53 Nursing Homes That Accept Medicaid in San Antonio, TX

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

3.38 /day

Staff turnover

27%

Serious cites

0

Coronado At Stone Oak runs lean on nurse staffing, 3.38 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. Turnover is where it stands out: 27% annually against a national 45.8%, meaning the people caring for residents are more likely to still be there next year than at the typical home. Its inspection record shows 24 deficiencies, none at the harm level, though two are abuse-related; the most recent inspection was May 2025, so the picture is current. The quality measure score is strong, and ownership is a for-profit LLC.

Nurse hours

3.56 /day

Staff turnover

29%

Serious cites

0

Westover Hills Rehabilitation And Healthcare runs 124 certified beds in San Antonio under for-profit LLC ownership. Its nurses provide 3.56 hours of care per resident per day, roughly 8% under the national average, and weekend staffing drops about 13% below its own weekday levels, a pattern families should ask about directly. Turnover sits at 29.2%, well below the 45.8% national figure, so the team here is more stable than most. The inspection record is the harder reading: 31 deficiencies, including 4 tied to abuse and 2 serious enough to trigger the harm or jeopardy level, plus two fines totaling $20,156. The last inspection was April 2025.

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

3.64 /day

Staff turnover

21%

Serious cites

0

Legend Oaks Healthcare and Rehabilitation, West S runs 124 certified beds under corporate ownership in San Antonio, and the staffing picture is mixed. Nurses provide 3.64 hours per resident day, about 6% under the national average of 3.86, and weekend coverage drops roughly 12% below the home's own weekday level, worth knowing if your family visits or calls on Saturdays and Sundays. Turnover sits at 20.7%, well below the 45.8% national average, so the aides and nurses you meet are more likely to still be there next year. Against that, the current inspection record carries 18 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus an $8,632 fine. The most recent inspection was January 29, 2026.

Nurse hours

3.59 /day

Staff turnover

35%

Serious cites

0

Southeast Nursing & Rehabilitation Center is run by a hospital district, which usually signals a public safety-net mission rather than a profit motive. But the inspection record is the story here: 53 deficiencies, five of them serious enough to cause harm, and three tied to abuse, with $204,738 in fines and a one-star health inspection rating. Staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 9% thinner than weekdays. Turnover at 35.4% is actually better than the 45.8% national figure, meaning workers tend to stay, the problem isn't retention, it's how many hands are on deck and how the place performs when regulators show up.

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

3.21 /day

Staff turnover

41%

Serious cites

0

Inspiration Hills runs on 3.21 nurse hours per resident day, about 17% under the national average of 3.86, and weekends drop roughly 7% below its own weekday coverage. Turnover sits at 41.4%, a bit better than the 45.8% national figure, which matters because fewer familiar faces usually means more consistent care. The current record shows 31 deficiencies, none flagged at harm or jeopardy level, but one is abuse-related, that's the number worth asking about directly. Inspections are recent, and the for-profit individual ownership means one person answers for how the place runs.

Nurse hours

4.31 /day

Staff turnover

64%

Serious cites

0

The Atrium Rehabilitation Center runs 87 beds on San Antonio's for-profit circuit, and the numbers tell a mixed story. Nurse staffing sits at 4.31 hours per resident day, about 12% above the national average, and weekend coverage barely dips below weekday levels, a good sign, since weekend gaps are where problems often hide. But that staffing comes with churn: 64% annual turnover against a national 45.8% means aides and nurses are cycling through constantly, which undercuts consistency of care even when raw hours look fine. The inspection record shows 35 deficiencies, none at harm or jeopardy level, one abuse-related, and a single $9,600 fine, with the last survey in May 2025. Quality and inspection scores hold at 4 stars; staffing earns 2.

