Buena Vida Nursing and Rehab-San Antonio
Nursing home in San Antonio, TX
Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon
Public-record details
- Address
- 5027 Pecan Grove, San Antonio, TX 78222
- Phone
- (210) 333-6815
- Listed under
- Government-owned
- Medicare CCN
- 455390
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 1 of 5
- Certified beds
- 222
- Average residents per day
- 67
- Ownership
- Government, hospital district
- Legal business name
- West Wharton County Hospital District
- Chain
- Creative Solutions in Healthcare (149 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Dec 1, 1984
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Aug 29, 2025. CMS lists 49 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 2, 2023 to May 13, 2026): 23 from complaint inspections, 5 at the “actual harm” level or higher, including 5 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.
| Inspection | Citation | Severity |
|---|---|---|
| May 13, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| Mar 5, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| Feb 13, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| Jan 16, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| Jan 16, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| Oct 6, 2025 | Post nurse staffing information every day. | B |
| Oct 6, 2025 | Keep residents' personal and medical records private and confidential. | D |
| Oct 6, 2025 | Provide and implement an infection prevention and control program. | E |
| Oct 6, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K |
| Oct 6, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K |
| Oct 6, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K |
| Aug 29, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
Fines and payment denials
CMS records 3 fines totalling $174,889 in the last three years.
| Feb 13, 2026 | Fine: $14,508 |
| Jan 16, 2026 | Fine: $9,113 |
| Aug 29, 2025 | Fine: $151,268 |
Staffing
- Total nurse staffing per resident per day
- 2.93 hours
- Registered nurse (RN) time per resident per day
- 0.27 hours
- Nurse aide time per resident per day
- 1.63 hours
- Total nurse staffing on weekends
- 2.66 hours
- Administrators who left in the past year
- 3
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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