San Pedro Manor
515 W Ashby Pl, San Antonio, TX 78212 · Bexar County
Government · 150 certified beds · 65% occupancy · (210) 732-5181
San Pedro Manor reviews: what the government record shows
The U.S. government (CMS) rates San Pedro Manor 4 out of 5 stars overall, above average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 3.67 hrs/resident/day (+12% vs TX median)
- Antipsychotic drug use
- 4% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 2.3% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $24,285
- Inspection findings
- 30 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
- ✓Nurse staffing of 3.67 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about San Pedro Manor
Is San Pedro Manor a good nursing home?
San Pedro Manor in San Antonio, Texas holds a 4 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is San Pedro Manor staffed?
San Pedro Manor reports 3.67 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has San Pedro Manor been fined or flagged for abuse?
San Pedro Manor has paid approximately $24,285 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.67 nurse hours per resident per day. 12% above the Texas median of 3.27.
Nursing staff turnover: 45.6% · RN turnover: 72.7%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0690 · Aug 8, 2025Corrected Aug 9, 2025
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
- Potential for harmTag F0804 · Aug 8, 2025Corrected Aug 9, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · Aug 8, 2025Corrected Aug 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Aug 8, 2025Corrected Aug 9, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0580 · Apr 30, 2026ComplaintCorrected May 4, 2026
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
- Potential for harmTag F0583 · Aug 8, 2025Corrected Aug 9, 2025
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Minimal harmTag F0576 · Aug 8, 2025Corrected Aug 9, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
- Actual harmTag F0689 · Jun 27, 2024Corrected Aug 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0921 · May 9, 2025ComplaintCorrected Jun 6, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0607 · Jun 27, 2024Corrected Aug 5, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 30 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is independently operated, not part of a multi-facility chain.