Pecan Valley Rehabilitation and HealthcareCMS ratings, inspections and fines
- Address
- 3838 E Southcross Blvd, San Antonio, TX 78222
- CCN
- 676250
- Ownership type
- For-profit, corporation
- Certified beds
- 124
- Chain
- The Ensign Group
- Residents per day
- 104
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Pecan Valley Rehabilitation and Healthcare an overall rating of 4 of 5 stars. The last standard survey was on 30 Jan 2026. The latest survey cycle has 7 health citations. The median for nursing homes in Texas is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Bexar County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 62 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 30 Jan 2026 | 7 | 8 |
| Cycle 2 | 31 Oct 2024 | 13 | 8 |
| Cycle 3 | No date | 5 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 30 Apr 2026 |
| 29 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 30 Apr 2026 |
| 30 Jan 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 3 Feb 2026 |
| 30 Jan 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 3 Feb 2026 |
| 30 Jan 2026 | F0688 | 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. | D | Standard survey | 3 Feb 2026 |
| 30 Jan 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 3 Feb 2026 |
| 24 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 25 Nov 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 7 Jul 2025 |
| 9 May 2025 | F0585 | 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. | E | Complaint investigation | 4 Jun 2025 |
| 9 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Jun 2025 |
| 15 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 7 Mar 2025 |
| 31 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 Nov 2024 |
| 31 Oct 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 22 Nov 2024 |
| 31 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 22 Nov 2024 |
| 31 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 Nov 2024 |
| 31 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 22 Nov 2024 |
| 31 Oct 2024 | F0814 | Dispose of garbage and refuse properly. | C | Complaint investigation | 22 Nov 2024 |
| 31 Oct 2024 | F0837 | 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. | F | Complaint investigation | 22 Nov 2024 |
| 31 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 22 Nov 2024 |
| 31 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Nov 2024 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Sep 2023 | F0578 | 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. | D | Standard survey | 22 Sep 2023 |
| 15 Sep 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 22 Sep 2023 |
| 15 Sep 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 22 Sep 2023 |
| 15 Sep 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 22 Sep 2023 |
| 15 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.41 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.31 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 1.12 | 0.95 | |
| Nurse aides | 1.98 | 2.00 | |
| All nurse staff, weekends | 2.72 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 45.2%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 63.6%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.8% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Calavaras Creek Healthcare LLC
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ensign Services Inc | Adp of the snf | 1 Nov 2019 | |
| Olmstead Health Holdings LLC | Adp of the snf | 1 Jan 2022 | |
| Standard Bearer Healthcare Op, LP | Adp of the snf | 1 Jan 2022 | |
| The Ensign Group Inc | Adp of the snf | 1 Jan 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in Bexar County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Buena Vida Nursing and Rehab-San AntonioSpecial Focus candidate | San Antonio | 1 of 5 | 24 | $174,889 | 29 Aug 2025 | |
| Southeast Nursing & Rehabilitation Center | San Antonio | 2 of 5 | 11 | $10,631 | 3 Apr 2026 | |
| Highland Nursing Center | San Antonio | 1 of 5 | 14 | $0 | 27 Mar 2026 | |
| The Rio at Mission Trails | San Antonio | 1 of 5 | 18 | $153,825 | 25 Mar 2026 | |
| Normandy Terrace Nursing & Rehabilitation Center | San Antonio | 1 of 5 | 29 | $287,359 | 25 Jul 2025 | |
| Windsor Mission Oaks | San Antonio | 3 of 5 | 11 | $10,842 | 27 Jun 2025 | |
| River City Care Center | San Antonio | 1 of 5 | 10 | $18,503 | 10 Jul 2025 | |
| San Jose Nursing Center | San Antonio | 3 of 5 | 16 | $0 | 11 Apr 2025 | |
| Parklane West Healthcare Center | San Antonio | 1 of 5 | 33 | $0 | 16 May 2025 | |
| San Antonio North Nursing and Rehabilitation | San Antonio | 1 of 5 | 22 | $17,268 | 31 Jul 2025 | |
| Memorial Medical Nursing and Rehabilitation | San Antonio | 1 of 5 | 21 | $35,396 | 11 Jun 2025 | |
| San Pedro Manor | San Antonio | 4 of 5 | 7 | $24,285 | 8 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Pecan Valley Rehabilitation and Healthcare (CCN 676250). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/pecan-valley-rehabilitation-and-healthcare-san-antonio-tx-676250/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Pecan Valley Rehabilitation and Healthcare last inspected?
- The latest inspection with a citation in the CMS record was on 29 Apr 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 31 Oct 2024.
- Who operates Pecan Valley Rehabilitation and Healthcare?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain The Ensign Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Pecan Valley Rehabilitation and Healthcare a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.