Hunters Pond Rehabilitation and Healthcare
A nursing home in San Antonio, Texas 78224
9903 Hunters Pond, San Antonio, Texas 78224. (210) 477-2200.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 11 health citations at the latest inspection cycle Texas average: 9.6
- 3.29 nurse hours per resident per day Texas average: 3.42
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- 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.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- 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?
11 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Aug 13, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jan 10, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
35 citations in 11 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). 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 35 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. 22 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 19, 2026: complaint inspection2 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 4, 2026: complaint inspection1 citation
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Ensure each resident receives an accurate assessment.
Feb 9, 2026: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Aug 13, 2025: standard inspection7 citations
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Reasonably accommodate the needs and preferences of each resident.
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Assure that each resident’s assessment is updated at least once every 3 months.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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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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Dispose of garbage and refuse properly.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Jan 10, 2025: complaint inspection4 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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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 and implement an infection prevention and control program.
Oct 23, 2024: complaint inspection1 citation
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
Jul 12, 2024: standard inspection6 citations
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Ensure each resident receives an accurate assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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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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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Mar 22, 2024: complaint inspection4 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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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 each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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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 the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Jan 19, 2024: complaint inspection4 citations
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Ensure that residents are free from significant medication errors.
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Honor the resident’s right to manage his or her financial affairs.
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 5, 2024: complaint inspection1 citation
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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.
Dec 4, 2023: complaint inspection3 citations
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 6, 2013.
- 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 for profit, corporation.
- 128 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $66,531 in all.
- No Medicare payment denials in the last three years.
- 22 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 10, 2025 | Fine | $36,553 |
| Feb 9, 2024 | Fine | $22,382 |
| Dec 4, 2023 | Fine | $7,596 |
Who does the caring?
3.29 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 | 3.29 | 3.42 |
| Of which registered nurses | 0.34 | 0.44 |
| At weekends | 2.85 | 2.99 |
| Nursing staff turnover | 36.3% | 50.8% |
| Registered nurse turnover | 40% | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Guadalupe County Hospital Board owns 100% directly since Nov 1, 2019.
- Canary Bend Healthcare, Inc. runs it.
- 9 owners or officers are people: Laura Givens (runs it (operational or managerial control)); Laura Givens (on the governing body (managing control)); Laura Givens (additional disclosable party (controls, leases property to, or provides services to the home)); Shane Brady (runs it (operational or managerial control), 0%); Shane Brady (on the governing body (managing control)); Shane Brady (additional disclosable party (controls, leases property to, or provides services to the home)); Chad Keetch (corporate officer); Kody Gann (corporate officer, 0%); Soon Burnam (corporate officer, 0%).
- Part of The Ensign Group (347 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 |
|---|---|---|---|
| Guadalupe County Hospital Board | Owns 5% or more directly | 100% | Nov 1, 2019 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2019 | |
| The Ensign Group Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2019 | |
| Ensign Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 19, 2019 | |
| Canary Bend Healthcare, Inc. | Runs it (operational or managerial control) | 0% | Nov 1, 2019 |
| Canary Bend Healthcare, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 3, 2025 | |
| Padua Health Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2019 | |
| Standard Bearer Healthcare Op, LP | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2019 |
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 | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 8.4 miles, this one had the 8th most health citations at the latest inspection cycle (11; the middle value was 14.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Hunters Pond Rehabilitation and Healthcare This nursing home | 11 | |
| Legend Oaks Healthcare and Rehabilitation Center - | 1.8 | 15 |
| Avir at San Antonio | 2.5 | 22 |
| San Jose Nursing Center | 3.1 | 11 |
| Harbor Valley Health and Rehabilitation | 4.8 | 15 |
| Windsor Mission Oaks | 5.0 | 11 |
| The Rio at Mission Trails | 6.0 | 19 |
| San Antonio West Nursing and Rehabilitation | 6.1 | 40 |
| Highland Nursing Center | 7.3 | 14 |
| The Mission at Blue Skies of Texas East | 7.5 | 7 |
| Pecan Valley Rehabilitation and Healthcare | 8.3 | 7 |
| Buena Vida Nursing and Rehab-San Antonio | 8.4 | 26 |
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.