INSPIRATION HILLS REHABILITATION CENTER – SAN ANTONIO, TX

CMS Verified | 2026-03-01

Inspiration Hills Rehabilitation Center

1939 BANDERA RD, San Antonio, TX 78228
(210) 434-0671
134 beds
All San Antonio facilities
3.0*
Overall
3.0*
Health Inspection
2.0*
Quality Care
3.0*
Staffing
63.84
Score /100
#10761
National Rank

#10761
of 14703 facilities
National
26.8% position
#842
of 1177 in TX
State Rank
#45
of 62 in Bexar
County Rank
#44
of 58 in San Antonio
City Rank
#1
of 1 in ZIP 78228
ZIP Rank






About Inspiration Hills Rehabilitation CenterInspiration Hills Rehabilitation Center is located at 1939 Bandera Rd, San Antonio, TX, reachable at (210) 434-0671. This For profit – Individual facility operates 134.0 certified beds and serves an average of 77 residents per day. It is part of the Paramount Healthcare network (8 facilities nationwide). Medicare and Medicaid services have been provided since 1993-03-19. The facility currently holds a average (3-star) overall CMS rating.
Facility

Inspiration Hills Rehabilitation Center

Address

1939 Bandera Rd, San Antonio, TX 78228

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 134 Certified Beds
  • Ownership: For profit – Individual
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: PARAMOUNT HEALTHCARE

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 14 fine(s) over 5 years
5-Year Trend
Improving over 5 years
63.84
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#10761 of 14703 nationally – #842 of 1177 in Texas

Who Is This Facility Best For?

Inspiration Hills Rehabilitation Center offers a mid-range care option in San Antonio, TX.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

3 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

2 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightInspiration Hills Rehabilitation Center currently provides 3 hours 19 minutes of total nurse staffing per resident per day, including 11 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover stands at 42.6% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 19 minutes
Nurse Aide Hours2 hours 9 minutes
Licensed Practical Nurse (LPN) Hours59 minutes
Registered Nurse (RN) Hours11 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 1 minute
Weekend Registered Nurse (RN) Hours8 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 14 fine(s) over the 5-year period, totaling $169,710. No substantiated complaints have been recorded in the available data.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 60.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#10,761
of 14,703
National
Bottom 27%
#842
TX State
Bottom 28% in TX
#45
of 62
️ Bexar County
#45 of 62
#44
of 58
️ San Antonio
#44 of 58
#1
of 1
ZIP 78228
Best in ZIP

Nationally, Inspiration Hills Rehabilitation Center ranks 10761st out of 14,703 facilities (composite score: 63.8/100), placing it in the below average nationwide. Within TX, it ranks 842nd out of 1,177 nursing homes. In San Antonio, it ranks 44th out of 58 facilities. For 2026 staffing: total nurse hours rank #10,899 nationally and RN hours rank #13,864 nationally (#1039 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.43 #13,631 / 14,703 #1,064 / 1,177 ⚠️ Bottom 10%
2023 3.01 #11,881 / 14,703 #786 / 1,177 ⚠️ Bottom 25%
2024 3.22 #10,833 / 14,703 #520 / 1,177 Below average
2025 3.31 #10,765 / 14,703 #478 / 1,177 Below average
2026 3.32 #10,899 / 14,703 #503 / 1,177 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.10 #14,031 / 14,703 #1,109 / 1,177 ⚠️ Bottom 5%
2023 0.19 #13,604 / 14,703 #960 / 1,177 ⚠️ Bottom 10%
2024 0.31 #12,162 / 14,703 #627 / 1,177 ⚠️ Bottom 25%
2025 0.22 #13,655 / 14,703 #972 / 1,177 ⚠️ Bottom 10%
2026 0.19 #13,864 / 14,703 #1,039 / 1,177 ⚠️ Bottom 10%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Inspiration Hills Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-03-19. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 434-0671 or your local Medicaid office to verify current eligibility.

Inspiration Hills Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (3★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 63.8/100, placing it #10761 of 14703 facilities nationally and #842 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Inspiration Hills Rehabilitation Center receives a reported average of 3 hours 19 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 11 minutes; Licensed Practical Nurse (LPN) — 59 minutes; Nurse Aide — 2 hours 9 minutes. On weekends, total nurse staffing is 3 hours 1 minute per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 42.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 14 fine(s) over the 5-year period, totaling $169,710. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 60.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Inspiration Hills Rehabilitation Center ranks 10761st out of 14,703 facilities (composite score: 63.8/100), placing it in the below average nationwide. Within TX, it ranks 842nd out of 1,177 nursing homes. In San Antonio, it ranks 44th out of 58 facilities. For 2026 staffing: total nurse hours rank #10,899 nationally and RN hours rank #13,864 nationally (#1039 in TX). Our composite quality score of 63.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Antonio, visit: https://nursinghomesnearme.org/texas/san-antonio/

Contact and Location

ADR
Address

1939 BANDERA RD, San Antonio, TX 78228
Get directions on Google Maps

TEL
LLC
Legal Name

HAMILTON COUNTY HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Bexar County ·
San Antonio ·
ZIP 78228

Facility Details

Number of Certified Beds 134
Average Residents / Day 77 (58% occupancy)
Ownership Type For profit – Individual
Provider Type Medicare and Medicaid
County Bexar County, TX
City San Antonio, TX
ZIP Code 78228
Approved Since March 19, 1993
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675138
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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