SNF

WURZBACH NURSING AND REHABILITATION

CCN: 455824 · SAN ANTONIO, TX 78229 · Bexar County

Overview

Address
8300 WURZBACH RD, SAN ANTONIO, TX 78229
Phone
2106172200
Certified beds
140
Avg daily residents
83 (59% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1989-06-02
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.07 3.42 3.46 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.23 0.60 0.26 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.98 0.76 1.11 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.85 2.07 2.09 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.22 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.00 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.87
hrs / resident / day
RN (weekend)
0.37
hrs / resident / day
Total nurse (adjusted, weekend)
3.23
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
64.0%
annual
RN turnover
71.4%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.21
higher acuity than avg
Case-Mix Index Ratio
0.88
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-06-13 24 19 5 128 1 128
Cycle 2/3 (prior) 2024-04-26 25 11 16 196 1 196
Total weighted health score
145.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (56)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

52 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-06-13 2025-06-14
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-06-13 2025-06-14
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2025-06-13 2025-06-14
0692 Provide enough food/fluids to maintain a resident's health. D 2025-06-13 2025-06-14
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-06-13 2025-06-14
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-06-13 2025-06-14
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2025-06-13 2025-06-14
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-06-13 2025-06-14
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-06-13 2025-06-14
0880 Provide and implement an infection prevention and control program. E 2025-06-13 2025-06-14
0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members. D 2025-06-13 2025-06-14
0941 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. D 2025-06-13 2025-06-14
0942 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. D 2025-06-13 2025-06-14
0943 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. D 2025-06-13 2025-06-14
0944 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. D 2025-06-13 2025-06-14
0945 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. D 2025-06-13 2025-06-14
0946 Provide training in compliance and ethics. D 2025-06-13 2025-06-14
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. D 2025-06-13 2025-06-14
0949 Provide behavior health training consistent with the requirements and as determined by a facility assessment. D 2025-06-13 2025-06-14
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-05-16 2025-05-17
0602 Protect each resident from the wrongful use of the resident's belongings or money. D 2025-03-09 2025-03-17
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-03-09 2025-03-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-03-09 2024-09-26
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-03-09 2025-03-17
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2024-12-06 2024-12-10
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-09-26 2024-10-18
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2024-09-26 2024-10-18
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-09-12 2024-09-16
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-04-26 2024-05-31
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. D 2024-04-26 2024-05-31
0641 Ensure each resident receives an accurate assessment. D 2024-04-26 2024-05-31
0661 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. D 2024-04-26 2024-05-31
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-04-26 2024-05-31
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-04-26 2024-05-31
0760 Ensure that residents are free from significant medication errors. E 2024-04-26 2024-05-31
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. E 2024-04-26 2024-05-31
0880 Provide and implement an infection prevention and control program. D 2024-04-26 2024-05-31
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-04-26 2024-05-31
0610 Respond appropriately to all alleged violations. D 2024-04-26 2024-05-31
0558 Reasonably accommodate the needs and preferences of each resident. E 2024-04-16 2024-04-17
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2024-04-16 2024-04-17
0880 Provide and implement an infection prevention and control program. E 2024-03-14 2024-03-15
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-12-01 2023-12-26
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2023-12-01 2023-12-26
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2023-12-01 2023-12-01
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2023-12-01 2023-05-28
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. J 2023-10-26 2023-10-25
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2023-03-03 2023-04-22
0585 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. E 2023-03-03 2023-04-22
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-03-03 2023-04-22

Showing 50 most recent of 56. See the All Data CSV for the full list.

Penalties (3)

Fines issued
3
last 3 years
Total fines
$34,945
Date Type Fine amount
2023-12-01 Fine $9,315
2025-03-09 Fine $10,361
2023-10-26 Fine $15,269

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.4% Medicaid 66.4% Other 30.2%

Operating performance

Operating Margin
-5.0%
Total Margin
2.2%
Occupancy Rate
62.0%

Revenue & costs

Net Patient Revenue
$7.1M
Total Costs
$588K
Net Income
$167K

Balance sheet

Total Assets
$3.4M
Total Liabilities
$1.1M
Fund Balance
$2.3M
Current Ratio
2.71

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CARADAY HEALTHCARE

Chain ID
103
Facilities in chain
9
Legal business name
CARADAY WURZBACH LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.8
Staffing
1.6
QM
3.7

Owner / manager organizations (8)

Organization Role Association
CARADAY HEALTHCARE, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2020
CARA CAPITAL LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
CARADAY HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
DAYBACH INVESTMENTS, LP 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
E&R CUNNINGHAM INVESTMENTS LP 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
TALA INVESTMENTS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
YSMLC HOLDINGS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
GRANITE WURZBACH, LLC 5% OR GREATER MORTGAGE INTEREST since 01/01/2020

Owner / manager individuals (7)

Name Role Association
CHOI, MARYANN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
CHOI, ROBERT 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
O'DONOGHUE-STALLARD, MAIRE 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
STALLARD, THOMAS 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
WOOD, STEPHEN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2020
MOORE, GREGORY OPERATIONAL/MANAGERIAL CONTROL since 01/01/2020
MOORE, GREGORY CORPORATE OFFICER since 01/01/2020

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 2.71 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 66.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.4% metrics.medicare_day_share
Cost Report Net Income ($) $166,886 metrics.net_income
Cost Report Net Patient Revenue ($) $7,124,265 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 62.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -5.0% metrics.operating_margin
Cost Report Total Assets ($) $3,408,670 metrics.total_assets
Cost Report Total Costs ($) $587,563 metrics.total_costs
Cost Report Total Fund Balances ($) $2,260,426 metrics.fund_balance
Cost Report Total Liabilities ($) $1,148,244 metrics.total_liabilities
Cost Report Total Margin (%) 2.2% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.10898 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.08933 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.26331 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.46162 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.23278 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 82.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.76000 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.06550 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.59904 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.42455 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.01838 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.8 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.6 Chain Average Staffing Rating
Provider Information Chain ID 103 Chain ID
Provider Information Chain Name CARADAY HEALTHCARE Chain Name
Provider Information City/Town SAN ANTONIO City/Town
Provider Information CMS Certification Number (CCN) 455824 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Bexar County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1989-06-02 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 29.517 Latitude
Provider Information Legal Business Name CARADAY WURZBACH LLC Legal Business Name
Provider Information Location 8300 WURZBACH RD,SAN ANTONIO,TX,78229 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -98.576 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 140 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 9 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.21316 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.88060 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 8300 WURZBACH RD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WURZBACH NURSING AND REHABILITATION Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 130 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 128 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 5 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 19 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 128 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 24 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 11 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-04-26 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 196 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 16 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 196 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 25 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.37284 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 71.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.21719 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.98364 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.85318 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00000 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.23355 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.07037 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 2106172200 Telephone Number
Provider Information Total Amount of Fines in Dollars 34945.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.86740 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 64.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 145.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 78229 ZIP Code