Remington Transitional Care of San Antonio
A nursing home in San Antonio, Texas 78229
5423 Hamilton Wolfe Rd, San Antonio, Texas 78229. (210) 694-9494.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 10 health citations at the latest inspection cycle Texas average: 9.6
- 4.58 nurse hours per resident per day Texas average: 3.42
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
10 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Aug 14, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
26 citations in 6 months of the last 36. Last cited Aug 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 26 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 4 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 14, 2026: standard inspection7 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 15, 2025: complaint inspection1 citation
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 18, 2025: complaint inspection2 citations
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jun 6, 2025: standard inspection8 citations
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure medication error rates are not 5 percent or greater.
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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.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Apr 26, 2024: standard inspection7 citations
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Provide doctor’s orders for the resident’s immediate care at the time the resident was admitted.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide safe and appropriate respiratory care for a resident when needed.
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Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Feb 9, 2024: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare since Apr 25, 2009.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 60 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 4 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
4.58 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 4.58 | 3.42 |
| Of which registered nurses | 0.84 | 0.44 |
| At weekends | 3.67 | 2.99 |
| Nursing staff turnover | 44.1% | 50.8% |
| Registered nurse turnover | 53.8% | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Regency IHS of San Antonio LLC owns 100% directly since Oct 1, 2018; Regency Integrated Health Services LLC owns 0% directly since Oct 1, 2018.
- Regency IHS of San Antonio LLC and Regency Integrated Health Services LLC and Csv Rhea Management Holdco, LLC run it.
- 15 owners or officers are people: Kristina Munoz Rubio (runs it (operational or managerial control)); Kristina Munoz Rubio (additional disclosable party (controls, leases property to, or provides services to the home)); Patricia Gibson (corporate officer, 0%); Barbara B Clapp (corporate officer, 0%); Chava Eichorn (on the governing body (managing control)); Antonio Carvajal (corporate officer, 0%); Brian K Reynolds (on the governing body (managing control)); Veronica Gonzales (corporate officer, 0%); Nicole Kaufman (corporate director, 0%); Daniel S Baird (corporate officer, 0%); Finbar James Scully (on the governing body (managing control)); Samuel J Rieder (on the governing body (managing control)); Donovan R Dekowski (corporate officer, 0%); Daren A Cortese (corporate officer, 0%); Elliot J Mandelbaum (on the governing body (managing control)).
- Part of Wellsential Health (67 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Regency IHS of San Antonio LLC | Owns 5% or more directly | 100% | Oct 1, 2018 |
| Regency IHS of San Antonio LLC | Runs it (operational or managerial control) | 100% | Oct 1, 2018 |
| Regency Integrated Health Services LLC | Runs it (operational or managerial control) | 100% | Oct 1, 2018 |
| Csv Rhea Management Holdco, LLC | Runs it (operational or managerial control) | Sep 15, 2022 | |
| Csv Rhea Management Holdco, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 24, 2025 | |
| Rh Manco Investor 2 LLC | Owns a share through other companies | 0% | Sep 15, 2022 |
| Regency IHS Rehab LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Csv TX Investors LLC | Owns a share through other companies | 0% | Sep 15, 2022 |
| Regency Texas Holdings LLC | Owns 5% or more through other companies | 0% | Sep 15, 2022 |
| Emfi LLC | Owns a share through other companies | 0% | Sep 15, 2022 |
| Jack and Nancy Dwyer Workforce Development Center Inc. | Owns 5% or more through other companies | 0% | Sep 15, 2022 |
| Reg Operator Holdco LLC | Owns 5% or more through other companies | 0% | Sep 15, 2022 |
| Reg Hg Opco LLC | Owns 5% or more through other companies | 0% | Sep 15, 2022 |
| Brian K Reynolds Spousal Tr Ua | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 15, 2022 | |
| Reg Hg Opco 1, LLC | Owns 5% or more through other companies | 0% | Sep 15, 2022 |
| Arb OP Ventures LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 15, 2022 | |
| Dwd TX Holdings LLC | Owns 5% or more through other companies | 0% | Sep 15, 2022 |
| Regency Integrated Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 24, 2025 | |
| Regency Integrated Health Services LLC | Owns a share directly | 0% | Oct 1, 2018 |
| Capital Funding Group, Inc. | Owns a share through other companies | 0% | Sep 15, 2022 |
| Finbar Scully Spousal Trust Agreement | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 15, 2022 | |
| 5423 Hamilton Wolfe Road LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 15, 2022 | |
| Em Manco Investor LLC | Owns a share through other companies | 0% | Sep 15, 2022 |
| Regency IHS Clinical Consulting, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Rh Manco Investor 1 LLC | Owns a share through other companies | 0% | Sep 15, 2022 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 1.9 miles, this one had the 7th most health citations at the latest inspection cycle (10; the middle value was 11.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Remington Transitional Care of San Antonio This nursing home | 10 | |
| Sorrento | 0.4 | 13 |
| Mesa Vista Inn Health Center | 0.6 | 23 |
| Avir at San Knoll | 0.6 | 36 |
| Ignite Medical Resort San Antonio, LLC | 0.6 | 14 |
| Huebner Creek Health & Rehabilitation Center | 0.8 | 27 |
| Patriot Heights Health Care Center | 0.9 | 8 |
| Wurzbach Nursing and Rehabilitation | 1.0 | 5 |
| The Atrium Rehabilitation Center | 1.4 | 7 |
| Oak Park Nursing and Rehabilitation Center | 1.5 | 26 |
| The Heights on Huebner | 1.5 | 9 |
| The Heights at Medical Center | 1.9 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.