverage matters more than the headline number, because 30 deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse. Staff turnover is 45.6%, essentially matching the national rate, so retention isn't the problem here, coverage is. The hospital district ownership hasn't kept the inspection record clean, and two fines totaling $24,285 are on file. The last inspection was August 2025. Quality measures look strong; the staffing and inspection side is where the risk lives.

Nurse hours

3.74 /day

Staff turnover

63%

Serious cites

0

Parklane West runs on thin nursing coverage, 3.74 hours per resident day, a bit under the national average, and weekends drop about 17% below what the home staffs on weekdays. That gap matters when someone falls on a Sunday. Annual turnover sits at 63.4% against a national 45.8%, so the aides and nurses caring for your family member are likely newer than the building itself. The record shows 64 deficiencies, none at harm level but one tied to abuse, and the last inspection was May 2025. The hospital district ownership is a steadying factor, and resident outcomes score well even as the staffing and inspection ratings sit at the bottom.

Nurse hours

3.27 /day

Staff turnover

n/a

Serious cites

0

The Sarah Roberts French Home runs 3.27 nurse hours per resident day, about 15% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest staffing lands when families tend to visit. Its record shows 32 deficiencies, two at harm or jeopardy level and three abuse-related, with a 3/5 inspection rating and a 4/5 on quality measures. The staffing star sits at 1/5, and the last inspection was February 2026. A for-profit corporation owns the 60-bed home. Quality scores can look fine while daily coverage stays lean, which is the tension running through this record.

Nurse hours

3.19 /day

Staff turnover

50%

Serious cites

0

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.

Nurse hours

3.67 /day

Staff turnover

63%

Serious cites

0

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.

Nurse hours

3.09 /day

Staff turnover

42%

Serious cites

0

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.

Nurse hours

3.10 /day

Staff turnover

75%

Serious cites

0

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.

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

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.