All states › Texas › San Antonio › Buena Vida Nursing and Rehab-San Antonio
5027 Pecan Grove San Antonio, TX 78222 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 455390 · See this home on Medicare Care Compare
Is Buena Vida Nursing and Rehab-San Antonio a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Buena Vida Nursing and Rehab-San Antonio as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.94 hours per resident per day at Buena Vida Nursing and Rehab-San Antonio, below the Texas median of 3.30 (US median: 3.72). About 0.26 of those hours are from registered nurses. On weekends it falls to 2.68 hours, 9% below its all-week average. 75.3% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 3 administrators left in the past year.
About this nursing home
Paying for care at Buena Vida Nursing and Rehab-San Antonio: Medicare and Medicaid
Buena Vida Nursing and Rehab-San Antonio is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 29, 2025 and found 13 deficiencies, plus 13 from complaint inspections in the same period. In total, inspectors issued 51 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 51 citations at Buena Vida Nursing and Rehab-San Antonio across 16 inspection dates, 25 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 13, 2026 (complaint inspection). The most common areas cited were quality of life and care (10) and resident rights (10). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, October 6, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
July 24, 2026 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 8, 2026 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 13, 2026 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 5, 2026 · 1 citation · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
February 13, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 16, 2026 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
October 6, 2025 · 6 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
KProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide and implement an infection prevention and control program.
DKeep residents' personal and medical records private and confidential.
BPost nurse staffing information every day.
August 29, 2025 · 13 citations
EEnsure each resident receives an accurate assessment.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DKeep residents' personal and medical records private and confidential.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 11, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
February 13, 2025 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
November 18, 2024 · 3 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
November 1, 2024 · 2 citations · includes complaint inspection
DHonor 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 19, 2024 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 12, 2024 · 9 citations
EHonor 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.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DEnsure 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.
DDispose of garbage and refuse properly.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
July 3, 2024 · 4 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DProtect each resident from the wrongful use of the resident's belongings or money.
June 2, 2023 · 4 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
Questions to ask on a tour of Buena Vida Nursing and Rehab-San Antonio
- Inspectors cited the home at the immediate-jeopardy level on October 6, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 6, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 75.3% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 31% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $197,516 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 24, 2026 | Fine | $19,635 |
| Feb 13, 2026 | Fine | $14,725 |
| Jan 16, 2026 | Fine | $9,249 |
| Aug 29, 2025 | Fine | $153,907 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 1/5 |
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Location
Hospitals near Buena Vida Nursing and Rehab-San Antonio
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 2.2 mi
- 2.7 mi
-
5.7 mi
Brooke Army Medical Center (Ft Sam Houston) Fort Sam HoustonEmergency roomMedian ER visit 2h 48m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.