Westover Hills Rehabilitation and Healthcare

Name: Westover Hills Rehabilitation and Healthcare
Address: 9922 STATE HWY. 151, San Antonio, TX, 78251, US
Telephone: 2105462273

9922 State Hwy. 151, San Antonio, TX 78251 · Bexar County · 124 certified beds · avg 108 residents/day · certified since May 4, 2011

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

3/5

Health inspection rating (on-site)

Serious findings on record

$20,156

Fines, last 3 years

3.73

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: 4/5

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 · Nov 8, 2024 · 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 13, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Nov 10, 2023 · 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.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 10, 2023 (Past Non-Compliance)

All citations in the current public record (29)

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 12, 2026	E · Potential for harm, repeated	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.
Jun 12, 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 12, 2026	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.
Jun 12, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 12, 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.
Jun 12, 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.
May 23, 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. · from a complaint
May 23, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Mar 9, 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. · from a complaint
Mar 9, 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. · from a complaint
Aug 21, 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. · from a complaint
Aug 21, 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. · from a complaint
Apr 25, 2025	E · Potential for harm, repeated	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.
Feb 14, 2025	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. · from a complaint
Nov 8, 2024	▲ 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
Nov 8, 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
Jul 15, 2024	E · Potential for harm, repeated	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
Jul 15, 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. · from a complaint
Mar 15, 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.
Mar 15, 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.
Mar 15, 2024	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.
Mar 15, 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.
Mar 15, 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.
Mar 15, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 15, 2024	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.
Mar 15, 2024	D · Potential for harm, one-off	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.
Mar 15, 2024	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.
Nov 10, 2023	▲ G · Actual harm, one-off	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
Nov 10, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	1	G ▲
2024	13	1	J ▲
2025	4	0	E
2026	10	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 $20,156, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Nov 8, 2024	Fine	$12,519
Nov 8, 2024	Payment Denial	1 days from Dec 12, 2024
Nov 10, 2023	Fine	$7,637

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)	3.73	3.46	3.95	top 23% in Texas; bottom 48% in the U.S.
Registered Nurse hours	0.67	0.44	0.69	top 11% in Texas; top 39% in the U.S.
Weekend total nurse staffing	3.23	3.04	3.50	top 27% in Texas; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.66	0.34	0.48	top 5% in Texas; top 18% in the U.S.
Total nursing staff turnover (%)	29.2	55.3	45.8	top 5% in Texas; top 13% in the U.S.
RN turnover (%)	28.6	54.6	42.9	top 15% in Texas; top 26% 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 3.56, RN 0.64, weekend 3.09. Staffing rating: 4/5.

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

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Guadalupe County Hospital Board	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2023
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	08/19/2019
Fiazuddin, Faraz	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/30/2023
Fiazuddin, Faraz	Individual	Operational/Managerial Control	NOT APPLICABLE	03/30/2023
Fiazuddin, Faraz	Individual	ADP of the SNF	NOT APPLICABLE	03/30/2023
Gann, Kody	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023
Hoyler, Jerry	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2023
Hoyler, Jerry	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Hoyler, Jerry	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Sage Terrace Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Sage Terrace Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/06/2025
Standard Bearer Healthcare Op, LP	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023

Questions to ask on your visit

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

"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 you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How do you keep residents' medical records accurate, complete, and secure?"
"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 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
Windemere at Westover Hills	1.1 mi	San Antonio, TX	★★☆☆☆	3/5
Las Colinas of Westover	1.3 mi	San Antonio, TX	★★☆☆☆	2/5
Lakeside Nursing and Rehabilitation Center	1.8 mi	San Antonio, TX	★★★★★	4/5
Silver Creek Nursing and Rehabilitation	2.9 mi	San Antonio, TX	★★★☆☆	4/5
Legend Oaks Healthcare and Rehabilitation - West S	3.7 mi	San Antonio, TX	★★★☆☆	3/5
The Mission at Blue Skies of Texas East	4.9 mi	San Antonio, TX	★★★★★	4/5
Mystic Park Nursing and Rehabilitation Center	5.6 mi	San Antonio, TX	★★★☆☆	2/5
Inspiration Hills Rehabilitation Center	6.5 mi	San Antonio, TX	★★★☆☆	3/5
Mesa Vista Inn Health Center	6.6 mi	San Antonio, TX	★☆☆☆☆	2/5
Avir at San Knoll	6.6 mi	San Antonio, TX	★☆☆☆☆	1/5
Huebner Creek Health & Rehabilitation Center	6.6 mi	San Antonio, TX	★☆☆☆☆	2/5
Ignite Medical Resort San Antonio, LLC	6.7 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 676281.

The Care File

Visit checklist — Westover Hills Rehabilitation and Healthcare

9922 State Hwy. 151, San Antonio, TX 78251 · 2105462273

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $20,156

Most serious findings on record:

▲ Nov 8, 2024 (F-0684, 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.
▲ Nov 10, 2023 (F-0689, Actual harm, one-off): 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 you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "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 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 676281 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)