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Medicare-certifiedSkilled Nursing

Buena Vida Nursing and Rehab-San Antonio

San Antonio, TexasMedicare inspection record
(210) 333-6815

About Buena Vida Nursing and Rehab-San Antonio

Buena Vida Nursing and Rehab serves San Antonio, Texas families with compassionate skilled nursing and rehabilitation care. Our team focuses on recovery, comfort, and helping residents regain independence after surgery or illness.

Community at a glance

Capacity

222 residents

Location

San Antonio, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

5027 Pecan Grove, San Antonio, Texas 78222

(210) 333-6815

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Buena Vida Nursing and Rehab-San Antonio is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.
  • Medicare flags Buena Vida Nursing and Rehab-San Antonio for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on August 29, 2025, state inspectors cited 26 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 2 hours 56 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.

Medicare fined Buena Vida Nursing and Rehab-San Antonio 4 times in the last three years, $197,163 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day2 hours 56 minutesBelow the Texas average
Registered nurse time per resident, per day16 minutesBelow the Texas average

3 administrators have left the home in the past year.

Inspections

47 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 24, 2026 · Complaint investigation · 1 citation

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed before the inspection

July 8, 2026 · Complaint investigation · 1 citation

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 9, 2026
May 13, 2026 · Complaint investigation · 1 citation+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 15, 2026
March 5, 2026 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Mar 6, 2026
February 13, 2026 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed before the inspection
January 16, 2026 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Sep 6, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 17, 2026
October 6, 2025 · Complaint investigation · 6 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 7, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Oct 7, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Oct 7, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Oct 7, 2025
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 7, 2025
  • Post nurse staffing information every day.

    Minimal harm or risk, a pattern (level B)Nursing and Physician ServicesFrom a complaintCorrected Oct 7, 2025
August 29, 2025 · Standard inspection · 13 citations+
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Sep 19, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 19, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Sep 19, 2025
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Sep 19, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Sep 19, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 19, 2025
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 19, 2025
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 19, 2025
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 19, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 19, 2025
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 19, 2025
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 19, 2025
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 19, 2025
July 11, 2025 · Complaint investigation · 1 citation+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 18, 2025
February 13, 2025 · Complaint investigation · 1 citation+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 14, 2025
November 18, 2024 · Complaint investigation · 3 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Nov 21, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 21, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Nov 21, 2024
November 1, 2024 · Complaint investigation · 2 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 7, 2024
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 7, 2024
August 19, 2024 · Complaint investigation · 1 citation+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 20, 2024
July 12, 2024 · Standard inspection · 9 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 13, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 13, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 13, 2024
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 13, 2024
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 13, 2024
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 13, 2024
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jul 13, 2024
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jul 13, 2024
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 13, 2024
July 3, 2024 · Complaint investigation · 4 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jul 4, 2024
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 4, 2024
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 4, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 4, 2024

Fines and payment denials

4 fines totaling $197,163 in the last three years.

  • July 24, 2026Fine: $19,635
  • February 13, 2026Fine: $14,508
  • January 16, 2026Fine: $9,113
  • August 29, 2025Fine: $153,907

About the home, per Medicare

Ownership
Government - Hospital district
Legal business name
West Wharton County Hospital District
Medicare-certified beds
222
Average residents per day
67
Accepts
Medicare and Medicaid
First certified
December 1, 1984
Part of a chain
Creative Solutions in Healthcare, 149 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
455390

Location

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5027 Pecan GroveSan Antonio, TX 78222

12 other communities within 10 miles

Senior living near San Antonio

Questions about Buena Vida Nursing and Rehab-San Antonio

How did Buena Vida Nursing and Rehab-San Antonio do on its last inspection?+

State inspectors visited on August 29, 2025 and cited 26 health deficiencies, 13 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Buena Vida Nursing and Rehab-San Antonio?+

Nurses and aides spend 2 hours 56 minutes with each resident per day, including 16 minutes from registered nurses.

Has Buena Vida Nursing and Rehab-San Antonio been fined by Medicare?+

Yes. Medicare fined Buena Vida Nursing and Rehab-San Antonio 4 times in the last three years, totaling $197,163.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in San Antonio Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026