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Data / Nursing homes / Texas / Buena Vida Nursing and Rehab-San Antonio

Buena Vida Nursing and Rehab-San Antonio, San Antonio, TX: 1 star rating, fined $197,516 across 4 fines

Buena Vida Nursing and Rehab-San Antonio in San Antonio, TX is owned by West Wharton County Hospital District, is rated 1 of 5 stars by Medicare, and was fined $197,516 across 4 fines in the three years to October 1, 2026. CMS lists 47 health citations from inspections in that time, the latest survey on July 24, 2026, and 6 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
5027 Pecan Grove, San Antonio, TX 78222
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
222
Residents per day
70 on average
Ownership type
Government, Hospital district
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare, 150 facilities
Special focus
Special focus candidate
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$197,516 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
47, of which 6 with actual harm or immediate jeopardy
Latest survey
July 24, 2026
CMS Certification Number
455390
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 24, 2026Fine$19,635Not listeddata.cms.gov
February 13, 2026Fine$14,725Not listeddata.cms.gov
January 16, 2026Fine$9,249Not listeddata.cms.gov
August 29, 2025Fine$153,907Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 24, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmPast noncompliancedata.cms.gov
July 8, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 9, 2026data.cms.gov
May 13, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
March 5, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 6, 2026data.cms.gov
February 13, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
January 16, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceSeptember 6, 2025data.cms.gov
January 16, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2026data.cms.gov
October 6, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K: pattern, immediate jeopardyCorrectedOctober 7, 2025data.cms.gov
October 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K: pattern, immediate jeopardyCorrectedOctober 7, 2025data.cms.gov
October 6, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedOctober 7, 2025data.cms.gov
October 6, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 7, 2025data.cms.gov
October 6, 2025F732Post nurse staffing information every day.B: pattern, minimal harm potentialCorrectedOctober 7, 2025data.cms.gov
October 6, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 7, 2025data.cms.gov
August 29, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
August 29, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 19, 2025data.cms.gov
July 11, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2025data.cms.gov
February 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2025data.cms.gov
November 18, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2024data.cms.gov
November 18, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2024data.cms.gov
November 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2024data.cms.gov
November 1, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
November 1, 2024F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 7, 2024data.cms.gov
August 19, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 12, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2024data.cms.gov
July 12, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2024data.cms.gov
July 12, 2024F814Dispose of garbage and refuse properly.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2024data.cms.gov
July 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2024data.cms.gov
July 12, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2024data.cms.gov
July 12, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2024data.cms.gov
July 12, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2024data.cms.gov
July 12, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2024data.cms.gov
July 12, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2024data.cms.gov
July 3, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 4, 2024data.cms.gov
July 3, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 4, 2024data.cms.gov
July 3, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 4, 2024data.cms.gov
July 3, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 4, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 17 individual or personal trusts (11 managers, 3 officers, directors or trustees, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
West Wharton County Hospital DistrictDirect ownerNot listedSeptember 1, 2022data.cms.gov
San Antonio IV Enterprises LLCOperational or managerial controlNot listedSeptember 1, 2022data.cms.gov
San Antonio IV Enterprises LLCAdditional disclosable partyNot listedMay 7, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.