Harbor Valley Health and Rehabilitation

Nursing home in San Antonio, TX

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

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Public-record details

Address: 6211 Old Pearsall Road, San Antonio, TX 78242
Phone: (210) 501-0825
Listed under: For-profit
Medicare CCN: 676478
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 2 of 5
Quality measures rating: 3 of 5
Certified beds: 120
Average residents per day: 82
Ownership: For-profit, individual
Legal business name: Fannin County Hospital Authority
Chain: Fannin County Hospital District (5 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jan 15, 2020
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: Yes
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 676478. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 5, 2025. CMS lists 40 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2023 to Jan 21, 2026): 17 from complaint inspections, 2 at the “actual harm” level or higher, including 2 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.

Inspection	Citation	Severity
Jan 21, 2026	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Dec 5, 2025	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights	D Potential for more than minimal harm, isolated
Dec 5, 2025	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Dec 5, 2025	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	D Potential for more than minimal harm, isolated
Dec 5, 2025	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care	D Potential for more than minimal harm, isolated
Dec 5, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
Dec 5, 2025	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service	D Potential for more than minimal harm, isolated
Dec 5, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Dec 5, 2025	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Dec 5, 2025	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights	E Potential for more than minimal harm, pattern
Dec 5, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern
Dec 5, 2025	Develop 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	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 40. 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 2 fines totalling $18,989 in the last three years.

Sep 5, 2025	Fine: $8,281
Oct 27, 2023	Fine: $10,708

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: 3.58 hours
Registered nurse (RN) time per resident per day: 0.10 hours
Nurse aide time per resident per day: 2.38 hours
Total nurse staffing on weekends: 3.16 hours
Nursing staff turnover (yearly): 44%
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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