Nursing home · SNF / NF

Las Colinas of Westover

Federal · CMSActive CMS certificationCCN 676328For profit CMS overall

9738 Westover Hills Blvd, San Antonio, TX 78251 · Operated by Medina County Hospital District · Chain Caring Healthcare Group

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

140

Avg residents / day

108

Inspections

Citations

Harm-level

Fines

$39k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 140 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: 108.0 CMS, MDS-derived
CMS Certification Number: 676328
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 12, 2013
Ownership type: For profit - Corporation
Operator (legal business name): Medina County Hospital District
CMS chain: Caring Healthcare Group 14 facilities
Phone: (210) 305-5730
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Dec 5, 2025

Citations

39 health · 6 fire

Harm or worse

4 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J4	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E21	F2
Minimal	A·	B·	C·

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

$38,630

Payment denials

Latest

Aug 6, 2024

Date	Domain	Survey types	Citations	Most severe	Open
Dec 5, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 3, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Dec 3, 2025	Health	Health Standard	12	Potential harm	—	Open →
Nov 25, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Sep 27, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Sep 27, 2024	Health	Health Standard	11	Potential harm	—	Open →
Aug 6, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Apr 30, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Dec 23, 2023	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Dec 11, 2023	Health	Health Complaint, Infection Control	3	Potential harm	—	Open →
Jul 31, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 31, 2023	Health	Health Standard	5	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.

Date	Type	Amount	Payment denial	Record
Aug 6, 2024	Civil money penalty (fine)	$25,233	—	676328\|Fine\|113163
Dec 11, 2023	Civil money penalty (fine)	$13,397	—	676328\|Fine\|112054

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J4	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E21	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Dec 5, 2025	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 Dec 6, 2025	Complaint
Dec 3, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 4, 2025
Dec 3, 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	E · Potential harm Pattern	Corrected Dec 4, 2025
Dec 3, 2025	K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 4, 2025
Dec 3, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 4, 2025
Dec 3, 2025	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 Dec 4, 2025
Dec 3, 2025	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 Dec 4, 2025
Dec 3, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 4, 2025
Dec 3, 2025	F-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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 4, 2025
Dec 3, 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 Dec 4, 2025
Dec 3, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 4, 2025
Dec 3, 2025	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	D · Potential harm Isolated	Corrected Dec 4, 2025
Dec 3, 2025	F-0940	Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Dec 4, 2025
Dec 3, 2025	F-0941	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Dec 4, 2025
Dec 3, 2025	F-0944	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Dec 4, 2025
Dec 3, 2025	F-0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Dec 4, 2025
Nov 25, 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 Nov 26, 2025	Complaint
Nov 25, 2025	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 Dec 22, 2025	Complaint
Sep 27, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 8, 2024
Sep 27, 2024	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	E · Potential harm Pattern	Corrected Oct 8, 2024
Sep 27, 2024	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 8, 2024
Sep 27, 2024	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 Oct 8, 2024
Sep 27, 2024	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 8, 2024
Sep 27, 2024	F-0687	Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 8, 2024
Sep 27, 2024	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 Oct 8, 2024
Sep 27, 2024	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 Oct 8, 2024
Sep 27, 2024	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	D · Potential harm Isolated	Corrected Oct 8, 2024
Sep 27, 2024	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 Oct 8, 2024
Sep 27, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Oct 8, 2024
Sep 27, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 8, 2024
Aug 6, 2024	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	J · Immediate jeopardy Isolated	Corrected Aug 22, 2024	Complaint
Aug 6, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	J · Immediate jeopardy Isolated	Corrected Aug 22, 2024	Complaint
Apr 30, 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 May 23, 2024	Complaint
Dec 23, 2023	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Dec 24, 2023	Complaint
Dec 23, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Dec 24, 2023	Complaint
Dec 11, 2023	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 12, 2023	ComplaintInfection control
Dec 11, 2023	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 Dec 12, 2023	ComplaintInfection control
Dec 11, 2023	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	D · Potential harm Isolated	Corrected Dec 12, 2023	ComplaintInfection control
Jul 31, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 6, 2023
Jul 31, 2023	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	E · Potential harm Pattern	Corrected Aug 6, 2023
Jul 31, 2023	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	F · Potential harm Widespread	Corrected Aug 1, 2023
Jul 31, 2023	F-0839	Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Aug 1, 2023
Jul 31, 2023	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 Aug 1, 2023
Jul 31, 2023	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	E · Potential harm Pattern	Corrected Aug 15, 2023
Jul 31, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 8, 2023

“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.

Operating entity

Medina County Hospital District

CMS legal business name of the certified provider. Operates 7 facilities.

