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Complaint Investigation

Westover Hills Rehabilitation And Healthcare

May 23, 2026 · San Antonio, TX · 9922 State Hwy. 151
Citations 2
CMS Rating 4/5
Beds 124
Provider ID 676281
Healthcare Facility
Westover Hills Rehabilitation And Healthcare
San Antonio, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

WESTOVER HILLS REHABILITATION AND HEALTHCARE in SAN ANTONIO, TX — inspection on May 23, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

ADL supports complicated by a left knee surgery after a fall she had at home.

The DON stated

treatment.

The DON stated she received a phone call from Resident #1's Representative on or about

stated she discussed the complaint with the Administrator, and they concluded the allegation was without merit as the interviews and record reviews revealed LVN A and LVN B had administered an enema on the evening of 5/17/2026 and neither nurse observed any skin breakdown.

The DON stated the facility would report allegations of ANE with injury within 2 hours and without injury within 24 hrs.

The DON stated the Administrator and herself decided the allegation did not rise to the level of a self-report to the state agency since the allegation had no evidence. A record review of the facility's Abuse, Neglect, Exploitation and Misappropriation Prevention Program policy, dated April 2001, revealed Presidents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. policy interpretation and implementation: .

Identify and investigate all possible incidents of abuse, neglect, mistreatment, poor misappropriation of resident property.

Investigate and report any allegations within time frames required by federal requirements.

676281 05/23/2026

Westover Hills Rehabilitation and Healthcare 9922 State Hwy. 151 San Antonio, TX 78251

During an interview on 5/23/2026 at 2:54 PM Resident #1's family member stated Resident #1 was admitted to the facility after surgery to her leg and hospitalization. Resident #1's family member stated Resident #1 was discharged from the hospital and admitted to the nursing home and lived there for maybe a week. Resident #1's family member stated he and Resident #1's family visited often and had observed no one would assist Resident #1 reposition and or provide incontinent care and many times the family would intervene and insist the staff provide care. Resident #1's family member stated he learned that on 5/18/2026 Resident #1 was sent to the hospital for an infection. Resident #1's family member stated he was given a report on 5/21/2026, by the hospital nurses that Resident #1 had an ulcer to her backside / buttocks and neck areas and may have contributed to her diagnosis of systemic infection. Resident #1's family member stated he grew upset and recalled there were days when he and Resident #1's family visited Resident #1, and no one had provided care. Resident #1's family member stated he called the nursing home to complain. Resident #1's famiy member stated he reached the DON and she heard his complain but he felt she was defensive and indifferent.

During an interview on 5/23/2026 at 11:40 AM DON stated Resident #1 was admitted on [DATE] for LTC rehabilitation with ADL supports complicated by a left knee surgery after a fall she had at home.

The DON stated Resident #1 was assessed with a change of condition on the morning of 5/18/2026 by the NP, the facility supported the NP's orders for Resident #1 to be sent to the hospital for evaluation and treatment.

The DON stated she had received a phone call from Resident #1's Representative on or about 5/21/2026 who was upset that Resident #1 had pressure ulcers to her back / buttocks.

The DON stated she had discussed the complaint with the Administrator, and they concluded the allegation was without merit as the interviews and record reviews revealed LVN A and LVN B had administered an enema on the evening of 5/17/2026 and neither nurse observed any skin breakdown.

The DON stated the Administrator and herself decided the allegation did not rise to the level of a self-report to the state agency since the allegation had no evidence. A record review of the facility's Abuse, Neglect, Exploitation and Misappropriation Prevention Program policy, dated April 2001, revealed . policy interpretation and implementation: .

Identify and investigate all possible incidents of abuse, neglect, mistreatment, poor misappropriation of resident property.

Investigate and report any allegations within time frames required by federal requirements.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAN ANTONIO, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WESTOVER HILLS REHABILITATION AND HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.