Pecan Valley Rehabilitation and Healthcare
3838 E Southcross Blvd · San Antonio, TX · 78222 · 2105812273
124 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- No federal fines or payment denials in CMS’s 3-year window.
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
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.
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: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
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Potential for harm · E April 29, 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 April 30, 2026 · Pharmacy Service
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Potential for harm · E April 29, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 3, 2026 · Quality of Life and Care
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Potential for harm · D January 30, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected February 3, 2026 · Nutrition and Dietary
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Potential for harm · D November 24, 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 25, 2025 · Nutrition and Dietary
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Immediate jeopardy · J July 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 7, 2025 · Quality of Life and Care
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Potential for harm · E May 9, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected June 4, 2025 · Resident Rights
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Potential for harm · D May 9, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 4, 2025 · Quality of Life and Care
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Potential for harm · D February 15, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E October 31, 2024
Provide and implement an infection prevention and control program.
Corrected November 22, 2024 · Infection Control
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Potential for harm · D October 31, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 22, 2024 · Resident Rights
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Potential for harm · D October 31, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 22, 2024 · Resident Rights
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Potential for harm · D October 31, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · D October 31, 2024 · 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 22, 2024 · Nutrition and Dietary
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Potential for harm · F October 31, 2024 · found via complaint
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected November 22, 2024 · Administration
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Potential for harm · E October 31, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 22, 2024 · Resident Assessment and Care Planning
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No harm found · C October 31, 2024 · found via complaint
Dispose of garbage and refuse properly.
Corrected November 22, 2024 · Nutrition and Dietary
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Potential for harm · D September 15, 2023
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 22, 2023 · Resident Rights
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Potential for harm · D September 15, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected September 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 15, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 15, 2023
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected September 22, 2023 · Administration
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Potential for harm · D September 15, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 22, 2023 · Resident Assessment and Care Planning
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 676250 · certified since April 14, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.