41 of the 58 Medicare-certified nursing homes in San Antonio, TX (71%) are chain-owned, and all are listed below. 0 of the 41 graded homes earn an A and 5 earn a D or F. They average 3.3 nursing hours per resident per day, 0.1 hours below the 3.4 for every home in San Antonio, TX. Remington Transitional Care Of San Antonio in San Antonio grades highest at B (83 out of 100).
How chain-owned homes in San Antonio, TX compare
This group set against every nursing home in San Antonio, TX, from the current CMS release.
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.
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.
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 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.
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.
Memorial Medical Nursing Center runs on 2.60 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekends drop about 19% below what the home already provides on weekdays. The inspection record shows 57 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $35,396 in fines across two penalties. Staff turnover sits at 51.4%, above the 45.8% national figure. It's a hospital-district home, so public ownership doesn't automatically mean better oversight here. The most recent inspection was June 11, 2025, so the picture is current, not stale. Ask direct questions about weekend coverage and how the abuse-related findings were resolved.
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.
The Rio at Mission Trails runs 124 beds under hospital district ownership in San Antonio, and its nurse staffing sits just under the national average, 3.71 hours per resident day against 3.86. That small gap is not the real story. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover hits 97.2%, more than double the national rate of 45.8%, meaning the aides and nurses at your mother's bedside are, statistically, almost certain to be new within the year. On inspections, the home carries 32 deficiencies, three at harm or jeopardy level and four abuse-related, with two fines totaling $153,825.
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.
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.
Frequently asked questions
How many chain-owned nursing homes are there in San Antonio, TX?
There are 41 chain-owned Medicare-certified nursing homes in San Antonio, TX, 71% of the 58 nursing homes there.
Are chain-owned nursing homes better staffed?
In San Antonio, TX they average 3.3 total nursing hours per resident per day, against 3.4 for all nursing homes in San Antonio, TX, a difference of -0.1 hours. Staff turnover averages 48.9% against 49.2%.
Which chain-owned nursing home grades best in San Antonio, TX?