St. Francis Nursing Home

630 W Woodlawn Ave, San Antonio, TX 78212 (opens Google Maps) · Bexar County · (210) 736-3177· 107 certified beds · avg 91 residents/day · certified since Jul 31, 1997 · Medicaid only — not Medicare certified

Certified for Medicaid only. It cannot bill Medicare, so a short post-hospital rehabilitation stay would not be covered the usual way here. Who pays for nursing home care →

4/5

Health inspection rating (on-site)

inspected Jan 23, 2026

Serious findings on record

most recent Apr 24, 2025

Fines, last 3 years

3.79

Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Apr 24, 2025 · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 22, 2025 (Past Non-Compliance)

▲ Immediate jeopardy, isolated · Apr 24, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Apr 22, 2025 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.

Jan 23, 2026E · Potential for more than minimal harm, pattern
The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. F-0921
Jan 23, 2026D · Potential for more than minimal harm, isolated
The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. F-0578
Jan 23, 2026D · Potential for more than minimal harm, isolated
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. F-0880

View all 20 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Jan 23, 2026	E · Potential for more than minimal harm, pattern	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Jan 23, 2026	D · Potential for more than minimal harm, isolated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Jan 23, 2026	D · Potential for more than minimal harm, isolated	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. · F-0880
Jan 23, 2026	C · Potential for minimal harm, widespread	The facility did not dispose of garbage and refuse properly. · F-0814
Apr 24, 2025	▲ J · Immediate jeopardy, isolated	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 · F-0684
Apr 24, 2025	▲ J · Immediate jeopardy, isolated	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 · F-0689
Oct 18, 2024	E · Potential for more than minimal harm, pattern	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. · from a complaint · F-0812
Oct 18, 2024	E · Potential for more than minimal harm, pattern	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint · F-0813
Oct 18, 2024	E · Potential for more than minimal harm, pattern	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Oct 18, 2024	D · Potential for more than minimal harm, isolated	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. · F-0558
Oct 18, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583
Oct 18, 2024	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0695
Oct 18, 2024	D · Potential for more than minimal harm, isolated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint · F-0758
Oct 18, 2024	D · Potential for more than minimal harm, isolated	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 · F-0880
Oct 18, 2024	C · Potential for minimal harm, widespread	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732
Sep 8, 2023	D · Potential for more than minimal harm, isolated	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. · F-0644
Aug 17, 2023	D · Potential for more than minimal harm, isolated	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622
Aug 17, 2023	D · Potential for more than minimal harm, isolated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623
Aug 17, 2023	D · Potential for more than minimal harm, isolated	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint · F-0626
Aug 17, 2023	D · Potential for more than minimal harm, isolated	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint · F-0661

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 4).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	0	D
2024	9	0	E
2025	2	2	J ▲
2026	4	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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityTexas averageU.S. average

Total nurse staffing (hours per resident per day)

3.79

3.46

3.95

Registered Nurse hours

0.23

0.44

0.69

Weekend total nurse staffing

3.63

3.04

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.79	3.46	3.95	top 21% in Texas; top 49% in the U.S.
Registered Nurse hours	0.23	0.44	0.69	bottom 13% in Texas; bottom 4% in the U.S.
Weekend total nurse staffing	3.63	3.04	3.50	top 13% in Texas; top 36% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.11	0.34	0.48	bottom 4% in Texas; bottom 2% in the U.S.
Total nursing staff turnover (%)	22.9	55.3	45.8	top 1% in Texas; top 5% in the U.S.
RN turnover (%)	33.3	54.6	42.9	top 20% in Texas; top 33% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 0.20, weekend 3.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.34 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for St. Francis Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

All 1 owning or managing party CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can I see where garbage is stored and how often it's removed?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What are your rules for bringing in my family member's favorite foods, and how are they stored?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 23% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 65 within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Meridian Care Monte Vista	0.2 mi	San Antonio, TX	★☆☆☆☆	1/5
San Pedro Manor	0.4 mi	San Antonio, TX	★★★★☆	3/5
Memorial Medical Nursing and Rehabilitation	0.9 mi	San Antonio, TX	★☆☆☆☆	1/5
San Antonio North Nursing and Rehabilitation	0.9 mi	San Antonio, TX	★☆☆☆☆	1/5
The Sarah Roberts French Home	1.9 mi	San Antonio, TX	★★☆☆☆	3/5
The Village at Incarnate Word	2.6 mi	San Antonio, TX	★★★★☆	4/5
River City Care Center	2.6 mi	San Antonio, TX	★☆☆☆☆	2/5	abuse
Golden Estates Rehabilitation Center	3.0 mi	San Antonio, TX	★★☆☆☆	2/5
Morningside Manor	3.2 mi	San Antonio, TX	★★★★☆	3/5
Parklane West Healthcare Center	3.4 mi	San Antonio, TX	★☆☆☆☆	1/5
Sage Park San Antonio	3.6 mi	San Antonio, TX	★★★☆☆	2/5
San Antonio West Nursing and Rehabilitation	4.1 mi	San Antonio, TX	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Bexar, TX — 62 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Stone Oak Care Center — San Antonio, TX · overall 2/5
The Atrium Rehabilitation Center — San Antonio, TX · overall 4/5
The Enclave — San Antonio, TX · overall 1/5
The Heights at Medical Center — San Antonio, TX · overall 1/5
The Heights on Huebner — San Antonio, TX · overall 4/5
The Lev at San Antonio — San Antonio, TX · overall 1/5
The Mission at Blue Skies of Texas East — San Antonio, TX · overall 5/5
The Rio at Mission Trails — San Antonio, TX · overall 1/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in San Antonio →

Facility data as of CMS processing date 2026-08-01. CCN 45F410.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — St. Francis Nursing Home

630 W Woodlawn Ave, San Antonio, TX 78212 · (210) 736-3177

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Apr 24, 2025 (F-0684, Immediate jeopardy, isolated): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Apr 24, 2025 (F-0689, Immediate jeopardy, isolated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 23% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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 45F410 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)