Harbor Valley Health and Rehabilitation

6211 Old Pearsall Road, San Antonio, TX 78242 · CCN 676478 · 120 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality3 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 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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

Serious inspection findings

2025-09-12 IMMEDIATE JEOPARDY (tag F0600, severity J)
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.
2023-10-27 IMMEDIATE JEOPARDY (tag F0600, severity J)
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.

Staffing, from payroll records

Nursing hours / resident / day

3.02

state median 2.67

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.04

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

57

with residents present

Nursing staff turnover

44%

per year, per CMS

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

2 enforcement action(s), totaling $18,989 in fines.

DateTypeAmount
2025-09-05Fine$8,281
2023-10-27Fine$10,708

Ownership

Ownership type: For profit - Individual. Part of the FANNIN COUNTY HOSPITAL DISTRICT chain.

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

Full citation history

By severity: Potential for more than minimal harm: 38 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2026-01-21F0627Resident Rights DeficienciesDnot recorded
2025-12-05F0565Resident Rights DeficienciesEnot recorded
2025-12-05F0628Resident Rights DeficienciesDnot recorded
2025-12-05F0637Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-05F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2025-12-05F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-12-05F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-05F0677Quality of Life and Care DeficienciesDnot recorded
2025-12-05F0689Quality of Life and Care DeficienciesDnot recorded
2025-12-05F0756Pharmacy Service DeficienciesDnot recorded
2025-12-05F0812Nutrition and Dietary DeficienciesDnot recorded
2025-12-05F0880Infection Control DeficienciesDnot recorded
2025-11-21F0761Pharmacy Service DeficienciesDnot recorded
2025-11-14F0812Nutrition and Dietary DeficienciesFnot recorded
2025-11-14F0880Infection Control DeficienciesDnot recorded
2025-09-12F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-09-05F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-01-12F0550Resident Rights DeficienciesDnot recorded
2025-01-12F0677Quality of Life and Care DeficienciesDnot recorded
2025-01-12F0689Quality of Life and Care DeficienciesDnot recorded
2024-08-30F0578Resident Rights DeficienciesDnot recorded
2024-08-30F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-08-30F0689Quality of Life and Care DeficienciesDnot recorded
2024-08-30F0755Pharmacy Service DeficienciesDnot recorded
2024-08-30F0759Pharmacy Service DeficienciesDnot recorded
2024-08-30F0849Administration DeficienciesDnot recorded
2024-08-30F0880Infection Control DeficienciesDnot recorded
2024-08-30F0914Environmental DeficienciesDnot recorded
2024-08-09F0760Pharmacy Service DeficienciesDnot recorded
2024-08-09F0919Environmental DeficienciesDnot recorded
2024-04-04F0712Nursing and Physician Services DeficienciesDnot recorded
2024-04-04F0761Pharmacy Service DeficienciesDnot recorded
2024-04-04F0812Nutrition and Dietary DeficienciesDnot recorded
2023-10-27F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2023-10-27F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-08-10F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2023-06-16F0693Quality of Life and Care DeficienciesDnot recorded
2023-06-16F0695Quality of Life and Care DeficienciesDnot recorded
2023-06-16F0812Nutrition and Dietary DeficienciesEnot recorded
2023-06-16F0880Infection Control DeficienciesDnot 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 “Harbor Valley Health and Rehabilitation, San Antonio” at medicare.gov/care-compare.