Nursing HomeInspections

Buena Vida Nursing and Rehab-San Antonio

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

Call (210) 333-6815Send a messageMap ↗

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

CMS certification number 455390. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
May 13, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 5, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 13, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Jan 16, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern
Jan 16, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Oct 6, 2025Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection
B
Potential for minimal harm, pattern
Oct 6, 2025Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 6, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
E
Potential for more than minimal harm, pattern
Oct 6, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
K
Immediate jeopardy, pattern
Oct 6, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
K
Immediate jeopardy, pattern
Oct 6, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
K
Immediate jeopardy, pattern
Aug 29, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 49. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $174,889 in the last three years.

Feb 13, 2026Fine: $14,508
Jan 16, 2026Fine: $9,113
Aug 29, 2025Fine: $151,268

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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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