Yes. Federal inspectors cited 15 deficiencies against San Jose Nursing Center in San Antonio, Texas at its most recent standard inspection on 2025-04-11, 1 of them arising from complaints. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
55certified beds
15deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
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.0
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.29
Potential for minimal harmThe least serious band.3
Most recent
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.
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 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · F0700 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · F0758 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · F0803 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
E
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 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
E
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · F0584 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
D
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 · 2025-04-11 · standard survey · No actual harm, potential for more than minimal harm
D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration Deficiencies · F0849 · 2025-04-11 · from a complaint · No actual harm, potential for more than minimal harm
D
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · F0912 · 2025-04-11 · standard survey · No actual harm, potential for minimal harm
B
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2025-01-30 · from a complaint · No actual harm, potential for more than minimal harm
D
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Nursing and Physician Services Deficiencies · F0729 · 2025-01-30 · from a complaint · No actual harm, potential for more than minimal harm
D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0943 · 2025-01-30 · from a complaint · No actual harm, potential for more than minimal harm
D
Maintain 15 months of resident assessments in the resident's active clinical record.
Resident Assessment and Care Planning Deficiencies · F0639 · 2024-03-08 · standard survey · No actual harm, potential for more than minimal harm
E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2024-03-08 · standard survey · No actual harm, potential for more than minimal harm
E
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 below3 of 5
Health inspectionBased on the last three inspection cycles3 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 CMS3.16015
Nursing staff turnoverShare of nursing staff who left in a year33.3%
Nearby
Other licensed providers within six miles
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 45E312. Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction