Skilled Nursing

Harbor Valley Health and Rehabilitation

6211 Old Pearsall Road, San Antonio, TX 78242

120beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

3.3h

Hrs/resident · weekday

Expected: 4.0h

3.6h

Hrs/resident · weekend

vs 3.3h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
LPNs
CNAs
48%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0600Severity JSep 12, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

SeriousImmediate Jeopardy0600Severity JOct 27, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Oct 28, 2023

34 standard deficiencies in the last 3 years

View all
0627Severity DJan 21, 2026

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0880Severity DDec 5, 2025

Provide and implement an infection prevention and control program.

0812Severity DDec 5, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0756Severity DDec 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.

0689Severity DDec 5, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0677Severity DDec 5, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0657Severity DDec 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.

0656Severity EDec 5, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0641Severity EDec 5, 2025

Ensure each resident receives an accurate assessment.

0637Severity DDec 5, 2025

Assess the resident when there is a significant change in condition

0628Severity DDec 5, 2025

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0565Severity EDec 5, 2025

Honor the resident's right to organize and participate in resident/family groups in the facility.

0761Severity DNov 21, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0880Severity DNov 14, 2025

Provide and implement an infection prevention and control program.

0812Severity FNov 14, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0656Severity DSep 5, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Severity DJan 12, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0677Severity DJan 12, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0550Severity DJan 12, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0914Severity DAug 30, 2024

Provide bedrooms that don't allow residents to see each other when privacy is needed.

0880Severity DAug 30, 2024

Provide and implement an infection prevention and control program.

0849Severity DAug 30, 2024

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0759Severity DAug 30, 2024

Ensure medication error rates are not 5 percent or greater.

0755Severity DAug 30, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0689Severity DAug 30, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0641Severity DAug 30, 2024

Ensure each resident receives an accurate assessment.

0578Severity DAug 30, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0919Severity DAug 9, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

0760Severity DAug 9, 2024

Ensure that residents are free from significant medication errors.

0812Severity DApr 4, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity DApr 4, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0712Severity DApr 4, 2024

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0609Severity DOct 27, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0842Severity DAug 10, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

View full inspection history on Medicare.gov

Civil Monetary Penalties

Fined 2 times · $18,989 total

Sep 5, 2025$8,281Fine
Oct 27, 2023$10,708Fine
View on Medicare.gov

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

FANNIN COUNTY HOSPITAL AUTHORITY· For profit - Individual

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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