Harbor Valley Health And Rehabilitation
6211 Old Pearsall Road, San Antonio, TX 78242 · Bexar County
For-profit · 120 certified beds · 68% occupancy · (210) 501-0825
Harbor Valley Health And Rehabilitation reviews: what the government record shows
The U.S. government (CMS) rates Harbor Valley Health And Rehabilitation 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 3.58 hrs/resident/day (+9% vs TX median)
- Antipsychotic drug use
- 3.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.2% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $18,989
- Inspection findings
- 40 cited, 2 immediate-jeopardy
- Federal abuse-warning flag
- Yes
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.58 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Currently carries the federal abuse-warning icon on CMS Care Compare.
- !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
Questions to ask on your visit
- ·What was the abuse-warning finding, and what has changed since?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Harbor Valley Health And Rehabilitation
Is Harbor Valley Health And Rehabilitation a good nursing home?
Harbor Valley Health And Rehabilitation in San Antonio, Texas holds a 2 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Harbor Valley Health And Rehabilitation staffed?
Harbor Valley Health And Rehabilitation reports 3.58 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Harbor Valley Health And Rehabilitation been fined or flagged for abuse?
Harbor Valley Health And Rehabilitation has paid approximately $18,989 in federal fines in roughly the last three years, and currently carries the federal abuse-warning icon on CMS Care Compare.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.58 nurse hours per resident per day. 9% above the Texas median of 3.27.
Nursing staff turnover: 43.8%
Safety & compliance flags
- Federal abuse warning icon
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0600 · Sep 12, 2025Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0812 · Nov 14, 2025ComplaintCorrected Nov 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0565 · Dec 5, 2025Corrected Dec 8, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
- Potential for harmTag F0641 · Dec 5, 2025Corrected Dec 22, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0656 · Dec 5, 2025Corrected Dec 22, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0627 · Jan 21, 2026ComplaintCorrected Feb 3, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
- Potential for harmTag F0628 · Dec 5, 2025Corrected Dec 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
- Potential for harmTag F0637 · Dec 5, 2025Corrected Dec 10, 2025
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0657 · Dec 5, 2025Corrected Dec 22, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0677 · Dec 5, 2025Corrected Dec 10, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 40 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - individual). It is part of the Fannin County Hospital District chain, which operates 5 facilities, with a chain-average CMS rating of 3 stars.