Overview

Address
3838 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222
Phone
2105812273
Certified beds
124
Avg daily residents
101 (82% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2010-04-14
Setting
Urban
2 /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.
2/5
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.
2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 3/5

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
3.43 4.04 3.27 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.37 0.71 0.35 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.09 0.90 1.04
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.97 2.44 1.88
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.46
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.17

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)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
2.74
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
38.5%
annual
RN turnover
30.0%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.43
higher acuity than avg
Case-Mix Index Ratio
1.04
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) 2024-10-31 13 9 12 88 1 88
Cycle 2/3 (prior) 2023-09-15 16 5 11 326 1 326
Total weighted health score
147.5
lower is better
Infection-control citations
10
last cycle

Deficiencies (33)

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).

2 A/B/C No actual harm — minor
27 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
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2025-11-24 2025-11-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-07-07 2025-07-07
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 2025-05-09 2025-06-04
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-05-09 2025-06-04
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-02-15 2025-03-07
0880 Provide and implement an infection prevention and control program. E 2024-10-31 2024-11-22
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-10-31 2024-11-22
0583 Keep residents' personal and medical records private and confidential. D 2024-10-31 2024-11-22
0641 Ensure each resident receives an accurate assessment. D 2024-10-31 2024-11-22
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-10-31 2024-11-22
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2024-10-31 2024-11-22
0814 Dispose of garbage and refuse properly. C 2024-10-31 2024-11-22
0837 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F 2024-10-31 2024-11-22
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2024-10-31 2024-11-22
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2023-09-15 2023-09-22
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2023-09-15 2023-09-22
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted E 2023-09-15 2023-09-22
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2023-09-15 2023-09-22
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-09-15 2023-09-22
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. K 2023-04-19 2023-05-25
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. K 2023-04-19 2023-05-25
0610 Respond appropriately to all alleged violations. E 2023-04-19 2023-05-25
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-04-19 2023-05-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-04-19 2023-05-25
0732 Post nurse staffing information every day. B 2023-04-19 2023-05-25
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 2023-04-19 2023-05-25
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-04-19 2023-05-25
0849 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. D 2023-04-19 2023-05-25
0880 Provide and implement an infection prevention and control program. D 2023-04-19 2023-05-25
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2022-07-22 2022-07-28
0700 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. E 2022-07-22 2022-07-25
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2022-07-22 2022-07-25
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2022-07-22 2022-07-25

Penalties (1)

Fines issued
1
last 3 years
Total fines
$184,142
Date Type Fine amount
2023-04-19 Fine $184,142

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 8.6% Medicaid 70.3% Other 21.1%

Operating performance

Operating Margin
3.3%
Total Margin
3.3%
Occupancy Rate
73.8%
Cost per Resident Day
$67

Revenue & costs

Net Patient Revenue
$10.9M
Total Costs
$2.2M
Net Income
$363K

Balance sheet

Total Assets
$4.9M
Total Liabilities
$855K
Fund Balance
$4.1M
Current Ratio
5.57

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

Ownership & Corporate Structure

Chain: THE ENSIGN GROUP

Chain ID
507
Facilities in chain
329
Legal business name
CALAVARAS CREEK HEALTHCARE LLC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.7
QM
4.3

Owner / manager organizations (2)

Organization Role Association
KEYSTONE CARE LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/19/2019
THE ENSIGN GROUP INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/19/2019

Owner / manager individuals (15)

Name Role Association
WINTERS, TESHA OPERATIONAL/MANAGERIAL CONTROL since 11/01/2019
ABBOTT, SWATI CORPORATE DIRECTOR since 01/01/2020
AGWUNOBI, JOHN CORPORATE DIRECTOR since 01/01/2023
BLOUIN, ANN CORPORATE DIRECTOR since 11/28/2018
CHRISTENSEN, CHRISTOPHER CORPORATE DIRECTOR since 11/01/2014
PARKINSON, MARK CORPORATE DIRECTOR since 10/01/2024
SHAW, DAREN CORPORATE DIRECTOR since 03/01/2012
SMITH, BARRY CORPORATE DIRECTOR since 06/01/2014
ASHTON, ANDREW CORPORATE OFFICER since 08/19/2019
BURNAM, SOON CORPORATE OFFICER since 08/19/2019
BURTON, SPENCER CORPORATE OFFICER since 05/30/2015
KEETCH, CHAD CORPORATE OFFICER since 11/01/2019
PORT, BARRY CORPORATE OFFICER since 11/01/2019
SNAPPER, SUZANNE CORPORATE OFFICER since 09/07/1973
WITTEKIND, BEVERLY CORPORATE OFFICER since 09/29/2008

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 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $67 metrics.cost_per_resident_day
Cost Report Current Ratio 5.57 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 70.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 8.6% metrics.medicare_day_share
Cost Report Net Income ($) $362,824 metrics.net_income
Cost Report Net Patient Revenue ($) $10,886,363 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 73.8% metrics.occupancy_rate
Cost Report Operating Margin (%) 3.3% metrics.operating_margin
Cost Report Total Assets ($) $4,912,468 metrics.total_assets
Cost Report Total Costs ($) $2,243,599 metrics.total_costs
Cost Report Total Fund Balances ($) $4,056,974 metrics.fund_balance
Cost Report Total Liabilities ($) $855,494 metrics.total_liabilities
Cost Report Total Margin (%) 3.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.04038 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.88016 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.34991 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.27045 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.73658 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 101.3 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 0.89758 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.43943 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.70749 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.04450 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.56480 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.7 Chain Average Staffing Rating
Provider Information Chain ID 507 Chain ID
Provider Information Chain Name THE ENSIGN GROUP Chain Name
Provider Information City/Town SAN ANTONIO City/Town
Provider Information CMS Certification Number (CCN) 676250 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 2010-04-14 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 29.3747 Latitude
Provider Information Legal Business Name CALAVARAS CREEK HEALTHCARE LLC Legal Business Name
Provider Information Location 3838 E SOUTHCROSS BLVD,SAN ANTONIO,TX,78222 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -98.421 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 124 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 10 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 329 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.43279 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.04002 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company 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 3838 E SOUTHCROSS BLVD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name PECAN VALLEY REHABILITATION AND HEALTHCARE 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 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 88 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 12 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 9 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-10-31 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 88 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 13 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 5 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-09-15 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 326 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 11 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 326 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 16 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.35202 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 30.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.45639 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.08985 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.96956 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.17055 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.36654 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 3.42595 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 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 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 2105812273 Telephone Number
Provider Information Total Amount of Fines in Dollars 184142.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.86669 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 38.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 147.500 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 78222 ZIP Code