Nursing home
Harbor Valley Health and Rehabilitation
6211 Old Pearsall Road, San Antonio, TX 78242 · Map
For profit - Individual · Part of Fannin County Hospital District (5 facilities) · 120 certified beds
Harbor Valley Health and Rehabilitation is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.52 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Dec 5, 2025 cited 17 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 2 fines totaling $27,269In 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 Harbor Valley Health and Rehabilitation 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) | 3.52 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.10 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.30 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 43.6% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 17.0 | 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.
- Every deficiency from the January 21, 2026 inspection was corrected by February 3, 2026
Penalties in CMS records: 2 fines totaling $27,269, 2 total penalties.
What inspectors found at Harbor Valley Health and Rehabilitation
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
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Jan 21, 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 · Dec 5, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 5, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
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 · Dec 5, 2025 · Full report (PDF) - Potential for harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Dec 5, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Dec 5, 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
- 6211 Old Pearsall Road
San Antonio, TX 78242 - CMS certification #
- 676478
- Ownership
- For profit - Individual
- Certified beds
- 120
- Avg residents/day
- 96.5
- Provider type
- Medicare and Medicaid
- First certified
- 2020-01-15
- Chain
- Fannin County Hospital District (5 facilities)
- Setting
- Urban
Part of Fannin County Hospital District
Fannin County Hospital District operates 5 nursing facilities across the United States. View all Fannin County Hospital District facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Harbor Valley Health and Rehabilitation using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Harbor Valley Health and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
In addition to rehabilitative care, we also provide respite, palliative, and hospice care.
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
Our dedicated team of RNs, LPNs, and caregivers, along with medical professionals such as a medical director, physician assistants, and nurse practitioners, ensure around-the-clock medical support.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
In addition to rehabilitative care, we also provide respite, palliative, and hospice care.
(page, checked Oct 12, 2026) - Apartment types named: semi-private room.
We offer a range of room options, including private and semi-private, and our comprehensive therapy services are designed to meet your individual needs.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Christus Santa Rosa Medical Center, San Antonio. 8.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- The Mission at Blue Skies of Texas East, San Antonio. 3.2 miles away, straight line.
- Nearest home health agency office
- Soft Touch Home Care Inc, San Antonio. 7.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 2.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78242 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Gateway Dialysis, San Antonio, 3.8 miles away, straight line (CMS rating 4 of 5 stars)
Usrc South San Antonio Dialysis, San Antonio, 3.9 miles away, straight line (CMS rating 5 of 5 stars)
Fmc Dialysis Services Of Southwest San Antonio, San Antonio, 4.1 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 73 Medicare hospices tell CMS they serve ZIP code 78242.
La Diferencia Hospice, office in San Antonio, 7.1 miles away, straight line
Blue Skies Hospice, office in San Antonio, 7.8 miles away, straight line
Mi Casa Hospice-San Antonio, office in San Antonio, 8.5 miles away, straight line - Nearest geriatric medicine practice
- Curana Health Medical Group LLC, San Antonio. 4.8 miles away, straight line. 1 geriatric medicine doctor 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: very low. By hazard: hurricane very low, inland flooding very low, wildfire relatively low, tornado relatively high, heat wave relatively moderate, 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 | See above |
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Frequently asked questions
Is Harbor Valley Health and Rehabilitation a good nursing home?
CMS gives Harbor Valley Health and Rehabilitation an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Harbor Valley Health and Rehabilitation staffed?
Harbor Valley Health and Rehabilitation reports 3.52 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Harbor Valley Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does Harbor Valley Health and Rehabilitation have?
Harbor Valley Health and Rehabilitation is certified for 120 beds.