VerifiedLinked by exact legal name

CMS chain

Caring Healthcare Group

14 facilities in 1 states. CMS chain ID 113.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Medina County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 31, 2017

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.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Medina County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 31, 2017
Las Colinas SNF LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2017
Billie Bell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 3, 2023
Lori Carter Krieger	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 20, 2020
William Bain	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 23, 2011
Billie Bell	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 3, 2023
Kevin Frosch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2010
Timothy Hardt	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 23, 2011
Tony Johnson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 26, 2012
Zachary Windrow	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 26, 2012
Judy Winkler	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2004
Carlton Young	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2006
Billie Bell	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jun 3, 2023
Kevin Frosch	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Feb 1, 2010

Other facilities operated by Medina County Hospital District

All 6 →

Facility	Beds	Last inspection	Citations (window)	Fines
Windcrest Nursing and Rehabilitation 8800 Fourwinds Dr., Windcrest, TX 78239 CCN 455533	180	Aug 14, 2025	445 IJ	$199k
Community Care Center of Hondo 2001 Ave E, Hondo, TX 78861 CCN 455676	75	Sep 12, 2025	373 IJ	$19k
Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796	126	Jul 31, 2026	763 IJ	$151k
Guadalupe Valley Nursing and Rehabilitation Center 1210 Eastwood Dr, Seguin, TX 78155 CCN 455869	148	Jun 30, 2026	62	$60k
Medina Valley Health & Rehabilitation Center 913 Hwy 90 W, Castroville, TX 78009 CCN 675974	116	Feb 27, 2026	54	—
Cibolo Creek 1440 River Rd, Boerne, TX 78006 CCN 676240	120	Sep 5, 2025	334 IJ	$14k

Same chain in Texas

All 13 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
The Palms Nursing & Rehabilitation 5607 Everhart Rd, Corpus Christi, TX 78411 CCN 455557	204	Jun 9, 2026	863 IJ1 harm	$69k
Marshall Manor Nursing & Rehabilitation Center 1007 S Washington Ave, Marshall, TX 75670 CCN 455646	179	Jul 29, 2026	31	—
Oak Brook Health Care Center 107 Stacy Dr., Whitehouse, TX 75791 CCN 455753	120	Jun 17, 2026	24	—
Marshall Manor West 207 W Merritt St, Marshall, TX 75670 CCN 455879	118	Feb 4, 2026	391 IJ1 harm2 open	$14k
Bluebonnet Rehab at Ennis 2300 South Oak Grove Rd, Ennis, TX 75119 CCN 675150	136	Aug 20, 2026	311 harm	$13k
Golden Villa 1104 S William St, Atlanta, TX 75551 CCN 675490	120	Aug 20, 2026	402 IJ	$122k
Highland Park Rehabilitation & Nursing Center 8861 Fulton St, Houston, TX 77022 CCN 675493	120	Jun 27, 2025	302 IJ	$40k
Rose Haven Retreat 200 Live Oak St, Atlanta, TX 75551 CCN 675603	108	Jun 17, 2026	321 IJ	$8,281

Coordinates as published by CMS.

Address: 9738 Westover Hills Blvd, San Antonio, TX 78251
ZIP: 78251
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
Windemere at Westover Hills 11106 Christus Hills, San Antonio, TX 78251 CCN 676402	1.4 km	112	Dec 19, 2025	282 IJ	$8,281
Westover Hills Rehabilitation and Healthcare 9922 State Hwy. 151, San Antonio, TX 78251 CCN 676281	2.1 km	124	Jun 12, 2026	321 IJ1 harm	$20k
Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652	3 km	120	Jul 2, 2025	28	—
Lakeside Nursing and Rehabilitation Center 8707 Lakeside Parkway, San Antonio, TX 78245 CCN 676325	4.5 km	118	Jun 5, 2026	233 IJ	$15k
Mystic Park Nursing and Rehabilitation Center 8503 Mystic Park, San Antonio, TX 78254 CCN 676012	7.2 km	119	Jul 2, 2026	362 IJ	$111k
Legend Oaks Healthcare and Rehabilitation - West S 222 Bertetti Dr, San Antonio, TX 78227 CCN 676312	7.9 km	124	Jun 12, 2026	231 IJ	$8,632
Huebner Creek Health & Rehabilitation Center 8306 Huebner Rd, San Antonio, TX 78240 CCN 676136	9.2 km	146	Jun 4, 2026	641 IJ	$14k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	9.4 km	144	Jul 2, 2026	531 IJ	$8,160

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676328	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676328	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 676328

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

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Las Colinas of Westover

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Medina County Hospital District

Same chain in Texas

Nearby nursing homes

Las Colinas of Westover

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Medina County Hospital District

Same chain in Texas

Nearby nursing homes