Deficiency timeline

San Antonio West Nursing and Rehabilitation

Dated inspection findings, penalties, and correction notes for this nursing home in San Antonio, TX. Newest events first.

79 eventsTimeline fines $364,695Class insights →
  1. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  2. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected May 18, 2026

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 18, 2026

  4. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0770: Administration

    Administration

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected May 18, 2026

  5. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 18, 2026

  6. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 18, 2026

  7. Class IIIPotential for more than minimal harm (E)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 4, 2026

  8. Class IIIPotential for more than minimal harm (E)cms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected May 4, 2026

  9. Class IIIPotential for more than minimal harm (E)cms

    F0552: Resident Rights

    Resident rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected May 4, 2026

  10. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Apr 11, 2026

  11. Class IIIPotential for more than minimal harm (E)cms

    F0925: Environmental

    Environment

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected Apr 11, 2026

  12. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Apr 11, 2026

  13. Class IIIPotential for more than minimal harm (D)cms

    F0644: Resident Assessment and Care Planning

    Assessment & care planning

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected May 4, 2026

  14. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 4, 2026

  15. Class IIIPotential for more than minimal harm (D)cms

    F0808: Nutrition and Dietary

    Nutrition & dietary

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected May 4, 2026

  16. Class IIIPotential for more than minimal harm (D)cms

    F0849: Administration

    Administration

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected Apr 11, 2026

  17. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Apr 11, 2026

  18. Class IIIPotential for more than minimal harm (E)cms

    F0584: Resident Rights

    Resident rights

    Honor 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.

    Corrected May 22, 2026

  19. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Feb 14, 2026

  20. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0687: Quality of Life and Care

    Quality of life & care

    Provide appropriate foot care.

    Corrected Feb 14, 2026

  21. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Feb 14, 2026

  22. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0926: Environmental

    Environment

    Have policies on smoking.

    Corrected Feb 14, 2026

  23. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Jan 10, 2026

  24. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Jan 10, 2026

  25. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Dec 20, 2025

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0559: Resident Rights

    Resident rights

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected Dec 12, 2025

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Dec 12, 2025

  28. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Dec 12, 2025

  29. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0805: Nutrition and Dietary

    Nutrition & dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected Nov 21, 2025

  30. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0925: Environmental

    Environment

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected Oct 26, 2025

  31. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Oct 26, 2025

  32. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Sep 5, 2025

  33. Fine $16,149cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  34. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0804: Nutrition and Dietary

    Nutrition & dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected Aug 19, 2025

  35. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Aug 19, 2025

  36. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Aug 19, 2025

  37. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    Honor 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.

    Corrected Aug 19, 2025

  38. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Jul 4, 2025

  39. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 3, 2025

  40. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 3, 2025

  41. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jan 31, 2025

  42. Class IImmediate jeopardy (K)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Jan 31, 2025

  43. Class IIIPotential for more than minimal harm (E)cms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Jan 31, 2025

  44. Class IIIPotential for more than minimal harm (E)cms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Jan 31, 2025

  45. Class IIIPotential for more than minimal harm (E)cms

    F0680: Quality of Life and Care

    Quality of life & care

    Ensure the activities program is directed by a qualified professional.

    Corrected Jan 31, 2025

  46. Class IIIPotential for more than minimal harm (E)cms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Jan 31, 2025

  47. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Jan 31, 2025

  48. Class IIIPotential for more than minimal harm (E)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Jan 31, 2025

  49. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected Jan 31, 2025

  50. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jan 31, 2025

  51. Class IIIPotential for more than minimal harm (E)cms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Jan 31, 2025

  52. Class IIIPotential for more than minimal harm (D)cms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Jan 31, 2025

  53. Class IIIPotential for more than minimal harm (D)cms

    F0584: Resident Rights

    Resident rights

    Honor 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.

    Corrected Jan 31, 2025

  54. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Jan 31, 2025

  55. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jan 31, 2025

  56. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Jan 31, 2025

  57. Class IIIPotential for more than minimal harm (D)cms

    F0803: Nutrition and Dietary

    Nutrition & dietary

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected Jan 31, 2025

  58. Fine $162,019cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  59. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  60. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 26, 2024

  61. Fine $15,556cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  62. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Jan 11, 2025

  63. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0836: Administration

    Administration

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Corrected Jan 30, 2025

  64. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Dec 9, 2024

  65. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Dec 9, 2024

  66. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Oct 31, 2024

  67. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Oct 31, 2024

  68. Fine $170,971cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  69. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  70. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0726: Nursing and Physician Services

    Nursing & physician services

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected Oct 1, 2024

  71. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0693: Quality of Life and Care

    Quality of life & care

    Ensure 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.

    Corrected Oct 1, 2024

  72. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected Sep 15, 2024

  73. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Jun 30, 2024

  74. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Jan 31, 2024

  75. Class IIIPotential for more than minimal harm (E)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jan 31, 2024

  76. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jan 31, 2024

  77. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Dec 15, 2023

  78. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Dec 15, 2023

  79. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jul 18, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile