4949 RAVENSWOOD DR, San Antonio, TX 78227
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Medicare-certifiedSkilled Nursing
Harbor Valley Health and Rehabilitation
San Antonio, TexasMedicare inspection record
About Harbor Valley Health and Rehabilitation
Harbor Valley Health and Rehabilitation brings specialized skilled nursing and rehabilitation care to San Antonio, Texas, where experienced clinicians focus on helping patients regain strength and independence. Our San Antonio team provides personalized recovery support in a compassionate environment designed for healing.
Community at a glance
Capacity
120 residents
Location
San Antonio, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
6211 Old Pearsall Road, San Antonio, Texas 78242
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
- Medicare flags Harbor Valley Health and Rehabilitation for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on December 5, 2025, state inspectors cited 17 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 35 minutes with each resident a day, above the Texas average of 3 hours 23 minutes.
Medicare fined Harbor Valley Health and Rehabilitation 2 times in the last three years, $18,989 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 35 minutesAbove the Texas average |
| Registered nurse time per resident, per day | 6 minutesBelow the Texas average |
| Nursing staff who left in the past year | 44%Below the Texas average |
Inspections
35 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 21, 2026 · Complaint investigation · 1 citation
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 3, 2026
December 5, 2025 · Standard inspection · 11 citations
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 PlanningCorrected Dec 22, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Dec 8, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Dec 22, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 10, 2025Procure 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 few residents (level D)Nutrition and DietaryCorrected Dec 8, 2025Ensure 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 Dec 8, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 8, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Dec 8, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 18, 2025Develop 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 few residents (level D)Resident Assessment and Care PlanningCorrected Dec 22, 2025Assess the resident when there is a significant change in condition
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 10, 2025
November 21, 2025 · Complaint investigation · 1 citation+
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 ServiceFrom a complaintCorrected Nov 22, 2025
November 14, 2025 · Complaint investigation · 2 citations+
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, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Nov 15, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Nov 15, 2025
September 12, 2025 · Complaint investigation · 1 citation+
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 few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed before the inspection
September 5, 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 Sep 26, 2025
January 12, 2025 · Complaint investigation · 3 citations+
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 CareFrom a complaintCorrected Jan 13, 2025Honor 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 Jan 13, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 13, 2025
August 30, 2024 · Standard inspection · 8 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 few residents (level D)Pharmacy ServiceCorrected Sep 30, 2024Provide bedrooms that don't allow residents to see each other when privacy is needed.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Sep 30, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 30, 2024Ensure 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 30, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 30, 2024Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 30, 2024Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Sep 30, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 30, 2024
August 9, 2024 · Complaint investigation · 2 citations+
Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 13, 2024Make 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)EnvironmentalFrom a complaintCorrected Aug 13, 2024
April 4, 2024 · Complaint investigation · 3 citations+
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 few residents (level D)Nutrition and DietaryFrom a complaintCorrected Apr 5, 2024Ensure 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 ServiceFrom a complaintCorrected Apr 5, 2024Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Apr 5, 2024
October 27, 2023 · Complaint investigation · 2 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 few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 28, 2023Timely 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 Oct 28, 2023
Fines and payment denials
2 fines totaling $18,989 in the last three years.
- September 5, 2025Fine: $8,281
- October 27, 2023Fine: $10,708
About the home, per Medicare
- Ownership
- For profit - Individual
- Legal business name
- Fannin County Hospital Authority
- Medicare-certified beds
- 120
- Average residents per day
- 82
- Accepts
- Medicare and Medicaid
- First certified
- January 15, 2020
- Part of a chain
- Fannin County Hospital District, 5 homes
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676478
Location
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6211 Old Pearsall RoadSan Antonio, TX 78242
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Questions about Harbor Valley Health and Rehabilitation
How did Harbor Valley Health and Rehabilitation do on its last inspection?+
State inspectors visited on December 5, 2025 and cited 17 health deficiencies, 6 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Harbor Valley Health and Rehabilitation?+
Nurses and aides spend 3 hours 35 minutes with each resident per day, including 6 minutes from registered nurses. 44% of nursing staff left over the past year.
Has Harbor Valley Health and Rehabilitation been fined by Medicare?+
Yes. Medicare fined Harbor Valley Health and Rehabilitation 2 times in the last three years, totaling $18,989.
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.