Trucare Living Centers - Selma
Selma · 3.1 mi · 128 beds
Citations0Substantiated0
San Antonio Wellness & Rehabilitation
ONE HEARTLAND DR, San Antonio, TX, 78247
Nursing home154 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 12 deficiencies against San Antonio Wellness & Rehabilitation in San Antonio, Texas at its most recent standard inspection on 2024-11-08, 7 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $104,627. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
154certified beds
12deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $104,627
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.46
Potential for minimal harmThe least serious band.0
Most recentDDDDDDDEEDDDDEDDDDDK
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2026-01-16 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies · F0559 · 2025-09-11 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0603 · 2025-09-11 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-09-11 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-07-02 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-07-02 · from a complaint · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-07-02 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-11-08 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-11-08 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-11-08 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · F0585 · 2024-11-08 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2024-11-08 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-10-18 · from a complaint · No actual harm, potential for more than minimal harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · F0791 · 2024-01-16 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-01-16 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-01-16 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2024-01-16 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · F0726 · 2024-01-16 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-01-16 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2023-12-03 · from a complaint · Immediate jeopardy to resident health or safety
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.45044
Nursing staff turnoverShare of nursing staff who left in a year35.4%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$104,627
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns San Antonio Wellness & Rehabilitation
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| FRIO HOSPITAL DISTRICT | Organization | 100% | since 01/01/2024 |
| RUFF, MICHAEL | Individual | NOT APPLICABLE | since 01/01/2024 |
| HEARTLAND POST ACUTE LLC | Organization | NOT APPLICABLE | since 01/01/2024 |
| GARETZ, DAVID | Individual | NOT APPLICABLE | since 01/01/2024 |
| GURWITZ, SOLOMON | Individual | NOT APPLICABLE | since 06/25/2025 |
| HAGINS, ELIZABETH | Individual | NOT APPLICABLE | since 03/31/2025 |
| KAPLAN, ESTHER | Individual | NOT APPLICABLE | since 06/25/2025 |
| KAPLAN, MORDECHAI | Individual | NOT APPLICABLE | since 03/31/2025 |
| MINDLE, ADAM | Individual | NOT APPLICABLE | since 06/25/2025 |
| UNGER, JEFFREY | Individual | NOT APPLICABLE | since 06/25/2025 |
| 1 HEARTLAND DRIVE TX, LLC | Organization | NOT APPLICABLE | since 01/01/2024 |
| CONTINUUM REHAB GROUP LLC | Organization | NOT APPLICABLE | since 01/01/2024 |
Part of the OPCO SKILLED MANAGEMENT group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Advanced Rehabilitation & Healthcare of Live Oak
Live Oak · 3.8 mi · 123 beds
Citations0Substantiated0
Avir at Converse
Converse · 4.4 mi · 100 beds
Citations0Substantiated0
Windcrest Nursing and Rehabilitation
Windcrest · 4.7 mi · 180 beds
Citations0Substantiated0
Crestway Nursing & Rehabilitation
San Antonio · 4.9 mi · 120 beds
Citations0Substantiated0
The Army Residence Community Health Care Center
San Antonio · 4.9 mi · 91 beds
Citations0Substantiated0
Contact
Ask San Antonio Wellness & Rehabilitation a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 455762.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction