Texas city guide

Nursing Homes in San Antonio, Texas

San Antonio has 58 nursing homes rated by ProximCares. The average score is 53.2 out of 100. 31% of facilities have no recent financial penalties.

Total Facilities: 58Average Score: 53.2Data last updated: May 2026
Average Score53Poor
Average ProximCares Score
53.2
Out of 100 across rated facilities
Total Facilities
58
CMS-rated nursing homes in San Antonio
Facilities With No Penalties
18
31% of San Antonio facilities
Average RN Hours
0.38
Texas average: 0.00

Highest Rated Nursing Homes in San Antonio

SAN ANTONIO, TX
▲ +3.2
For profit - Limited Liability company
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
88Excellent
QualityProximCares independent quality score based on CMS inspection and complaint data
82.3
Good
AccessPharmacy access score based on distance to nearest pharmacy
100
Excellent
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★★
Official rating by CMS.gov
SAN ANTONIO, TX
-1.4
Non profit - Corporation
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
86Excellent
QualityProximCares independent quality score based on CMS inspection and complaint data
89.1
Excellent
AccessPharmacy access score based on distance to nearest pharmacy
80
Good
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★★
Official rating by CMS.gov
SAN ANTONIO, TX
▲ +1.4
For profit - Corporation
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
86Excellent
QualityProximCares independent quality score based on CMS inspection and complaint data
80.1
Good
AccessPharmacy access score based on distance to nearest pharmacy
100
Excellent
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★★
Official rating by CMS.gov
SAN ANTONIO, TX
-3.8
For profit - Individual
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
82Good
QualityProximCares independent quality score based on CMS inspection and complaint data
83.5
Good
AccessPharmacy access score based on distance to nearest pharmacy
80
Good
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★★
Official rating by CMS.gov
SAN ANTONIO, TX
-10.8
For profit - Corporation
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
80Good
QualityProximCares independent quality score based on CMS inspection and complaint data
71.4
Good
AccessPharmacy access score based on distance to nearest pharmacy
100
Excellent
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★☆
Official rating by CMS.gov
SAN ANTONIO, TX
-2.8
Non profit - Corporation
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
78Good
QualityProximCares independent quality score based on CMS inspection and complaint data
77.1
Good
AccessPharmacy access score based on distance to nearest pharmacy
80
Good
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★☆
Official rating by CMS.gov
SAN ANTONIO, TX
▲ +11.1
Non profit - Corporation
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
77Good
QualityProximCares independent quality score based on CMS inspection and complaint data
84
Good
AccessPharmacy access score based on distance to nearest pharmacy
60
Below Average
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★★
Official rating by CMS.gov
SAN ANTONIO, TX
-7.6
Government - Hospital district
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
77Good
QualityProximCares independent quality score based on CMS inspection and complaint data
66.7
Below Average
AccessPharmacy access score based on distance to nearest pharmacy
100
Excellent
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★☆
Official rating by CMS.gov
SAN ANTONIO, TX
-8.1
Government - Hospital district
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
75Good
QualityProximCares independent quality score based on CMS inspection and complaint data
81.7
Good
AccessPharmacy access score based on distance to nearest pharmacy
60
Below Average
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★★
Official rating by CMS.gov
SAN ANTONIO, TX
▲ +3.1
For profit - Limited Liability company
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
72Good
QualityProximCares independent quality score based on CMS inspection and complaint data
69.1
Below Average
AccessPharmacy access score based on distance to nearest pharmacy
80
Good
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★☆
Official rating by CMS.gov

Facilities With No Recent Financial Penalties in San Antonio

SAN ANTONIO, TX
-3.3
Non profit - Corporation
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
71Good
QualityProximCares independent quality score based on CMS inspection and complaint data
75.1
Good
AccessPharmacy access score based on distance to nearest pharmacy
60
Below Average
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★★☆
Official rating by CMS.gov
SAN ANTONIO, TX
-10.1
Non profit - Corporation
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
68Below Average
QualityProximCares independent quality score based on CMS inspection and complaint data
53.9
Poor
AccessPharmacy access score based on distance to nearest pharmacy
100
Excellent
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★☆☆☆
Official rating by CMS.gov
SAN ANTONIO, TX
-2.8
For profit - Corporation
ProximCares ScoreIndependent score calculated by ProximCares using federal inspection, complaint, staffing, and pharmacy access data
64Below Average
QualityProximCares independent quality score based on CMS inspection and complaint data
47.9
Poor
AccessPharmacy access score based on distance to nearest pharmacy
100
Excellent
CMS StarsOfficial star rating published by CMS.gov — updated quarterly
★★★☆☆
Official rating by CMS.gov

Nursing Home Quality Insights for San Antonio

Staffing

Average RN staffing is 0.38 hours per resident day in San Antonio, compared with the Texas average of 0.00.

Penalties

18 facilities have no recent financial penalties, while 40 facilities (69%) have at least one penalty on record.

Ownership

43 facilities are for-profit, the largest ownership group in this city.

Complaints

Facilities in San Antonio average 17.9 verified complaints per facility in the current CMS dataset.

Frequently Asked Questions

How are ProximCares scores calculated?

Scores combine CMS inspection, complaint, staffing, quality measure, penalty, and pharmacy access data into a 0-100 rating for comparison.

What do financial penalties mean for a nursing home?

Financial penalties are enforcement actions from CMS when a facility fails to meet federal care standards. They should be reviewed alongside citations, complaints, and staffing data.

What staffing levels should I look for?

Compare RN hours per resident day against the Texas average and review whether staffing patterns are consistent with the facility's overall rating and inspection history.

How often is this data updated?

ProximCares uses the latest loaded CMS nursing home dataset. This site currently reflects the May 2026 CMS data release.

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