Skilled nursing facility · CMS certification number 455689

SAN PEDRO MANOR

SAN ANTONIO, Texas · Medicare and Medicaid · 150 certified beds in Care Compare

Download SAN PEDRO MANOR’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $24,285.00 · Payment denials: 1. The most recent penalty on file: June 27, 2024, Fine, $14,063. Every penalty on file ↓

SAN PEDRO MANOR: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

Its latest cost report on file is for fiscal year 2025, covering July 1, 2024 to June 30, 2025 (364 days), and CMS processed it on November 5, 2025.
Net patient revenue fell from $9.5M in fiscal year 2024 to $8.9M in fiscal year 2025.
Its result from service to patients: $298K (2023), $207K (2024), −$734K (2025).
Its cost reports on file run from fiscal year 1996 to fiscal year 2025.
Its net patient revenue of $8.9M ranks 141st of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.

SAN PEDRO MANOR: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2025
Form CMS-2540-10	2025 · report 1441955	2024 · report 1399964	2023 · report 1371092	2022 · report 1339352	2021 · report 1309164	2020 · report 1319056	2019 · report 1281819	2018 · report 1218620	2017 · report 1211879	2016 · report 1173962	2015 · report 1142679	2014 · report 1148342	2013 · report 1109672	2012 · report 1081631	2011 · report 1014146
Period began	July 1, 2024	July 1, 2023	July 1, 2022	July 1, 2021	July 1, 2020	July 1, 2019	July 1, 2018	July 1, 2017	January 1, 2017	January 1, 2016	January 1, 2015	January 1, 2014	January 1, 2013	January 1, 2012	January 1, 2011
Period ended	June 30, 2025	June 30, 2024	June 30, 2023	June 30, 2022	June 30, 2021	June 30, 2020	June 30, 2019	June 30, 2018	March 31, 2017	December 31, 2016	December 31, 2015	December 31, 2014	December 31, 2013	December 31, 2012	December 31, 2011
Days, where not a full year	—	—	—	—	—	—	—	—	89	—	—	—	—	—	—
Processed by CMS	November 5, 2025	December 4, 2024	December 21, 2023	December 30, 2022	January 20, 2022	June 9, 2022	March 29, 2021	January 28, 2019	September 17, 2018	August 18, 2017	August 26, 2016	December 12, 2016	September 16, 2015	December 4, 2014	October 26, 2012
Total patient revenue	$12,800,717	$12,102,998	$10,259,790	$7,982,307	$2,848,472	$5,466,754	$7,286,535	$11,988,508	$3,035,175	$11,868,419	$10,876,511	$10,653,367	$7,894,649	$7,305,328	$6,920,142
Contractual allowances and discounts	$3,877,674	$2,618,965	$2,093,797	$1,153,955	$315,971	—	—	$4,602,090	$1,140,082	$4,512,787	$4,274,099	$4,053,404	$1,775,594	$1,601,831	$1,372,783
Net patient revenue	$8,923,043	$9,484,033	$8,165,993	$6,828,352	$2,532,501	$5,466,754	$7,286,535	$7,386,418	$1,895,093	$7,355,632	$6,602,412	$6,599,963	$6,119,055	$5,703,497	$5,547,359
Total operating expenses	$9,657,033	$9,276,786	$7,867,627	$6,234,553	$5,991,249	$6,029,854	$7,277,456	$7,447,092	$1,852,813	$7,587,550	$7,238,326	$6,872,609	$6,355,551	$5,977,766	$5,735,280
Net income from service to patients	−$733,990	$207,247	$298,366	$593,799	−$3,458,748	−$563,100	$9,079	−$60,674	$42,280	−$231,918	−$635,914	−$272,646	−$236,496	−$274,269	−$187,921
Total other income	$1,930	−$5,946	$2,359	$2,129	$2,560,773	$563,100	$8,321	$60,674	$12,097	−$28,808	−$64,582	$432	$54	$11,749	$5,084
Net income after other income	−$732,060	$201,301	$300,725	$595,928	−$897,975	—	$17,400	—	$54,377	−$260,726	−$700,496	−$272,214	−$236,442	−$262,520	−$182,837
Net income	−$732,060	$201,104	$300,725	$595,928	−$897,975	—	—	—	$54,377	−$260,726	−$700,496	−$323,625	−$290,091	−$262,522	−$188,888
Total facility beds, all components	150	150	150	150	62	150	150	150	150	150	150	150	150	150	150
Bed days available, all components	54,750	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicare (Title XVIII) patient days	1,006	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid (Title XIX) patient days	27,144	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer patient days	2,832	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Total patient days, all components	30,982	30,157	27,268	23,731	8,868	29,123	34,297	34,954	8,462	35,427	31,192	31,926	30,495	28,802	28,577
Medicare discharges	20	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid discharges	59	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer discharges	126	—	—	—	—	—	—	—	—	—	—	—	—	—	—
Total discharges, all components	205	191	132	112	58	204	267	287	66	269	298	289	233	115	94
Average length of stay, Medicare, in days	50.3	51.87	63.18	70.25	66.61	62.91	58.77	58.84	71.64	57.06	58.51	42.77	60.05	60.71	55.68
Average length of stay, Medicaid, in days	460.07	387.73	386.64	391.31	246.31	327.92	314.01	140.22	190.8	209.84	187.45	193.74	205.58	687.43	716.56
Average length of stay, all patients, in days	151.13	157.89	206.58	211.88	152.9	142.76	128.45	121.79	128.21	131.7	104.67	110.47	130.88	250.45	304.01

Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-96	2010 · report 413974	2009 · report 384028	2008 · report 359268	2007 · report 322172	2006 · report 291769	2005 · report 261001	2004 · report 230753	2003 · report 199239	2002 · report 166875	2001 · report 157218	2000 · report 145667	1998 · report 95317	1997 · report 95315	1996 · report 95314
Period began	January 1, 2010	January 1, 2009	January 1, 2008	January 1, 2007	January 1, 2006	January 1, 2005	January 1, 2004	July 1, 2003	July 1, 2001	July 1, 2000	July 1, 1999	January 1, 1998	January 1, 1997	January 1, 1996
Period ended	December 31, 2010	December 31, 2009	December 31, 2008	December 31, 2007	December 31, 2006	December 31, 2005	December 31, 2004	December 31, 2003	June 30, 2002	June 30, 2001	June 30, 2000	June 30, 1998	December 31, 1997	December 31, 1996
Days, where not a full year	—	—	—	—	—	—	—	183	—	—	—	180	—	—
Report status	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled	as submitted	settled	settled
Processed by CMS	August 1, 2011	July 27, 2010	November 18, 2009	July 30, 2008	August 13, 2007	August 11, 2006	August 15, 2005	November 9, 2004	January 22, 2004	August 19, 2003	May 20, 2003	February 1, 1999	October 1, 1999	October 19, 1998
Net patient revenue	$6,478,973	$6,888,214	$6,354,650	$5,537,504	$6,074,561	$5,119,209	$4,404,390	$2,598,576	$5,893,311	$5,676,265	$4,251,663	$1,927,791	$4,819,282	$4,975,152
Total operating expenses	$5,872,560	$6,368,668	$5,647,034	$5,692,073	$6,019,569	$5,329,810	$4,573,904	$2,894,417	$6,176,205	$5,677,552	$6,885,912	$2,220,118	$5,877,024	$5,389,337
Net income from service to patients	$606,413	$519,546	$707,616	−$154,569	$54,992	−$210,601	−$169,514	−$295,841	−$282,894	−$1,287	−$2,634,249	−$292,327	−$1,057,742	−$414,185
Total other income	$3,757	$4,387	$17,760	$1,025	$15,760	$1,864	$3,937	$519	$10,850	$8,435	$13,860	$249,645	$21,230	$123,480
Total other expenses	$10,256	$36,896	$26,458	$59,532	—	—	—	—	—	—	—	—	—	—
Net income	$599,914	$487,037	$698,918	−$213,076	$70,752	−$208,737	−$165,577	−$295,322	−$272,044	$7,148	−$2,620,389	−$42,682	−$1,036,512	−$290,705
Total facility beds, all components	150	150	150	150	150	150	150	137	137	150	150	150	150	150
Total patient days, all components	34,594	39,868	41,379	37,809	39,585	38,036	28,962	15,127	28,060	28,204	23,602	11,042	35,180	37,892
Total discharges, all components	135	244	250	314	383	584	325	436	942	1,126	928	333	564	421
Average length of stay, Medicare, in days	53.68	69.87	45.18	36.21	44.57	28.32	25.13	31.47	33.72	33.37	29.53	31.16	33.96	30.12
Average length of stay, Medicaid, in days	587.17	214.88	309.02	201.89	152.8	210.27	233.61	181.77	—	—	—	—	—	255.36
Average length of stay, all patients, in days	256.25	163.39	165.52	120.41	103.36	65.13	89.11	34.69	29.79	25.05	25.43	33.16	62.38	90

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

SAN PEDRO MANOR: nurse staffing hours by quarter →

Who owns SAN PEDRO MANOR, as filed with CMS

Care Compare

Ownership Data Not Available: No owner named in the filing

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of UVALDE COUNTY HOSPITAL AUTHORITY (enrollment ID O20170810000396).

5% OR GREATER DIRECT OWNERSHIP INTEREST: UVALDE COUNTY HOSPITAL AUTHORITY (organization), 100.00%, since 02/01/2021
ADP OF THE SNF: 515WAP, LLC (organization), since 02/01/2021; BEVERLY S GUTIERREZ (individual), since 02/01/2021; ENSIGN SERVICES INC (organization), since 10/13/2020; JOSHUA EVERY (individual), since 01/13/2022; WEST ASHBY HEALTHCARE, INC. (organization), since 10/13/2025
CORPORATE OFFICER: ADAM APOLINAR (individual), since 07/01/2022; CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), 0.00%, since 10/13/2020
MANAGING CONTROL - GOVERNING BODY: BEVERLY S GUTIERREZ (individual), since 02/01/2021; JOSHUA EVERY (individual), since 01/13/2022
OPERATIONAL/MANAGERIAL CONTROL: BEVERLY S GUTIERREZ (individual), since 02/01/2021; JOSHUA EVERY (individual), 0.00%, since 01/13/2022; WEST ASHBY HEALTHCARE, INC. (organization), 0.00%, since 02/01/2021

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: UVALDE COUNTY HOSPITAL AUTHORITY; 515WAP, LLC; ENSIGN SERVICES INC; WEST ASHBY HEALTHCARE, INC.; WEST ASHBY HEALTHCARE, INC..

Private equity company, real estate investment trust and holding company: Paused by CMS: BEVERLY S GUTIERREZ; JOSHUA EVERY; ADAM APOLINAR; CHAD KEETCH; SOON BURNAM; BEVERLY S GUTIERREZ; JOSHUA EVERY; BEVERLY S GUTIERREZ; JOSHUA EVERY.

Changes in ownership

December 1, 2025, enrollment ownership file; no longer listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL); TERRI CONTRERAS (OPERATIONAL/MANAGERIAL CONTROL); TERRI CONTRERAS (CORPORATE OFFICER); ADAM APOLINAR (OPERATIONAL/MANAGERIAL CONTROL); JOSHUA EVERY (W-2 MANAGING EMPLOYEE); first listed: 515WAP, LLC (ADP OF THE SNF), associated since February 1, 2021; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; WEST ASHBY HEALTHCARE, INC. (ADP OF THE SNF), associated since October 13, 2025; JOSHUA EVERY (ADP OF THE SNF), associated since January 13, 2022; JOSHUA EVERY (MANAGING CONTROL - GOVERNING BODY), associated since January 13, 2022; ENSIGN SERVICES INC (ADP OF THE SNF), associated since October 13, 2020; BEVERLY S GUTIERREZ (ADP OF THE SNF), associated since February 1, 2021; BEVERLY S GUTIERREZ (MANAGING CONTROL - GOVERNING BODY), associated since February 1, 2021; BEVERLY S GUTIERREZ (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
January 1, 2023, enrollment ownership file; no longer listed: THOMAS J NORDWICK (W-2 MANAGING EMPLOYEE); THOMAS J NORDWICK (OFFICER); first listed: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since October 13, 2020; SOON E BURNAM (OFFICER), associated since October 13, 2020; TERRI CONTRERAS (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2022; TERRI CONTRERAS (OFFICER), associated since April 1, 2022; UVALDE COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since April 1, 2017; ADAM APOLINAR (OPERATIONAL/MANAGERIAL CONTROL), associated since July 1, 2022; ADAM APOLINAR (OFFICER), associated since July 1, 2022; JOSHUA EVERY (OPERATIONAL/MANAGERIAL CONTROL), associated since January 13, 2022; JOSHUA EVERY (W-2 MANAGING EMPLOYEE), associated since January 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Recent changes on this record

