Buena Vida Nursing and Rehab-San Antonio
5027 Pecan Grove · San Antonio, TX · 78222 · 2103336815
222 certified beds Government - Hospital district Chain: Creative Solutions in Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (5 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $269,060 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$269,060 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $269,060 |
Inspection citations (48 in the current record)
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Potential for harm · E March 5, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 6, 2026 · Pharmacy Service
-
Immediate jeopardy · J February 13, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Immediate jeopardy · J January 16, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 6, 2025 · Quality of Life and Care
-
Potential for harm · E January 16, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 17, 2026 · Resident Assessment and Care Planning
-
Immediate jeopardy · K October 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K October 6, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 7, 2025 · Quality of Life and Care
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Immediate jeopardy · K October 6, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 7, 2025 · Quality of Life and Care
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Potential for harm · D October 6, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected October 7, 2025 · Resident Rights
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Potential for harm · E October 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 7, 2025 · Infection Control
-
No harm found · B October 6, 2025 · found via complaint
Post nurse staffing information every day.
Corrected October 7, 2025 · Nursing and Physician Services
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Potential for harm · D August 29, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Keep residents' personal and medical records private and confidential.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · E August 29, 2025
Ensure each resident receives an accurate assessment.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 19, 2025 · Quality of Life and Care
-
Potential for harm · D August 29, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 19, 2025 · Quality of Life and Care
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Potential for harm · E August 29, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 19, 2025 · Pharmacy Service
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Potential for harm · D August 29, 2025
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.
Corrected September 19, 2025 · Pharmacy Service
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Potential for harm · D August 29, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2025
Provide and implement an infection prevention and control program.
Corrected September 19, 2025 · Infection Control
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Potential for harm · E August 29, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 19, 2025 · Environmental
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Potential for harm · D July 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 14, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 13, 2026 | Fine | $22,320 |
| January 16, 2026 | Fine | $14,020 |
| August 29, 2025 | Fine | $232,720 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455390 · certified since December 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.