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Top 10 Worst Nursing Homes in San Antonio, Texas

Top 10 of 58 nursing homes in San Antonio, Texas, ranked using our review score, based on Medicare warnings, ratings, inspection problems, and fines. See statewide Top 10.

  1. 1.Buena Vida Nursing and Rehab-San AntonioMedicare rating: 1 out of 5 · 49 inspection problems
    Medicare abuse warningSFF Candidate
  2. 2.Normandy Terrace Nursing & Rehabilitation CenterMedicare rating: 1 out of 5 · 50 inspection problems
    Medicare abuse warning
  3. 3.River City Care CenterMedicare rating: 1 out of 5 · 37 inspection problems
    Medicare abuse warning
  4. 4.San Antonio West Nursing and RehabilitationMedicare rating: 1 out of 5 · 73 inspection problems
  5. 5.Harbor Valley Health and RehabilitationMedicare rating: 2 out of 5 · 40 inspection problems
    Medicare abuse warning
  6. 6.Castle Hills Rehabilitation and Care CenterMedicare rating: 1 out of 5 · 67 inspection problems
  7. 7.Patriot Heights Health Care CenterMedicare rating: 2 out of 5 · 25 inspection problems
    Medicare abuse warning
  8. 8.Crestway Nursing & RehabilitationMedicare rating: 1 out of 5 · 65 inspection problems
  9. 9.The Lev at San AntonioMedicare rating: 1 out of 5 · 40 inspection problems
  10. 10.Memorial Medical Nursing and RehabilitationMedicare rating: 1 out of 5 · 57 inspection problems

What the records show for San Antonio ranking

Homes with a CMS overall rating
10 of 10
Homes rated 1 or 2 stars
10
Homes with a CMS abuse warning
5

Medicare file dates: Aug 1, 2026. These dates are not the dates of individual inspections.

Counts describe the homes in this displayed list, not every nursing home or every care incident. A missing rating or warning is not a clean bill of health. Sources and limitations.

Local records to explore

These examples come from the list above. File dates are not inspection dates; open a report for the dated findings.

Does being on this list prove a nursing home is unsafe?

No. This list uses an editorial score built from public Medicare ratings, warnings, inspection problems, and fines. It is a starting point for reviewing records, not a finding about any individual resident’s care. Open each facility report and check the inspection dates and severity.

How we explain and rank public records · Records request guide

What to do about a care concern in San Antonio, Texas

Write down the facility name, dates, what you observed, and who you contacted. Keep medical records and the dated inspection findings together. Public inspection history provides context; it does not establish what happened to an individual resident.

Call 911 for an emergency. A regulatory complaint and an optional free case review serve different purposes. Nursing Home Reporter is not a law firm.

Resource links checked October 10, 2026. Confirm current instructions on the agency’s website.

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