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

3.09 /day

Staff turnover

43%

Serious cites

0

The Heights on Huebner runs on thinner staffing than most homes, 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the building staffs on weekdays. The two abuse-related deficiencies on record are worth asking about directly, even though none of the 18 total deficiencies rose to harm or jeopardy level, and the most recent inspection in January 2026 is recent enough to reflect current conditions. Turnover at 42.7% is slightly better than the 45.8% national figure, and inspection and quality measure ratings both came in at 4 out of 5. This for-profit corporate home's weak spot is clearly the day-to-day staffing number, not its survey history.

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

3.33 /day

Staff turnover

37%

Serious cites

0

Lakeside runs on leaner nurse staffing than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dropping about 19% below its own weekday level. That gap is what drives the low staffing score, even though turnover at 36.8% is better than the 45.8% national figure. The inspection record is more concerning than the stars suggest: 21 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus a $14,611 fine. A recent July 2025 inspection and strong quality measures don't cancel out three harm-level findings. Government hospital-district ownership hasn't kept the care problems off the record.

Nurse hours

3.04 /day

Staff turnover

40%

Serious cites

0

Silver Creek runs lean on nursing hours: 3.04 per resident day against a national average of 3.86, which is roughly a fifth less hands-on time than most homes provide. Weekends dip about 15% below the home's own weekday staffing, so coverage thins out right when families tend to visit. The inspection record is stronger than the staffing number suggests, 4 out of 5 stars, last surveyed in July 2025, with 20 deficiencies on file and none rising to actual harm, though one is abuse-related. Turnover at 39.7% beats the national 45.8%, which means caregivers stick around longer here. The Limited Liability ownership structure is worth knowing about, but the numbers themselves tell the larger story: stable staff, thin hours.

Nurse hours

3.23 /day

Staff turnover

36%

Serious cites

0

Mystic Park runs at 3.23 nurse staffing hours per resident per day, about 16 percent under the national average, and weekends drop roughly 18 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 35.6 percent, better than the 45.8 percent national figure, which suggests some stability in who's actually on the floor. The record also carries 22 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a single $111,121 fine. Inspectors last visited in April 2026. The quality measure score looks strong, but that's built from resident assessments, not direct observation of care, the staffing and inspection numbers tell a harder story.

Nurse hours

3.41 /day

Staff turnover

45%

Serious cites

0

Pecan Valley runs a 124-bed corporate-owned building where the aide and nurse hours per resident sit around 3.41 a day, roughly 12% under the national figure, and weekends get thinner still, about a fifth lighter than weekdays. That gap matters more than the turnover rate, which at 45.2% is basically the national norm. What stands out is the shape of the record: a five-star quality measure score sitting on top of a one-star staffing score, with 25 deficiencies logged and one serious enough to involve harm. The last inspection was January 30, 2026, so the picture is current rather than stale. If you're weighing this one, ask how they cover weekends and what that harm-level citation involved.

Nurse hours

3.31 /day

Staff turnover

40%

Serious cites

0

Hunters Pond runs 128 beds in San Antonio under corporate for-profit ownership, and the staffing numbers are where I'd start. At 3.31 nurse hours per resident day, it sits roughly 14% under the national average, and weekends dip about another 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 37 deficiencies, three of them at harm or jeopardy level and one abuse-related, with $66,531 in fines across three penalties; the last inspection was August 2025. Turnover at 40% is actually a bit better than the 45.8% national figure, and its quality measure score is strong. But the health inspection and staffing ratings both come in low, and that's the tension worth weighing.

Nurse hours

n/a /day

Staff turnover

57%

Serious cites

0

Windemere at Westover Hills runs 112 certified beds under corporate ownership, and its staffing is the weak spot, a one-star rating against a national average, with 57% of staff turning over each year versus 45.8% nationally. That churn shows up on the inspection record too: 22 deficiencies, two of them serious enough to reach harm or jeopardy level, though none involved abuse. A single fine of $8,281 rounds out the enforcement history. The quality measure score of four stars is the brighter note here, and the most recent inspection came in December 2025, so the picture is current. If you're weighing this one, ask directly how they're holding onto aides and nurses, because the numbers say that's where the trouble lives.