Lilisity

Nursing home

Pecan Valley Rehabilitation and Healthcare

3838 E Southcross Blvd, San Antonio, TX 78222 · Map
For profit - Limited Liability company · Part of The Ensign Group (329 facilities) · 124 certified beds

Medicare and Medicaid certified
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Pecan Valley Rehabilitation and Healthcare 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 3.43 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Oct 31, 2024 cited 13 deficiencies.

2 out of 5Overall CMS rating
2 out of 5Health inspections
2 out of 5Staffing
124 bedsCertified beds
  • 1 fine totaling $184,142In CMS records: 1 total penalty.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating2/5
Health inspections2/5
Staffing2/5
Quality measures4/5
Long-stay quality5/5
Short-stay quality3/5

How Pecan Valley Rehabilitation and Healthcare 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.

MetricThis facilityTexas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.433.403.89above avg
RN staffing (hrs/resident/day)0.370.440.68below avg
Aide staffing (hrs/resident/day)1.972.012.34below avg
Nursing staff turnover38.5%51.5%46.4%below avg
Deficiencies cited, last inspection13.09.19.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.43Total nurse hrs/resident/day
0.37RN hrs/resident/day
1.09LPN hrs/resident/day
1.97Aide hrs/resident/day
2.87Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff38.5%
Registered nurses30.0%
Administrator changes2 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Oct 31, 2024Most recent inspection
13Deficiencies found
88Health inspection score
1Fines

Penalties in CMS records: 1 fine totaling $184,142, 1 total penalty.

What inspectors found at Pecan Valley Rehabilitation and Healthcare

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

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Nutrition and Dietary Deficiencies · Jan 30, 2026 · Full report (PDF)
  • Potential for harm

    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.

    Quality of Life and Care Deficiencies · Jan 30, 2026 · Full report (PDF)
  • Potential for harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Resident Assessment and Care Planning Deficiencies · Jan 30, 2026 · Full report (PDF)
  • Potential for harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Resident Assessment and Care Planning Deficiencies · Jan 30, 2026 · Full report (PDF)
  • 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 · Nov 24, 2025 · Full report (PDF)
Show all 12 deficiencies
  • 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 · Jul 7, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · May 9, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · May 9, 2025 · Full report (PDF)
  • Potential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies · Feb 15, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Administration Deficiencies · Oct 31, 2024 · Full report (PDF)
  • Potential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies · Oct 31, 2024 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Oct 31, 2024 · 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
3838 E Southcross Blvd
San Antonio, TX 78222
CMS certification #
676250
Ownership
For profit - Limited Liability company
Certified beds
124
Avg residents/day
101.3
Provider type
Medicare and Medicaid
First certified
2010-04-14
Chain
The Ensign Group (329 facilities)
Setting
Urban

Part of The Ensign Group

The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Pecan Valley Rehabilitation and Healthcare 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
Buena Vida Nursing and Rehab-san Antonio, 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. 1.6 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, 0.9 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, 1.2 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, 3.8 miles away, straight line
La Diferencia Hospice, office in San Antonio, 5.0 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.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteNo plain statements of services found

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Frequently asked questions

Is Pecan Valley Rehabilitation and Healthcare a good nursing home?

CMS gives Pecan Valley Rehabilitation and Healthcare 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 Pecan Valley Rehabilitation and Healthcare staffed?

Pecan Valley Rehabilitation and Healthcare reports 3.43 total nurse hours per resident per day, compared with the Texas average of 3.40.

Has Pecan Valley Rehabilitation and Healthcare had inspection problems?

Its most recent CMS inspection cited 13 deficiencies.

How many beds does Pecan Valley Rehabilitation and Healthcare have?

Pecan Valley Rehabilitation and Healthcare is certified for 124 beds.