Inspiration Hills Rehabilitation Center
1939 Bandera Rd, San Antonio, TX 78228 · Bexar County · 134 certified beds · avg 83 residents/day · certified since Mar 19, 1993
Part of chain: PARAMOUNT HEALTHCARE (8 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (30)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 4, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 4, 2026 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jun 4, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jun 4, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Nov 26, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Apr 4, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 4, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 4, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 4, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 4, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 4, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Apr 4, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Apr 4, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 4, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Apr 4, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 23, 2024 | F · Potential for harm, facility-wide | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. |
| Feb 23, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 11, 2024 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | F |
| 2025 | 11 | 0 | F |
| 2026 | 12 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.68 | 3.46 | 3.95 | top 25% in Texas; bottom 46% in the U.S. |
| Registered Nurse hours | 0.30 | 0.44 | 0.69 | bottom 28% in Texas; bottom 9% in the U.S. |
| Weekend total nurse staffing | 3.42 | 3.04 | 3.50 | top 19% in Texas; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.34 | 0.48 | bottom 16% in Texas; bottom 9% in the U.S. |
| Total nursing staff turnover (%) | 41.4 | 55.3 | 45.8 | top 24% in Texas; top 40% in the U.S. |
| RN turnover (%) | 20.0 | 54.6 | 42.9 | top 6% in Texas; top 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.21, RN 0.26, weekend 2.98. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Allante Properties of Texas, LP | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2023 |
| Allante Properties of Texas, LP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Aziz, Wesam | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| DKP Investments, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Hooper, Grady | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2023 |
| Prince, Danny | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2023 |
| Prince, Danny | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Prince, Danny | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| The Williamsburg Care Company, LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| The Williamsburg Care Company, LP | Organization | ADP of the SNF | NOT APPLICABLE | 04/22/2025 |
| Wampler, Deb | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Wampler, Deb | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Morningside Manor | 1.7 mi | San Antonio, TX | ★★★★☆ | 3/5 | |
| Oak Park Nursing and Rehabilitation Center | 2.0 mi | San Antonio, TX | ★★☆☆☆ | 2/5 | |
| Golden Estates Rehabilitation Center | 2.4 mi | San Antonio, TX | ★★☆☆☆ | 2/5 | |
| The Atrium Rehabilitation Center | 2.4 mi | San Antonio, TX | ★★★★☆ | 4/5 | |
| Sorrento | 2.8 mi | San Antonio, TX | ★★☆☆☆ | 2/5 | |
| The Lev at San Antonio | 2.9 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| The Sarah Roberts French Home | 3.0 mi | San Antonio, TX | ★★☆☆☆ | 3/5 | |
| Wurzbach Nursing and Rehabilitation | 3.1 mi | San Antonio, TX | ★★☆☆☆ | 2/5 | |
| Mesa Vista Inn Health Center | 3.1 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| Avir at San Knoll | 3.1 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | |
| Remington Transitional Care of San Antonio | 3.2 mi | San Antonio, TX | ★★★★☆ | 3/5 | |
| The Heights at Medical Center | 3.4 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675138.