San Jose Nursing Center — nursing home in San Antonio, TX

Facility type: Nursing facility · Medicaid only
CMS provider type: Medicaid
Certified beds: 54 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 36.7 CMS, MDS-derived
CMS Certification Number: 45E312
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 31, 1974
Ownership type: For profit - Corporation
Operator (legal business name): CMS reports the legal business name as not available.
CMS chain: Not part of a CMS-reported chain
Phone: (210) 924-8136
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Jun 26, 2026

Citations

50

38 health · 12 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D25	E15	F1
Minimal	A·	B3	C6

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 45E312
Program: Medicaid
Medicare (SNF): No
Medicaid (NF): Certified
Certified beds: 54
First approved: Mar 31, 1974
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 26, 2026	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Jun 26, 2026	Health	Health Standard	10	Potential harm	—	Open →
Jun 19, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 11, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Apr 11, 2025	Health	Health Complaint, Health Standard	15	Potential harm	—	Open →
Jan 30, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Mar 8, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 8, 2024	Health	Health Standard	5	Potential harm	—	Open →
Dec 20, 2023	Health	Health Complaint, Infection Control	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D25	E15	F1
Minimal	A·	B3	C6

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 26, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 27, 2026
Jun 26, 2026	K-0331	Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 27, 2026
Jun 26, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 27, 2026
Jun 26, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 27, 2026
Jun 26, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 27, 2026
Jun 26, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 27, 2026
Jun 26, 2026	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jul 27, 2026
Jun 26, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jul 27, 2026
Jun 26, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 27, 2026
Jun 26, 2026	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 27, 2026
Jun 26, 2026	F-0842	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 · Clinical care	E · Potential harm Pattern	Corrected Jul 27, 2026
Jun 26, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 27, 2026
Jun 26, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Past non-compliance May 30, 2025
Jun 26, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Past non-compliance May 30, 2025
Jun 26, 2026	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Jul 27, 2026
Jun 19, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 10, 2026	Complaint
Apr 11, 2025	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 16, 2025
Apr 11, 2025	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 16, 2025
Apr 11, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 16, 2025
Apr 11, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 16, 2025
Apr 11, 2025	F-0584	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 16, 2025
Apr 11, 2025	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 16, 2025
Apr 11, 2025	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 16, 2025
Apr 11, 2025	F-0657	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 · Clinical care	E · Potential harm Pattern	Corrected May 16, 2025
Apr 11, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 16, 2025
Apr 11, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 16, 2025
Apr 11, 2025	F-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. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 16, 2025
Apr 11, 2025	F-0758	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 · Medication management	E · Potential harm Pattern	Corrected May 16, 2025
Apr 11, 2025	F-0803	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 · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 16, 2025
Apr 11, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 16, 2025
Apr 11, 2025	F-0842	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 · Clinical care	D · Potential harm Isolated	Corrected May 16, 2025
Apr 11, 2025	F-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. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected May 16, 2025	Complaint
Apr 11, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted
Apr 11, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted
Apr 11, 2025	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected May 16, 2025
Jan 30, 2025	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 5, 2025	Complaint
Jan 30, 2025	F-0729	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 · Staffing & supervision	D · Potential harm Isolated	Corrected Mar 5, 2025	Complaint
Jan 30, 2025	F-0943	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 5, 2025	Complaint
Mar 8, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 5, 2024
Mar 8, 2024	F-0639	Maintain 15 months of resident assessments in the resident's active clinical record. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 5, 2024
Mar 8, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 5, 2024
Mar 8, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 5, 2024
Mar 8, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 5, 2024
Mar 8, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Mar 8, 2024
Mar 8, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Mar 8, 2024
Mar 8, 2024	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Apr 5, 2024
Dec 20, 2023	F-0622	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 22, 2024	ComplaintInfection control
Dec 20, 2023	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 22, 2024	ComplaintInfection control
Dec 20, 2023	F-0626	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 22, 2024	ComplaintInfection control
Dec 20, 2023	F-0729	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 · Staffing & supervision	D · Potential harm Isolated	Corrected Jan 22, 2024	ComplaintInfection control

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.42

State avg 3.42US avg 3.90

Registered nurse (RN)0.51

State avg 0.44US avg 0.69

Licensed practical nurse0.82

State avg 0.94US avg 0.86

Nurse aide2.09

State avg 2.03US avg 2.35

Weekend total nurse3.03

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.58 (case-mix index 1.33).

Staff turnover

Total nursing staff turnover20.7%

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 26, 2026
Cycle 1 health score: 56
Total weighted score: 68
Infection-control citations: 4

Operating entity

CMS reports the legal business name as not available.

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

0

Organizations

0

Individuals

0

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

No ownership disclosures in the CMS Ownership file for this CCN.

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 406 Sharmain Pl, San Antonio, TX 78221
ZIP: 78221
County: Bexar County FIPS 48029
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Legend Oaks Healthcare and Rehabilitation Center - 2003 W Hutchins Place, San Antonio, TX 78224 CCN 676113	3 km	126	May 15, 2026	37	—
Windsor Mission Oaks 3030 S Roosevelt Ave, San Antonio, TX 78214 CCN 675409	3.2 km	150	Jun 12, 2026	521 IJ	$11k
Avir at San Antonio 50 Briggs Ave., San Antonio, TX 78224 CCN 455713	3.8 km	119	May 8, 2026	512 IJ1 harm	$29k
Hunters Pond Rehabilitation and Healthcare 9903 Hunters Pond, San Antonio, TX 78224 CCN 676331	5 km	128	Aug 19, 2026	463 IJ	$67k
The Rio at Mission Trails 6211 S New Braunfels Avenue, San Antonio, TX 78223 CCN 676297	5.1 km	124	Aug 4, 2026	423 IJ	$154k
San Antonio West Nursing and Rehabilitation 636 Cupples Rd, San Antonio, TX 78237 CCN 675002SFF Candidate	7.1 km	135	Aug 30, 2026	946 IJ1 harm	$365k
Highland Nursing Center 5819 Pecan Valley Dr, San Antonio, TX 78223 CCN 45E341	7.3 km	51	Mar 27, 2026	601 IJ	—
Pecan Valley Rehabilitation and Healthcare 3838 E Southcross Blvd, San Antonio, TX 78222 CCN 676250	8.8 km	124	Apr 29, 2026	301 IJ	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	45E312	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	45E312	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 45E312

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction