The Sarah Roberts French Home

Name: The Sarah Roberts French Home
Address: 1315 TEXAS AVE, San Antonio, TX, 78201, US
Telephone: 2107364238

1315 Texas Ave, San Antonio, TX 78201 · Bexar County · 60 certified beds · avg 38 residents/day · certified since Oct 13, 2022

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.10

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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 · Sep 24, 2023 · F-0622 · triggered by a complaint

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.

Why it matters: Improper discharge or transfer can suddenly uproot a resident from their home and care without warning or recourse.

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: Sep 25, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Sep 24, 2023 · F-0624 · triggered by a complaint

The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly.

Why it matters: An unprepared discharge can send a resident somewhere unsafe or without the care arrangements they need.

Corrected: Sep 25, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (32)

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
Feb 5, 2026	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Feb 5, 2026	D · Potential for harm, one-off	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule.
Feb 5, 2026	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.
Nov 18, 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. · from a complaint
May 29, 2025	E · Potential for harm, repeated	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
Nov 6, 2024	F · Potential for harm, facility-wide	The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members.
Nov 6, 2024	F · Potential for harm, facility-wide	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.
Nov 6, 2024	F · Potential for harm, facility-wide	The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs.
Nov 6, 2024	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.
Nov 6, 2024	E · Potential for harm, repeated	The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about.
Nov 6, 2024	E · Potential for harm, repeated	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.
Nov 6, 2024	E · Potential for harm, repeated	The facility did not include required infection control training — with written standards, policies, and procedures — as part of its infection prevention program.
Nov 6, 2024	E · Potential for harm, repeated	The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated.
Nov 6, 2024	D · Potential for harm, one-off	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.
Nov 6, 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.
Nov 6, 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.
Nov 6, 2024	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.
Nov 6, 2024	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Nov 6, 2024	D · Potential for harm, one-off	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.
Nov 30, 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
Oct 13, 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. · from a complaint
Oct 13, 2023	D · Potential for harm, one-off	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. · from a complaint
Oct 13, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · from a complaint
Oct 13, 2023	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. · from a complaint
Oct 13, 2023	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. · from a complaint
Oct 13, 2023	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
Sep 24, 2023	▲ J · Immediate jeopardy, one-off	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
Sep 24, 2023	▲ J · Immediate jeopardy, one-off	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint
Sep 24, 2023	D · Potential for harm, 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
Sep 24, 2023	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
Sep 1, 2023	D · Potential for harm, one-off	The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint
Sep 1, 2023	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (14 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2023	13	2	J ▲
2024	14	0	F
2025	2	0	E
2026	3	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)

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)	3.10	3.46	3.95	bottom 31% in Texas; bottom 18% in the U.S.
Registered Nurse hours	0.39	0.44	0.69	top 49% in Texas; bottom 21% in the U.S.
Weekend total nurse staffing	2.65	3.04	3.50	bottom 26% in Texas; bottom 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.42	0.34	0.48	top 23% in Texas; top 45% in the U.S.
Total nursing staff turnover (%)	0.0	55.3	45.8	—
RN turnover (%)	0.0	54.6	42.9	—

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 3.27, RN 0.41, weekend 2.79. Staffing rating: 1/5.

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: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

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

"Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
"What does your discharge planning process look like, and how are families involved before a move?"
"When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
"How often does the attending doctor physically see each resident, and how is that documented?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"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
St. Francis Nursing Home	1.9 mi	San Antonio, TX	★★★★☆	4/5
Meridian Care Monte Vista	2.0 mi	San Antonio, TX	★☆☆☆☆	1/5
Morningside Manor	2.1 mi	San Antonio, TX	★★★★☆	3/5
San Pedro Manor	2.2 mi	San Antonio, TX	★★★★☆	3/5
Memorial Medical Nursing and Rehabilitation	2.3 mi	San Antonio, TX	★☆☆☆☆	1/5
Golden Estates Rehabilitation Center	2.4 mi	San Antonio, TX	★★☆☆☆	2/5
San Antonio North Nursing and Rehabilitation	2.5 mi	San Antonio, TX	★☆☆☆☆	1/5
Inspiration Hills Rehabilitation Center	3.0 mi	San Antonio, TX	★★★☆☆	3/5
San Antonio West Nursing and Rehabilitation	3.0 mi	San Antonio, TX	★☆☆☆☆	1/5
River City Care Center	4.1 mi	San Antonio, TX	★☆☆☆☆	2/5	abuse
The Lev at San Antonio	4.2 mi	San Antonio, TX	★☆☆☆☆	2/5
Oak Park Nursing and Rehabilitation Center	4.4 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 745040.

The Care File

Visit checklist — The Sarah Roberts French Home

1315 Texas Ave, San Antonio, TX 78201 · 2107364238

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Sep 24, 2023 (F-0622, Immediate jeopardy, one-off): 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.
▲ Sep 24, 2023 (F-0624, Immediate jeopardy, one-off): The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly.

Questions for the administrator:

☐ "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
☐ "What does your discharge planning process look like, and how are families involved before a move?"
☐ "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
☐ "How often does the attending doctor physically see each resident, and how is that documented?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "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?"

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 745040 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)