Buena Vida Nursing and Rehab-San Antonio

5027 Pecan Grove, SAN ANTONIO, TX 78222 · CCN 455390 · 222 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality1 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2026-02-13 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-01-16 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-10-06 IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-10-06 IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-10-06 IMMEDIATE JEOPARDY (tag F0686, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.49

state median 2.67

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.18

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

7

with residents present

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $187,608 in fines.

DateTypeAmount
2026-02-13Fine$22,320
2026-01-16Fine$14,020
2025-08-29Fine$151,268

Ownership

Ownership type: Government - Hospital district. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 43 · Immediate jeopardy: 5

Survey dateTagCategorySeverityCorrected
2026-05-13F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-05F0755Pharmacy Service DeficienciesEnot recorded
2026-02-13F0689Quality of Life and Care DeficienciesJnot recorded
2026-01-16F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2026-01-16F0689Quality of Life and Care DeficienciesJnot recorded
2025-10-06F0583Resident Rights DeficienciesDnot recorded
2025-10-06F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2025-10-06F0684Quality of Life and Care DeficienciesKnot recorded
2025-10-06F0686Quality of Life and Care DeficienciesKnot recorded
2025-10-06F0732Nursing and Physician Services DeficienciesBnot recorded
2025-10-06F0880Infection Control DeficienciesEnot recorded
2025-08-29F0552Resident Rights DeficienciesDnot recorded
2025-08-29F0583Resident Rights DeficienciesDnot recorded
2025-08-29F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2025-08-29F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-29F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2025-08-29F0689Quality of Life and Care DeficienciesDnot recorded
2025-08-29F0690Quality of Life and Care DeficienciesDnot recorded
2025-08-29F0698Quality of Life and Care DeficienciesDnot recorded
2025-08-29F0755Pharmacy Service DeficienciesEnot recorded
2025-08-29F0761Pharmacy Service DeficienciesDnot recorded
2025-08-29F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-08-29F0880Infection Control DeficienciesEnot recorded
2025-08-29F0921Environmental DeficienciesEnot recorded
2025-07-11F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-13F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-18F0684Quality of Life and Care DeficienciesDnot recorded
2024-11-18F0755Pharmacy Service DeficienciesEnot recorded
2024-11-18F0880Infection Control DeficienciesDnot recorded
2024-11-01F0584Resident Rights DeficienciesDnot recorded
2024-11-01F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-08-19F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-12F0558Resident Rights DeficienciesDnot recorded
2024-07-12F0584Resident Rights DeficienciesEnot recorded
2024-07-12F0755Pharmacy Service DeficienciesEnot recorded
2024-07-12F0761Pharmacy Service DeficienciesDnot recorded
2024-07-12F0804Nutrition and Dietary DeficienciesEnot recorded
2024-07-12F0812Nutrition and Dietary DeficienciesEnot recorded
2024-07-12F0814Nutrition and Dietary DeficienciesDnot recorded
2024-07-12F0919Environmental DeficienciesDnot recorded
2024-07-12F0921Environmental DeficienciesDnot recorded
2024-07-03F0550Resident Rights DeficienciesDnot recorded
2024-07-03F0557Resident Rights DeficienciesDnot recorded
2024-07-03F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-03F0755Pharmacy Service DeficienciesEnot recorded
2023-06-02F0558Resident Rights DeficienciesDnot recorded
2023-06-02F0578Resident Rights DeficienciesDnot recorded
2023-06-02F0677Quality of Life and Care DeficienciesDnot recorded
2023-06-02F0812Nutrition and Dietary DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Buena Vida Nursing and Rehab-San Antonio, SAN ANTONIO” at medicare.gov/care-compare.