Nursing homeActive

The Village At Incarnate Word

4707 Broadway, San Antonio, TX 78209210829756160 certified beds · 57 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
17
1160
Penalties · 3 yrs
none on file
Last survey
2025-12-12
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-12-12Standard130CMS-2567 (Care Compare)
2025-05-16Complaint010CMS-2567 (Care Compare)
2024-09-27Standard080CMS-2567 (Care Compare)
2023-08-11Standard040CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-12-12Standard survey · 4 deficienciesOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 676498-20251212-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 676498-20251212-F813
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 676498-20251212-F880
F814Dispose of garbage and refuse properly.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2026-01-22Record 676498-20251212-F814
2025-05-16Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-23Record 676498-20250516-F689
2024-09-27Standard survey · 8 deficienciesOfficial report
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 676498-20240927-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 676498-20240927-F657
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 676498-20240927-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 676498-20240927-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 676498-20240927-F813
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 676498-20240927-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 676498-20240927-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 676498-20240927-F921
2023-08-11Standard survey · 4 deficienciesOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-12Record 676498-20230811-F695
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-12Record 676498-20230811-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-12Record 676498-20230811-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-12Record 676498-20230811-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.33
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.84
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.48
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover27%
Facility
Texas
National
Texas 55% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.2%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.3%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
19.4%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.3%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
10.3%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.0%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
7.8%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Incarnate Word Retirement Community, Inc.
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Incarnate Word Retirement Community, Inc.
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kline, Gwen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bland, Elizabeth
Individual
CORPORATE OFFICERNOT APPLICABLE
Campbell, Leroy
Individual
CORPORATE OFFICERNOT APPLICABLE
Carvajal Pharmacy Ltc
Organization
ADP OF THE SNFNOT APPLICABLE
Congregation Of The Sisters Of Charity Of The Incarnate Word, San Anto
Organization
ADP OF THE SNFNOT APPLICABLE
Incarnate Word Retirement Community, Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Kline, Gwen
Individual
ADP OF THE SNFNOT APPLICABLE
Nixon, Daniel
Individual
ADP OF THE SNFNOT APPLICABLE
Select Rehabilitation, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Zarate, Rudolfo
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Bexar.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Parklane West Healthcare Center
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1.1 mi2026-06-051600
Sage Park San Antonio
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2.0 mi2026-01-091251
San Antonio North Nursing and Rehabilitation
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2.5 mi2026-06-252442
San Pedro Manor
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2.5 mi2026-04-301222
Meridian Care Monte Vista
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01