Harbor Valley Health and Rehabilitation
6211 Old Pearsall Rd, San Antonio, TX 78242 · (210) 501-0825
For profit - Individual · 120 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.
Harbor Valley Health and Rehabilitation has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 11 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $18,989 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. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · 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. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on December 5, 2025 found 11 citations. What an inspection citation means
- Honor the resident's right to organize and participate in resident/family groups in the facility.December 5, 2025 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.December 5, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 5, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.December 5, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident when there is a significant change in conditionDecember 5, 2025 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.December 5, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.December 5, 2025 · F0677 · 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.December 5, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.December 5, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 5, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.December 5, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.January 21, 2026 · F0627 · 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.November 21, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 14, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.November 14, 2025 · F0880 · 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.September 12, 2025 · F0600 · 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.September 5, 2025 · F0656 · 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.January 12, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.January 12, 2025 · F0677 · 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.January 12, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.August 9, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.August 9, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that the resident and his/her doctor meet face-to-face at all required visits.April 4, 2024 · F0712 · 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.April 4, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 4, 2024 · F0812 · 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 27, 2023 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 27, 2023 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $8,281September 5, 2025
- Fine of $10,708October 27, 2023
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 | 3.58 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.10 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.10 | 0.95 | 0.86 |
| Nurse aides | 2.38 | 2.01 | 2.32 |
| Total nursing staff turnover | 43.8% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Individual |
| Certified beds | 120 |
| Average residents per day | 81.7 |
| Inside a hospital | Yes |
| 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 Harbor Valley Health and Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.