Harbor Valley Health and Rehabilitation
6211 Old Pearsall Road · San Antonio, TX · 78242 · 2105010825
120 certified beds For profit - Individual Chain: Fannin County Hospital District Hospital-based
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
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Red flags
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.
1 immediate-jeopardy citation 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.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.10 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.10 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 2 · $18,989 |
Inspection citations (40 in the current record)
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Potential for harm · D January 21, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected February 3, 2026 · Resident Rights
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Potential for harm · E December 5, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected December 8, 2025 · Resident Rights
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Potential for harm · D December 5, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 8, 2025 · Resident Rights
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Potential for harm · D December 5, 2025
Assess the resident when there is a significant change in condition
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 5, 2025
Ensure each resident receives an accurate assessment.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 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 December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 10, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 8, 2025 · Quality of Life and Care
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Potential for harm · D December 5, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 18, 2025 · Pharmacy Service
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Potential for harm · D December 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 8, 2025 · Nutrition and Dietary
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Potential for harm · D December 5, 2025
Provide and implement an infection prevention and control program.
Corrected December 8, 2025 · Infection Control
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Potential for harm · D November 21, 2025 · found via complaint
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 November 22, 2025 · Pharmacy Service
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Potential for harm · F November 14, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 15, 2025 · Nutrition and Dietary
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Potential for harm · D November 14, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 15, 2025 · Infection Control
-
Immediate jeopardy · J September 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 5, 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 September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 12, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 13, 2025 · Resident Rights
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Potential for harm · D January 12, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · D January 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · D August 30, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 30, 2024 · Resident Rights
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Potential for harm · D August 30, 2024
Ensure each resident receives an accurate assessment.
Corrected September 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 30, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 30, 2024 · Quality of Life and Care
-
Potential for harm · D August 30, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 30, 2024 · Pharmacy Service
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Potential for harm · D August 30, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected September 30, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 5, 2025 | Fine | $8,281 |
| October 27, 2023 | Fine | $10,708 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676478 · certified since January 15, 2020. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.