• CMS rates this facility 2/5 stars (below average)
• Has 120 certified beds with an average of 96.5 residents per day (80% occupancy)
• Last health inspection found 16 deficiencies (inspected Dec 5, 2025)
• Has been fined a total of $27,269 across 2 fine(s)
• Total nursing staff: 3.52 hours per resident per day
• Staff turnover rate: 43.6%
• Part of the Fannin County Hospital District chain (5 facilities)
Harbor Valley Health and Rehabilitation is a 2-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 120 certified beds. It has been operating since 2020. The facility scored below average compared to Texas facilities.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Assess the resident when there is a significant change in condition
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that residents are free from significant medication errors.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Ensure each resident receives an accurate assessment.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure medication error rates are not 5 percent or greater.
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.
+ 12 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2022 |
| HARBOR VALLEY HEALTH AND REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| MARTINEZ, FERNANDO | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2022 |
| RYE, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2022 |
| STEIN, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2022 |
| STEIN, PAUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2022 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | N/A | Apr 1, 2022 |
This chain operates 5 facilities. View all →