Mystic Park Nursing and Rehabilitation Center

Name: Mystic Park Nursing and Rehabilitation Center
Address: 8503 Mystic Park, San Antonio, TX, 78254, US
Telephone: 2102560906

8503 Mystic Park, San Antonio, TX 78254 · Bexar County · 119 certified beds · avg 106 residents/day · certified since Apr 6, 2004

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

$111,121

Fines, last 3 years

3.41

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Apr 28, 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Apr 29, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, repeated · Apr 28, 2024 · F-0849 · triggered by a complaint

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.

Why it matters: A resident at the end of life could miss out on the pain relief and comfort care hospice provides.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Apr 29, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (24)

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
Jul 2, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jun 30, 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. · from a complaint
Apr 3, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 3, 2026	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.
Apr 3, 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.
Apr 3, 2026	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.
Apr 3, 2026	D · Potential for harm, one-off	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Apr 3, 2026	D · Potential for harm, one-off	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 3, 2026	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Apr 3, 2026	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.
Apr 3, 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.
Jan 24, 2025	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.
Jan 24, 2025	D · Potential for harm, one-off	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.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 24, 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.
Jan 24, 2025	D · Potential for harm, 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.
Jan 24, 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 19, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Dec 19, 2024	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. · from a complaint
Apr 28, 2024	▲ K · Immediate jeopardy, repeated	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
Apr 28, 2024	▲ K · Immediate jeopardy, 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. · from a complaint
Dec 8, 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.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Dec 8, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	E
2024	4	2	K ▲
2025	6	0	E
2026	11	0	D

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)

1 fine totaling $111,121.

Date	Type	Amount / length
Apr 28, 2024	Fine	$111,121

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)	3.41	3.46	3.95	top 42% in Texas; bottom 32% in the U.S.
Registered Nurse hours	0.41	0.44	0.69	top 45% in Texas; bottom 23% in the U.S.
Weekend total nurse staffing	2.79	3.04	3.50	bottom 38% in Texas; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.34	0.48	bottom 34% in Texas; bottom 19% in the U.S.
Total nursing staff turnover (%)	35.6	55.3	45.8	top 13% in Texas; top 25% in the U.S.
RN turnover (%)	50.0	54.6	42.9	top 41% in Texas; bottom 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 3.23, RN 0.39, weekend 2.65. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Brewer, Devin	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/01/2022
Brewer, Devin	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Brewer, Devin	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2022
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	01/18/2022
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	01/18/2022
Fox Sparrow Healthcare, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Fox Sparrow Healthcare, INC.	Organization	ADP of the SNF	NOT APPLICABLE	10/16/2025
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Thompson, Johnny	Individual	Corporate Officer	NOT APPLICABLE	05/16/2024
Zantua, Omar	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/18/2023
Zantua, Omar	Individual	Operational/Managerial Control	NOT APPLICABLE	01/18/2023
Zantua, Omar	Individual	ADP of the SNF	NOT APPLICABLE	01/18/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you coordinate hospice care, and can residents stay here while receiving it?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"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 do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Huebner Creek Health & Rehabilitation Center	2.3 mi	San Antonio, TX	★☆☆☆☆	2/5
Ignite Medical Resort San Antonio, LLC	2.5 mi	San Antonio, TX	★★★☆☆	2/5
Mesa Vista Inn Health Center	2.7 mi	San Antonio, TX	★☆☆☆☆	2/5
Avir at San Knoll	2.7 mi	San Antonio, TX	★☆☆☆☆	1/5
Silver Creek Nursing and Rehabilitation	2.7 mi	San Antonio, TX	★★★☆☆	4/5
Remington Transitional Care of San Antonio	3.1 mi	San Antonio, TX	★★★★☆	3/5
Sorrento	3.2 mi	San Antonio, TX	★★☆☆☆	2/5
Patriot Heights Health Care Center	3.5 mi	San Antonio, TX	★★☆☆☆	2/5	abuse
The Heights on Huebner	3.6 mi	San Antonio, TX	★★★★☆	4/5
Wurzbach Nursing and Rehabilitation	4.0 mi	San Antonio, TX	★★☆☆☆	2/5
Oak Park Nursing and Rehabilitation Center	4.3 mi	San Antonio, TX	★★☆☆☆	2/5
The Atrium Rehabilitation Center	4.5 mi	San Antonio, TX	★★★★☆	4/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 676012.

The Care File

Visit checklist — Mystic Park Nursing and Rehabilitation Center

8503 Mystic Park, San Antonio, TX 78254 · 2102560906

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $111,121

Most serious findings on record:

▲ Apr 28, 2024 (F-0755, Immediate jeopardy, repeated): The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
▲ Apr 28, 2024 (F-0849, Immediate jeopardy, 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.

Questions for the administrator:

☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you coordinate hospice care, and can residents stay here while receiving it?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "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 do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676012 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)