B85

THE VILLAGE AT INCARNATE WORD

Grade B 85/100 composite score

Non profit - Other

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

60

Ownership

Non profit - Other

Total Fines

None

Last Survey

N/A

4707 BROADWAY STREET, SAN ANTONIO, TX 78209
2108297561

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.39h
LPN
1.05h
CNA
2.99h
Total
4.43h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

INCARNATE WORD RETIREMENT COMMUNITY, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 1989

100%

INCARNATE WORD RETIREMENT COMMUNITY, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 1989

KLINE, GWEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2024

BLAND, ELIZABETH

IndividualCORPORATE OFFICERSince Jul 2024

CAMPBELL, LEROY

IndividualCORPORATE OFFICERSince Nov 2024

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (13)

May 16, 2025Health1 deficiency
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 23, 2024
September 27, 2024Health8 deficiencies
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Oct 25, 2024
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 25, 2024
0758DMinimal harm, Isolated

Implement 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.

Pharmacy Service Deficiencies

Corrected Oct 25, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 25, 2024
0813EMinimal harm, Pattern

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Nutrition and Dietary Deficiencies

Corrected Oct 25, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 25, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 25, 2024
0921EMinimal harm, Pattern

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Oct 1, 2024
August 11, 2023Health4 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Aug 12, 2023
0805DMinimal harm, Isolated

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies

Corrected Aug 12, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 12, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 12, 2023

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Frequently Asked Questions

What is the CareGrader rating for THE VILLAGE AT INCARNATE WORD?

THE VILLAGE AT INCARNATE WORD in SAN ANTONIO, Texas has a CareGrader grade of B (Good), with a composite score of 84.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for THE VILLAGE AT INCARNATE WORD?

THE VILLAGE AT INCARNATE WORD has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does THE VILLAGE AT INCARNATE WORD have?

THE VILLAGE AT INCARNATE WORD has 13 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does THE VILLAGE AT INCARNATE WORD have?

THE VILLAGE AT INCARNATE WORD has 60 certified beds with approximately 54 current residents (90% occupancy). The facility is located at 4707 BROADWAY STREET, SAN ANTONIO, Texas 78209. It is a non profit - other facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.