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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasHarbor Valley Health and Rehabilitation

Harbor Valley Health and Rehabilitation

6211 Old Pearsall Road, San Antonio, TX 782422105010825
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
3/5
Beds
120
certified
This facility has been flagged for abuse.
2 fine(s) totaling $27,269

Key Findings

• 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.

Beds
120
Avg Residents/Day
96.5
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
Yes
First Approved
Jan 15, 2020
Sprinklers
Yes
Council
Resident
County
Bexar
Last Inspection
Dec 5, 2025
Deficiencies (Cycle 1)
16
Weighted Score
117.8
Infection Citations
3

Deficiency Citations (42)

F0761Potential for Harm

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.

Survey: Nov 21, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 14, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

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

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0565Potential for Harm

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

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0628Potential for Harm

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

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 5, 2025Corrected: NoCycle: 1
F0550Potential for Harm

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

Survey: Jan 12, 2025Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Jan 12, 2025Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Jan 12, 2025Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Aug 9, 2024Corrected: NoCycle: 2
F0919Potential for Harm

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

Survey: Aug 9, 2024Corrected: NoCycle: 2
F0712Potential for Harm

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

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Apr 4, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Aug 30, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 30, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Aug 30, 2024Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: Aug 30, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 30, 2024Corrected: NoCycle: 2
F0849Potential for Harm

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.

Survey: Aug 30, 2024Corrected: NoCycle: 2

+ 12 more deficiencies

Total Fines
$27,269
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineSep 5, 2025
$12,740
FineOct 27, 2023
$14,529

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.30 hrs
National avg: 2.35 hrs
LPN1.12 hrs
National avg: 0.86 hrs
RN0.10 hrs
National avg: 0.68 hrs
Total Nursing3.52 hrs
National avg: 3.89 hrs
Weekend Total3.18 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
43.6%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2022
HARBOR VALLEY HEALTH AND REHABILITATION LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
MARTINEZ, FERNANDOOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
RYE, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
STEIN, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
STEIN, PAULOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
SANDERSON, CLARKCORPORATE OFFICERIndividualN/AApr 1, 2022

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Frequently Asked Questions

What is the CMS rating for Harbor Valley Health and Rehabilitation?▾
Harbor Valley Health and Rehabilitation has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
Has Harbor Valley Health and Rehabilitation had any health inspection violations?▾
Harbor Valley Health and Rehabilitation had 16 deficiency citations in its most recent health inspection (Dec 5, 2025). The facility has been fined a total of $27,269 across 2 fine(s). It also has 3 infection control citation(s).
What are the staffing levels at Harbor Valley Health and Rehabilitation?▾
Harbor Valley Health and Rehabilitation provides 3.52 total nursing staff hours per resident per day, including 0.10 RN hours, 1.12 LPN hours, and 2.30 nurse aide hours. The total staff turnover rate is 43.6%.
How many beds does Harbor Valley Health and Rehabilitation have?▾
Harbor Valley Health and Rehabilitation has 120 certified beds with an average of 96.5 residents per day, resulting in approximately 80% occupancy. The facility is For profit - Individual owned and is part of the Fannin County Hospital District chain.
Are there other nursing homes near Harbor Valley Health and Rehabilitation?▾
Yes, there are 57 other nursing homes in San Antonio, Texas with an average rating of 2.5/5. You can compare all facilities on the San Antonio nursing homes page.

Part of Fannin County Hospital District

This chain operates 5 facilities. View all →