Las Colinas of Westover
9738 Westover Hills Blvd, San Antonio, TX 78251 · Bexar County · 140 certified beds · avg 113 residents/day · certified since Feb 12, 2013
Part of chain: CARING HEALTHCARE GROUP (14 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 6, 2024 · F-0755 · triggered by a complaint
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 6, 2024 · F-0760 · triggered by a complaint
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.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Dec 23, 2023 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 24, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Dec 23, 2023 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 24, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (39)
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 |
|---|---|---|
| Dec 5, 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 |
| Dec 3, 2025 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 3, 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. |
| Dec 3, 2025 | E · Potential for harm, repeated | 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. |
| Dec 3, 2025 | E · Potential for harm, repeated | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. |
| Dec 3, 2025 | E · Potential for harm, repeated | The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. |
| Dec 3, 2025 | E · Potential for harm, repeated | The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. |
| Dec 3, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Dec 3, 2025 | 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. |
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 3, 2025 | 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. |
| Dec 3, 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. |
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Nov 25, 2025 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Nov 25, 2025 | 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. · from a complaint |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Sep 27, 2024 | 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. |
| Sep 27, 2024 | E · Potential for harm, repeated | 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. |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Sep 27, 2024 | 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. |
| Sep 27, 2024 | 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. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Aug 6, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Aug 6, 2024 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Apr 30, 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. · from a complaint |
| Dec 23, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Dec 23, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 11, 2023 | 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. · from a complaint |
| Dec 11, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Dec 11, 2023 | 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. · from a complaint |
| Jul 31, 2023 | 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. |
| Jul 31, 2023 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jul 31, 2023 | E · Potential for harm, repeated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Jul 31, 2023 | E · Potential for harm, repeated | 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. |
| Jul 31, 2023 | D · Potential for harm, one-off | The facility employed staff who were not licensed, certified, or registered as required by state law. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 2 | J ▲ |
| 2024 | 14 | 2 | J ▲ |
| 2025 | 15 | 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)
2 fines totaling $38,630.
| Date | Type | Amount / length |
|---|---|---|
| Aug 6, 2024 | Fine | $25,233 |
| Dec 11, 2023 | Fine | $13,397 |
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) | 2.94 | 3.46 | 3.95 | bottom 20% in Texas; bottom 12% in the U.S. |
| Registered Nurse hours | 0.39 | 0.44 | 0.69 | top 50% in Texas; bottom 20% in the U.S. |
| Weekend total nurse staffing | 2.69 | 3.04 | 3.50 | bottom 28% in Texas; bottom 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.34 | 0.48 | bottom 45% in Texas; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 43.9 | 55.3 | 45.8 | top 30% in Texas; top 47% in the U.S. |
| RN turnover (%) | 35.7 | 54.6 | 42.9 | top 25% in Texas; top 39% 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 3.34, RN 0.44, weekend 3.05. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Medina County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/31/2017 |
| Bain, William | Individual | Corporate Officer | NOT APPLICABLE | 05/23/2011 |
| Bell, Billie | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/03/2023 |
| Bell, Billie | Individual | Corporate Officer | NOT APPLICABLE | 06/03/2023 |
| Bell, Billie | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/03/2023 |
| Carter Krieger, Lori | Individual | Corporate Director | NOT APPLICABLE | 07/20/2020 |
| Frosch, Kevin | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/01/2010 |
| Frosch, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2010 |
| Hardt, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 05/23/2011 |
| Johnson, Tony | Individual | Corporate Officer | NOT APPLICABLE | 11/26/2012 |
| Las Colinas SNF LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2017 |
| Windrow, Zachary | Individual | Corporate Officer | NOT APPLICABLE | 11/26/2012 |
| Winkler, Judy | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2004 |
| Young, Carlton | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2006 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "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 |
|---|---|---|---|---|---|
| Windemere at Westover Hills | 0.9 mi | San Antonio, TX | ★★☆☆☆ | 3/5 | |
| Westover Hills Rehabilitation and Healthcare | 1.3 mi | San Antonio, TX | ★★★★☆ | 3/5 | |
| Silver Creek Nursing and Rehabilitation | 1.9 mi | San Antonio, TX | ★★★☆☆ | 4/5 | |
| Lakeside Nursing and Rehabilitation Center | 2.8 mi | San Antonio, TX | ★★★★★ | 4/5 | |
| Mystic Park Nursing and Rehabilitation Center | 4.5 mi | San Antonio, TX | ★★★☆☆ | 2/5 | |
| Legend Oaks Healthcare and Rehabilitation - West S | 4.9 mi | San Antonio, TX | ★★★☆☆ | 3/5 | |
| Huebner Creek Health & Rehabilitation Center | 5.7 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| Mesa Vista Inn Health Center | 5.8 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| Avir at San Knoll | 5.8 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | |
| Ignite Medical Resort San Antonio, LLC | 5.9 mi | San Antonio, TX | ★★★☆☆ | 2/5 | |
| The Mission at Blue Skies of Texas East | 6.2 mi | San Antonio, TX | ★★★★★ | 4/5 | |
| Sorrento | 6.2 mi | San Antonio, TX | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in San Antonio →
Facility data as of CMS processing date 2026-08-01. CCN 676328.