Every one of the 62 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
4 of these hold the top CMS rating of five. 22 sit at one. Registered nurse cover averages 0.39 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| THE MISSION AT BLUE SKIES OF TEXAS EAST | San Antonio | 5 | 4 | 4 | 0.80 | 80 | $17,345 |
| CORONADO AT STONE OAK | San Antonio | 5 | 4 | 3 | 0.51 | 112 | $0 |
| LAKESIDE NURSING AND REHABILITATION CENTER | San Antonio | 5 | 4 | 2 | 0.49 | 118 | $14,611 |
| THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER | San Antonio | 5 | 5 | 4 | 0.43 | 91 | $0 |
| REMINGTON TRANSITIONAL CARE OF SAN ANTONIO | San Antonio | 4 | 3 | 3 | 0.98 | 60 | $0 |
| WESTOVER HILLS REHABILITATION AND HEALTHCARE | San Antonio | 4 | 3 | 4 | 0.64 | 124 | $20,156 |
| ADVANCED REHABILITATION & HEALTHCARE OF LIVE OAK | Live Oak | 4 | 3 | 3 | 0.61 | 123 | $12,424 |
| THE HEIGHTS ON HUEBNER | San Antonio | 4 | 4 | 2 | 0.50 | 120 | $0 |
| MYSTIC PARK NURSING & REHABILITATION CENTER | San Antonio | 4 | 3 | 2 | 0.39 | 119 | $111,121 |
| The Atrium Rehabilitation Center | San Antonio | 4 | 4 | 2 | 0.39 | 87 | $9,600 |
| MORNINGSIDE MANOR | San Antonio | 4 | 3 | 3 | 0.36 | 147 | $0 |
| SAN PEDRO MANOR | San Antonio | 4 | 3 | 2 | 0.35 | 150 | $24,285 |
| THE VILLAGE AT INCARNATE WORD | San Antonio | 4 | 4 | 4 | 0.33 | 60 | $0 |
| ST. FRANCIS NURSING HOME | San Antonio | 4 | 4 | 3 | 0.20 | 107 | $0 |
| Sage Park San Antonio | San Antonio | 3 | 2 | 3 | 0.99 | 46 | $121,976 |
| IGNITE MEDICAL RESORT SAN ANTONIO, LLC | San Antonio | 3 | 2 | 2 | 0.56 | 105 | $0 |
| Legend Oaks Healthcare and Rehabilitation - West S | San Antonio | 3 | 3 | 3 | 0.53 | 124 | $8,632 |
| SAN JOSE NURSING CENTER | San Antonio | 3 | 3 | 2 | 0.44 | 55 | $0 |
| LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - | San Antonio | 3 | 3 | 2 | 0.42 | 126 | $0 |
| HUNTERS POND REHABILITATION AND HEALTHCARE | San Antonio | 3 | 2 | 2 | 0.36 | 128 | $66,531 |
| SILVER CREEK NURSING AND REHABILITATION | San Antonio | 3 | 4 | 1 | 0.35 | 120 | $0 |
| PECAN VALLEY REHABILITATION AND HEALTHCARE | San Antonio | 3 | 3 | 1 | 0.31 | 124 | $0 |
| WINDSOR MISSION OAKS | San Antonio | 3 | 3 | 2 | 0.29 | 150 | $10,842 |
| INSPIRATION HILLS REHABILITATION CENTER | San Antonio | 3 | 3 | 3 | 0.26 | 134 | $0 |
| ESTATES AT SHAVANO PARK | Shavano Park | 3 | 3 | 2 | 0.21 | 112 | $0 |
| Avir at Heritage | San Antonio | 3 | 4 | 1 | 0.16 | 150 | $0 |
| Northeast Rehabilitation and Healthcare Center | San Antonio | 2 | 2 | 2 | 0.58 | 120 | $16,449 |
| SORRENTO | San Antonio | 2 | 2 | 1 | 0.56 | 112 | $0 |
| WURZBACH NURSING AND REHABILITATION | San Antonio | 2 | 2 | 2 | 0.51 | 140 | $34,945 |
| LAS COLINAS OF WESTOVER | San Antonio | 2 | 2 | 2 | 0.44 | 140 | $38,630 |
| HIGHLAND NURSING CENTER | San Antonio | 2 | 2 | 4 | 0.44 | 53 | $0 |
| THE SARAH ROBERTS FRENCH HOME | San Antonio | 2 | 3 | 1 | 0.41 | 60 | $0 |
