Pecan Valley Rehabilitation and Healthcare

Nursing home in San Antonio, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (210) 581-2273 Send a message Map ↗

Public-record details

Address: 3838 E Southcross Blvd, San Antonio, TX 78222
Phone: (210) 581-2273
Listed under: For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN: 676250
Overall star rating: 4 of 5 ★★★★☆
Health inspection rating: 4 of 5
Staffing rating: 1 of 5
Quality measures rating: 5 of 5
Certified beds: 124
Average residents per day: 104
Ownership: For-profit, corporation
Legal business name: Calavaras Creek Healthcare LLC
Chain: The Ensign Group (342 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Apr 14, 2010
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 676250. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 30, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 15, 2023 to Apr 29, 2026): 15 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Apr 29, 2026	Provide 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
Apr 29, 2026	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 · complaint inspection	E Potential for more than minimal harm, pattern
Jan 30, 2026	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jan 30, 2026	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jan 30, 2026	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jan 30, 2026	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Nov 24, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary · complaint inspection	D Potential for more than minimal harm, isolated
Jul 7, 2025	Ensure 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
May 9, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
May 9, 2025	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern
Feb 15, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Oct 31, 2024	Dispose of garbage and refuse properly. Nutrition and Dietary · complaint inspection	C Potential for minimal harm, widespread

Showing the 12 most recent of 25. 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 no fines or payment denials for this facility in the last three years.

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: 3.41 hours
Registered nurse (RN) time per resident per day: 0.31 hours
Nurse aide time per resident per day: 1.98 hours
Total nurse staffing on weekends: 2.72 hours
Nursing staff turnover (yearly): 45%
RN turnover (yearly): 64%
Administrators who left in the past year: 0

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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