PlainNursing
CMS Nursing Home Compare · August 2026

Pecan Valley Rehabilitation and Healthcare

3838 E Southcross Blvd, San Antonio, TX 78222 · All homes in San Antonio

Pecan Valley Rehabilitation and Healthcare, a 124-bed for profit - corporation nursing facility in San Antonio, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #237 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2105812273

Build a private shortlist as you compare, saved on this device, no account needed.

Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.

4 / 5
Above average · CMS overall · nat'l 3.0
#237 of 1,165
In-state rank among rated TX homes
3.41
Below average · nurse hrs/day · nat'l 3.86
25
Inspection findings · 1 serious

The verdict

Pecan Valley Rehabilitation and Healthcare, a 124-bed for profit - corporation nursing facility in San Antonio, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #237 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#237 of 1,165
In-state rank among rated TX homes
3.41
Nurse hrs/resident-day · national 3.86
25
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
676250
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
124
Residents
104
In Hospital
No
County
Bexar
Last Inspection
Jan 30, 2026

Staffing Data

How the 3.41 total nursing hours per resident-day are staffed:

RN Hours
0.31 (nat'l avg: 0.69)
LPN Hours
1.12
CNA Hours
1.98
Total Nursing Hours
3.41 (nat'l avg: 3.86)
PT Hours
0.10
Nursing Turnover
45.2%
RN Turnover
63.6%

What the CMS Record Reveals About Pecan Valley Rehabilitation and Healthcare

According to CMS Nursing Home Compare, Pecan Valley Rehabilitation and Healthcare ranks #237 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Pecan Valley Rehabilitation and Healthcare operates 124 certified beds in San Antonio, TX with approximately 104 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 1★ · quality 5★).

The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 3.41 total nursing hours (national average 3.86) and 0.31 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Pecan Valley Rehabilitation and Healthcare falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 45.2% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

E - Pattern - Minimal harm Apr 29, 2026 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 30, 2026

E - Pattern - Minimal harm Apr 29, 2026 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 30, 2026

D - Isolated - Minimal harm Jan 30, 2026 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 3, 2026

D - Isolated - Minimal harm Jan 30, 2026 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 3, 2026

D - Isolated - Minimal harm Jan 30, 2026 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 3, 2026

D - Isolated - Minimal harm Jan 30, 2026 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 3, 2026

D - Isolated - Minimal harm Nov 24, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 25, 2025

J - Isolated - Jeopardy Jul 7, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2025

D - Isolated - Minimal harm May 9, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 4, 2025

E - Pattern - Minimal harm May 9, 2025 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Jun 4, 2025

D - Isolated - Minimal harm Feb 15, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 7, 2025

C - Widespread - No harm Oct 31, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 22, 2024

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 22, 2024

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 22, 2024

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 22, 2024

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Nov 22, 2024

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Nov 22, 2024

E - Pattern - Minimal harm Oct 31, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 22, 2024

E - Pattern - Minimal harm Oct 31, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 22, 2024

F - Widespread - Minimal harm Oct 31, 2024 Tag: 0837

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Category: Administration Deficiencies

Corrected: Nov 22, 2024

D - Isolated - Minimal harm Sep 15, 2023 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2023

D - Isolated - Minimal harm Sep 15, 2023 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Sep 22, 2023

D - Isolated - Minimal harm Sep 15, 2023 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2023

D - Isolated - Minimal harm Sep 15, 2023 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Sep 22, 2023

E - Pattern - Minimal harm Sep 15, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 99.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 12.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 95.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 93.9% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Pecan Valley Rehabilitation and Healthcare, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Pecan Valley Rehabilitation and Healthcare

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 124 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Pecan Valley Rehabilitation and Healthcare?
Pecan Valley Rehabilitation and Healthcare has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (5★).
Where does Pecan Valley Rehabilitation and Healthcare rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Pecan Valley Rehabilitation and Healthcare ranks 237th among 1,165 rated nursing homes in TX (#237 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Pecan Valley Rehabilitation and Healthcare?
Pecan Valley Rehabilitation and Healthcare reports 3.41 total nursing hours per resident day (national average: 3.86). RN hours are 0.31 per resident day (national average: 0.69). Nursing staff turnover is 45.2%.
How many beds does Pecan Valley Rehabilitation and Healthcare have?
Pecan Valley Rehabilitation and Healthcare has 124 certified beds with approximately 104 residents. The facility is located at 3838 E Southcross Blvd, San Antonio, TX 78222.
Does Pecan Valley Rehabilitation and Healthcare have any deficiencies on record?
Yes, Pecan Valley Rehabilitation and Healthcare has 25 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Pecan Valley Rehabilitation and Healthcare received any fines or penalties?
No, Pecan Valley Rehabilitation and Healthcare has no fines or penalties on record.
Who owns Pecan Valley Rehabilitation and Healthcare?
Pecan Valley Rehabilitation and Healthcare is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Pecan Valley Rehabilitation and Healthcare last inspected?
The most recent health inspection for Pecan Valley Rehabilitation and Healthcare was on Jan 30, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Pecan Valley Rehabilitation and Healthcare?
Pecan Valley Rehabilitation and Healthcare is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

Found this useful? Share Pecan Valley Rehabilitation and Healthcare's record.