| PATRIOT HEIGHTS HEALTH CARE CENTER ⚑ | San Antonio | 2 | 2 | 1 | 0.38 | 74 | $28,033 |
| SAN ANTONIO WELLNESS & REHABILITATION | San Antonio | 2 | 2 | 2 | 0.38 | 154 | $104,627 |
| Golden Estates Rehabilitation Center | San Antonio | 2 | 2 | 2 | 0.34 | 93 | $161,844 |
| STONE OAK CARE CENTER | San Antonio | 2 | 3 | 1 | 0.23 | 152 | $9,087 |
| Southeast Nursing & Rehabilitation Center | San Antonio | 2 | 1 | 2 | 0.19 | 116 | $204,738 |
| Oak Park Nursing and Rehabilitation Center | San Antonio | 2 | 2 | 2 | 0.18 | 170 | $9,280 |
| Harbor Valley Health and Rehabilitation ⚑ | San Antonio | 2 | 2 | 2 | 0.10 | 120 | $18,989 |
| WINDEMERE AT WESTOVER HILLS | San Antonio | 2 | 3 | 1 | 0.00 | 112 | $8,281 |
| Castle Hills Rehabilitation and Care Center | San Antonio | 1 | 1 | 1 | 0.59 | 143 | $112,386 |
| Normandy Terrace Nursing & Rehabilitation Center ⚑ | San Antonio | 1 | 1 | 1 | 0.52 | 320 | $287,359 |
| MEMORIAL MEDICAL NURSING CENTER | San Antonio | 1 | 1 | 1 | 0.45 | 135 | $35,396 |
| RIVER CITY CARE CENTER ⚑ | San Antonio | 1 | 2 | 1 | 0.43 | 92 | $23,410 |
| Meridian Care Monte Vista | San Antonio | 1 | 1 | 1 | 0.39 | 106 | $28,345 |
| San Antonio North Nursing and Rehabilitation | San Antonio | 1 | 1 | 1 | 0.38 | 118 | $37,800 |
| THE ENCLAVE | San Antonio | 1 | 2 | 1 | 0.33 | 142 | $10,039 |
| San Antonio West Nursing and Rehabilitation | San Antonio | 1 | 1 | 1 | 0.33 | 135 | $364,695 |
| THE LEV AT SAN ANTONIO | San Antonio | 1 | 2 | 1 | 0.32 | 106 | $174,496 |
| Crestway Nursing & Rehabilitation | San Antonio | 1 | 1 | 1 | 0.32 | 120 | $73,977 |
| Broadway Nursing & Rehabilitation | San Antonio | 1 | 2 | 1 | 0.32 | 237 | $84,129 |
| Huebner Creek Health & Rehabilitation Center | San Antonio | 1 | 2 | 1 | 0.31 | 146 | $14,327 |
| Avir at Converse | Converse | 1 | 2 | 1 | 0.29 | 100 | $43,845 |
| Parklane West Healthcare Center | San Antonio | 1 | 1 | 1 | 0.28 | 124 | $0 |
| NORTHGATE HEALTH AND REHABILITATION CENTER | San Antonio | 1 | 1 | 1 | 0.28 | 120 | $27,710 |
| Buena Vida Nursing and Rehab-San Antonio ⚑ | San Antonio | 1 | 1 | 1 | 0.27 | 222 | $187,608 |
| Sonterra Health Center | San Antonio | 1 | 2 | 1 | 0.25 | 124 | $80,964 |
| The Rio at Mission Trails | San Antonio | 1 | 2 | 1 | 0.25 | 124 | $153,825 |
| WINDCREST NURSING AND REHABILITATION | Windcrest | 1 | 2 | 1 | 0.22 | 180 | $199,073 |
| THE HEIGHTS AT MEDICAL CENTER | San Antonio | 1 | 2 | 1 | 0.21 | 134 | $22,052 |
| MESA VISTA INN HEALTH CENTER | San Antonio | 1 | 2 | 1 | 0.20 | 144 | $8,160 |
| Avir at San Antonio | San Antonio | 1 | 2 | 1 | 0.07 | 119 | $29,494 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Corporation | 23 |
| For profit - Limited Liability company | 17 |
| Government - Hospital district | 9 |
| For profit - Individual | 6 |
| Non profit - Corporation | 5 |
| Non profit - Other | 1 |
| For profit - Partnership | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.