SAN PEDRO MANOR
515 W ASHBY PL, SAN ANTONIO, TX 78212 · CCN 455689
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 150
- Avg residents/day
- 96.6
- Phone
- 2107325181
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-08 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2024-06-27 | 15 | 9.4 | 9.8 | +5.6 worse |
| 3 | 2023-05-12 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Environmental | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.40 | 44.8% |
| RN staffing (reported) | 0.35 | 58.3% |
| Total nurse staffing (adjusted) | 3.59 | — |
Fines & penalties
- Total fines
- $24,285
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (32)1 immediate jeopardy1 actual harm
- CF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-08-08 · Health · corrected 2025-08-09
Potential for minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-08-08 · Health · corrected 2025-08-09
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-08 · Health · corrected 2025-08-09
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-08-08 · Health · corrected 2025-08-09
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-08 · Health · corrected 2025-08-09
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-08-08 · Health · corrected 2025-08-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-30 · Health · corrected 2025-07-31
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-07-17 · Health · corrected 2025-07-18
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-05-09 · Health · corrected 2025-06-06
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-27 · Health · corrected 2024-08-05
Actual harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-06-27 · Health · corrected 2024-08-05
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-17 · Health · corrected 2023-12-22
Immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2024-05-17 · Health · corrected 2024-05-18
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-02 · Health · corrected 2024-04-03
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-12 · Health · corrected 2023-05-15
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-05-12 · Health · corrected 2023-05-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-12 · Health · corrected 2023-05-15
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2023-05-12 · Health · corrected 2023-05-15
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-12 · Health · corrected 2023-05-15
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-23 · Health · corrected 2023-03-27
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-23 · Health · corrected 2023-03-27
Potential for more than minimal harm
- EF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2023-03-23 · Health · corrected 2023-03-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| UVALDE COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-02-01 |
| WEST ASHBY HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-02-01 |
| EVERY, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-13 |
| GUTIERREZ, BEVERLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-02-01 |
| APOLINAR, ADAM | Individual | CORPORATE OFFICER | — | 2022-07-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2020-10-13 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in SAN ANTONIO
| Name | Overall | Beds |
|---|---|---|
| THE HEIGHTS ON HUEBNER | ★★★★★ | 120 |
| LAKESIDE NURSING AND REHABILITATION CENTER | ★★★★★ | 118 |
| THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER | ★★★★★ | 91 |
| LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - | ★★★★★ | 126 |
| MYSTIC PARK NURSING & REHABILITATION CENTER | ★★★★☆ | 119 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.