All states › Texas › San Antonio › Harbor Valley Health and Rehabilitation
6211 Old Pearsall Rd San Antonio, TX 78242 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 676478 · See this home on Medicare Care Compare
Is Harbor Valley Health and Rehabilitation 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 Harbor Valley Health and Rehabilitation 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 3.50 hours per resident per day at Harbor Valley Health and Rehabilitation, above the Texas median of 3.30 (US median: 3.72). About 0.27 of those hours are from registered nurses. On weekends it falls to 2.95 hours, 16% below its all-week average. Ask how weekends are staffed. 50% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Harbor Valley Health and Rehabilitation: Medicare and Medicaid
Harbor Valley Health and Rehabilitation 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.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on December 5, 2025 and found 11 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 39 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 39 citations at Harbor Valley Health and Rehabilitation across 12 inspection dates, 16 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 12, 2025 (complaint inspection). The most common areas cited were quality of life and care (7) and pharmacy service (6). 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 J, September 12, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
January 21, 2026 · 1 citation · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
December 5, 2025 · 11 citations
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EEnsure each resident receives an accurate assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DAssess the resident when there is a significant change in condition
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
November 21, 2025 · 1 citation · includes complaint inspection
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.
November 14, 2025 · 2 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
September 12, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
September 5, 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.
January 12, 2025 · 3 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 30, 2024 · 8 citations
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.
DEnsure each resident receives an accurate assessment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DProvide and implement an infection prevention and control program.
DProvide bedrooms that don't allow residents to see each other when privacy is needed.
August 9, 2024 · 2 citations · includes complaint inspection
DEnsure that residents are free from significant medication errors.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
April 4, 2024 · 3 citations · includes complaint inspection
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
October 27, 2023 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
June 16, 2023 · 4 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Harbor Valley Health and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on September 12, 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 September 12, 2025. How are staff trained, and how are concerns reported?
- There were 2 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- 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
2 penalties in the last three years, including $18,989 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 5, 2025 | Fine | $8,281 |
| Oct 27, 2023 | Fine | $10,708 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
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Location
Hospitals near Harbor Valley Health and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 9.2 mi
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9.2 mi
CHRISTUS Santa Rosa Hospital San AntonioEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 50m for patients treated and sent home
- 9.6 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Harbor Valley Health and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Mission at Blue Skies of Texas East · San Antonio · 5 stars · 3.2 mi
- Lakeside Nursing and Rehabilitation Center · San Antonio · 5 stars · 6.5 mi
- Legend Oaks Healthcare and Rehabilitation Center · San Antonio · 4 stars · 4.7 mi
- Westover Hills Rehabilitation and Healthcare · San Antonio · 4 stars · 8.1 mi
Other Fannin County Hospital District nursing homes in Texas
- Cedar Lake Nursing Center · Malakoff · 5 stars
- Pampa Nursing Center · Pampa · 4 stars
- Levelland Nursing and Rehabilitation Center · Levelland · 3 stars
- Rockdale Estates & Rehabilitation · Rockdale · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 5 Fannin County Hospital District 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.