August 30, 2026: A deficiency was cited under tag F 0761, scope and severity D. NH_HealthCitations_Oct2026.csv

Inspections of SAN PEDRO MANOR

Cycle 1: health August 8, 2025 (8 deficiencies), fire safety August 8, 2025 (4)
Cycle 2: health June 27, 2024 (14 deficiencies), fire safety June 27, 2024 (18)
Cycle 3: health May 12, 2023 (9 deficiencies), fire safety May 12, 2023 (4)

Deficiencies cited at SAN PEDRO MANOR

31 deficiencies on file, by tag, newest citation first

every one from a health inspection; 14 cited from a complaint, marked below. Letter after a date: scope and severity grade.

F 0761, pharmacy service: August 30, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 31, 2026).
F 0580, resident rights: April 30, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 4, 2026).
F 0576, resident rights: August 8, 2025 (C, Deficient, Provider has date of correction, corrected August 9, 2025).
F 0583, resident rights: August 8, 2025 (D, Deficient, Provider has date of correction, corrected August 9, 2025).
F 0690, quality of life and care: August 8, 2025 (E, Deficient, Provider has date of correction, corrected August 9, 2025).
F 0804, nutrition and dietary: August 8, 2025 (E, Deficient, Provider has date of correction, corrected August 9, 2025).
F 0812, nutrition and dietary: August 8, 2025 (E, Deficient, Provider has date of correction, corrected August 9, 2025); June 27, 2024 (F, from a complaint, Deficient, Provider has date of correction, corrected August 5, 2024); May 12, 2023 (F, Deficient, Provider has date of correction, corrected May 15, 2023).
F 0880, infection control: August 8, 2025 (E, Deficient, Provider has date of correction, corrected August 9, 2025); July 30, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected July 31, 2025); June 27, 2024 (E, Deficient, Provider has date of correction, corrected August 5, 2024); May 17, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected May 18, 2024).
F 0842, resident assessment and care planning: July 17, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected July 18, 2025); June 27, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 5, 2024); May 12, 2023 (E, Deficient, Provider has date of correction, corrected May 15, 2023).
F 0921, environmental: May 9, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected June 6, 2025).
F 0584, resident rights: June 27, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 5, 2024).
F 0607, freedom from abuse, neglect, and exploitation: June 27, 2024 (E, Deficient, Provider has date of correction, corrected August 5, 2024).
F 0609, freedom from abuse, neglect, and exploitation: June 27, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected August 5, 2024).
F 0645, resident assessment and care planning: June 27, 2024 (D, Deficient, Provider has date of correction, corrected August 5, 2024).
F 0689, quality of life and care: June 27, 2024 (G, Deficient, Provider has date of correction, corrected August 5, 2024); May 17, 2024 (J, from a complaint, Past Non-Compliance, corrected December 22, 2023).
F 0693, quality of life and care: June 27, 2024 (D, Deficient, Provider has date of correction, corrected August 5, 2024).
F 0760, pharmacy service: June 27, 2024 (D, Deficient, Provider has date of correction, corrected August 5, 2024).
F 0908, environmental: June 27, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected August 5, 2024).
F 0925, environmental: June 27, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected August 5, 2024).
F 0755, pharmacy service: April 2, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 3, 2024).
F 0550, resident rights: May 12, 2023 (D, Deficient, Provider has date of correction, corrected May 15, 2023).
F 0641, resident assessment and care planning: May 12, 2023 (D, Deficient, Provider has date of correction, corrected May 15, 2023).
F 0814, nutrition and dietary: May 12, 2023 (D, Deficient, Provider has date of correction, corrected May 15, 2023).

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
June 27, 2024	Fine	$14,063			112997
June 27, 2024	Payment Denial		July 31, 2024	72
May 17, 2024	Fine	$10,222			112848

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

SAN PEDRO MANOR in Care Compare

Ownership Type: Government - Hospital district
Legal Business Name: Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid Services: 1987-02-18
Provider Resides in Hospital: N
Continuing Care Retirement Community: N
Urban: Y
County/Parish: Bexar
Telephone Number: 2107325181
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Average Number of Residents per Day: 101.0
Overall Rating: 4
Health Inspection Rating: 3
QM Rating: 5
Long-Stay QM Rating: 5
Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in SAN ANTONIO

Report a figure on SAN PEDRO MANOR’s record that differs from its CMS file, quoting 455689.