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San Pedro Manor

515 W Ashby Pl, San Antonio, TX 782122107325181Ownership: Government - Hospital districtCertified beds: 150Avg. daily residents: 97County: Bexar

The complete public record on San Pedro Manor, a Medicare & Medicaid–certified nursing home in San Antonio, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★★☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★★☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
San Pedro Manor holds a 4-star overall rating, in the top tier CMS assigns. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Federal regulators have fined this facility $24,285 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.67 total nurse staff hours per resident per day
above the state average (3.39)
0.35 RN hours per resident per day
below the state average (0.43)
3.23 weekend nurse staff hours per resident per day
45.6% total nursing staff turnover
below the state average (55.3)
72.7% RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

August 8, 2025 most recent standard health inspection
7 health deficiencies cited in the most recent inspection cycle
below the state average (9.3)
17 health deficiencies in the two prior cycles combined
$24,285 in federal fines across 2 penalties (last 3 years)
below the state average ($45,542)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

30 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
April 30, 20260580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintD · Potential for more than minimal harm
August 8, 20250690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate…E · Potential for more than minimal harm
August 8, 20250804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E · Potential for more than minimal harm
August 8, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
August 8, 20250880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
August 8, 20250583Keep residents' personal and medical records private and confidential.D · Potential for more than minimal harm
August 8, 20250576Ensure residents have reasonable access to and privacy in their use of communication methods.C · Minimal harm potential
July 30, 20250880Provide and implement an infection prevention and control program. ComplaintD · Potential for more than minimal harm
July 17, 20250842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted… ComplaintD · Potential for more than minimal harm
May 9, 20250921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. ComplaintE · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.