Nursing home
Buena Vida Nursing and Rehab-San Antonio
5027 Pecan Grove, San Antonio, TX 78222 · Map
Government - Hospital district · Part of Creative Solutions In Healthcare (149 facilities) · 222 certified beds
Buena Vida Nursing and Rehab-San Antonio is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.92 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Aug 29, 2025 cited 22 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $241,940In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Buena Vida Nursing and Rehab-San Antonio compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.92 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.31 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.59 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 67.2% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 22.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $241,940, 2 total penalties.
What inspectors found at Buena Vida Nursing and Rehab-San Antonio
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 5, 2026 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 13, 2026 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 16, 2026 · Full report (PDF) - Potential for harm
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 · Jan 16, 2026 · Full report (PDF) - Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Oct 6, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 6, 2025 · Full report (PDF) - Immediate jeopardy
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 · Oct 6, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 6, 2025 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Oct 6, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Oct 6, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Aug 29, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 29, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5027 Pecan Grove
San Antonio, TX 78222 - CMS certification #
- 455390
- Ownership
- Government - Hospital district
- Certified beds
- 222
- Avg residents/day
- 67.8
- Provider type
- Medicare and Medicaid
- First certified
- 1984-12-01
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Urban
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Buena Vida Nursing and Rehab-San Antonio using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Medical Center, San Antonio. 5.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Pecan Valley Rehabilitation and Healthcare, San Antonio. 0.1 miles away, straight line.
- Nearest home health agency office
- Axis Home Health, San Antonio. 5.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78222 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fkc South San Antonio Home, San Antonio, 0.8 miles away, straight line (CMS rating 3 of 5 stars)
Davita Southcross Dialysis Center, San Antonio, 1.1 miles away, straight line (CMS rating 3 of 5 stars)
Bma Southeast San Antonio, San Antonio, 1.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 77 Medicare hospices tell CMS they serve ZIP code 78222.
Mi Casa Hospice-San Antonio, office in San Antonio, 3.9 miles away, straight line
La Diferencia Hospice, office in San Antonio, 5.1 miles away, straight line
Gentiva Hospice, office in San Antonio, 6.3 miles away, straight line - Nearest geriatric medicine practice
- University Of Texas Health Science Center At San Antonio, San Antonio. 6.2 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Buena Vida Nursing and Rehab-San Antonio a good nursing home?
CMS gives Buena Vida Nursing and Rehab-San Antonio an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Buena Vida Nursing and Rehab-San Antonio staffed?
Buena Vida Nursing and Rehab-San Antonio reports 2.92 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Buena Vida Nursing and Rehab-San Antonio had inspection problems?
Its most recent CMS inspection cited 22 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Buena Vida Nursing and Rehab-San Antonio have?
Buena Vida Nursing and Rehab-San Antonio is certified for 222 beds.