Buena Vida Nursing and Rehab-San Antonio
5027 Pecan Grove, San Antonio, TX 78222 · (210) 333-6815
Government - Hospital district · 222 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Buena Vida Nursing and Rehab-San Antonio has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 13 citations (the Texas average is 9.4). It was fined 4 times in the last three years, $197,163 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 29, 2025 found 13 citations. What an inspection citation means
- Ensure each resident receives an accurate assessment.August 29, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.August 29, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 29, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.August 29, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.August 29, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.August 29, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.August 29, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.August 29, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 29, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.August 29, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.August 29, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 29, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 29, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 25 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 24, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 8, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 13, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 5, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 13, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 16, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 16, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Keep residents' personal and medical records private and confidential.October 6, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 6, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 6, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.October 6, 2025 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Post nurse staffing information every day.October 6, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide and implement an infection prevention and control program.October 6, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 11, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 13, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 18, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.November 18, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.November 18, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.November 1, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 1, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 19, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 3, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.July 3, 2024 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.July 3, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 3, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $19,635July 24, 2026
- Fine of $14,508February 13, 2026
- Fine of $9,113January 16, 2026
- Fine of $153,907August 29, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.93 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.27 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.03 | 0.95 | 0.86 |
| Nurse aides | 1.63 | 2.01 | 2.32 |
| Total nursing staff turnover | Not available | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 222 |
| Average residents per day | 66.9 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Army Residence Community San Antonio · ★★★★★ 5 out of 5 stars
- Coronado at Stone Oak San Antonio · ★★★★★ 5 out of 5 stars
- Lakeside Nursing and Rehabilitation Center San Antonio · ★★★★★ 5 out of 5 stars
- The Mission at Blue Skies of Texas East San Antonio · ★★★★★ 5 out of 5 stars
- Pecan Valley Rehabilitation and Healthcare San Antonio · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Buena Vida Nursing and Rehab-San Antonio on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.