All states › Texas › San Antonio › Pecan Valley Rehabilitation and Healthcare
3838 E Southcross Blvd San Antonio, TX 78222 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 676250 · See this home on Medicare Care Compare
Is Pecan Valley Rehabilitation and Healthcare 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 Pecan Valley Rehabilitation and Healthcare as of October 2026.
CMS rates it 4 out of 5 stars overall, above 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 3.42 hours per resident per day at Pecan Valley Rehabilitation and Healthcare, above the Texas median of 3.30 (US median: 3.72). About 0.32 of those hours are from registered nurses. On weekends it falls to 2.80 hours, 18% below its all-week average. Ask how weekends are staffed. 47.9% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Pecan Valley Rehabilitation and Healthcare: Medicare and Medicaid
Pecan Valley Rehabilitation and Healthcare 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 January 30, 2026 and found 4 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 25 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 25 citations at Pecan Valley Rehabilitation and Healthcare across 8 inspection dates, 15 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 7, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (9) and nutrition and dietary (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, July 7, 2025).
April 29, 2026 · 2 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
January 30, 2026 · 4 citations
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DProvide 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.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
November 24, 2025 · 1 citation · includes complaint inspection
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
July 7, 2025 · 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.
May 9, 2025 · 2 citations · includes complaint inspection
EHonor 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.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
February 15, 2025 · 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.
October 31, 2024 · 9 citations · includes complaint inspection
FEstablish 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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DKeep residents' personal and medical records private and confidential.
DEnsure each resident receives an accurate assessment.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CDispose of garbage and refuse properly.
September 15, 2023 · 5 citations
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Pecan Valley Rehabilitation and Healthcare
- Inspectors cited the home at the immediate-jeopardy level on July 7, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- 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 18% 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 1/5 | 5/5 |
| August 2026 | 4/5 | 4/5 | 1/5 | 5/5 |
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Location
Hospitals near Pecan Valley Rehabilitation and Healthcare
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 2.1 mi
- 2.6 mi
-
5.8 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.
Nearby nursing homes
More nursing homes near Pecan Valley Rehabilitation and Healthcare › All nursing homes in San Antonio ›
Compare Pecan Valley Rehabilitation and Healthcare with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- St. Francis Nursing Home · San Antonio · 5 stars · 7.3 mi
Other The Ensign Group nursing homes in Texas
- Grand Terrace Rehabilitation and Healthcare · McAllen · 5 stars
- River Pointe of Trinity Healthcare and Rehabilitation · Trinity · 5 stars
- Golden Palms Rehabilitation and Retirement · Harlingen · 5 stars
- Beacon Harbor Healthcare and Rehabilitation · Rockwall · 5 stars
- Crestwood Health and Rehabilitation Center · Wills Point · 5 stars
- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group 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.