Here are 58 Nursing Homes in San Antonio, TX

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

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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%

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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%

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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%

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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

4.47 /day

Staff turnover

43%

Serious cites

0

Remington Transitional Care of San Antonio runs 60 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.47 hours per resident day, roughly 16% above the national average of 3.86. That staffing edge is real, though weekend coverage drops about 18% below the home's own weekday level, so care may look different on a Saturday than a Tuesday. Staff turnover is 42.9%, a bit better than the 45.8% national figure. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. The quality measure rating is strong at 5/5; health inspection and staffing ratings sit at 3/5 each.

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

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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

4.05 /day

Staff turnover

45%

Serious cites

0

Ignite Medical Resort San Antonio runs 105 certified beds as a for-profit corporation, and its staffing sits at 4.05 nurse hours per resident day, about 5% above the national average. That headline number looks fine until you see weekends drop roughly 13% below weekday coverage, and the staffing star rating land at 2 out of 5. Turnover is 44.7%, essentially matching the national rate. The health inspection side is the real weak spot: 36 deficiencies on the current record, though none at harm or jeopardy level and none abuse-related. The most recent inspection was December 8, 2025. Quality measures score 5 out of 5, which is a genuine bright spot, but strong outcome data doesn't erase thin weekend coverage or a long deficiency list.

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

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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

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

3.21 /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

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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.