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Data / Nursing homes / Texas / Harbor Valley Health and Rehabilitation

Harbor Valley Health and Rehabilitation, San Antonio, TX: 1 star rating, fined $18,989 across 2 fines

Harbor Valley Health and Rehabilitation in San Antonio, TX is owned by Fannin County Hospital Authority, is rated 1 of 5 stars by Medicare, and was fined $18,989 across 2 fines in the three years to October 1, 2026. CMS lists 35 health citations from inspections in that time, the latest survey on January 21, 2026, and 2 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
6211 Old Pearsall Rd, San Antonio, TX 78242
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
120
Residents per day
86 on average
Ownership type
For profit, individual
Chain
Fannin County Hospital District, 5 facilities
Fines
$18,989 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
35, of which 2 with actual harm or immediate jeopardy
Latest survey
January 21, 2026
CMS Certification Number
676478
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
September 5, 2025Fine$8,281Not listeddata.cms.gov
October 27, 2023Fine$10,708Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
January 21, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 3, 2026data.cms.gov
December 5, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2025data.cms.gov
December 5, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2025data.cms.gov
December 5, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2025data.cms.gov
December 5, 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 harmCorrectedDecember 8, 2025data.cms.gov
December 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
December 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2025data.cms.gov
December 5, 2025F656Develop 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 harmCorrectedDecember 22, 2025data.cms.gov
December 5, 2025F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2025data.cms.gov
December 5, 2025F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
December 5, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2025data.cms.gov
December 5, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2025data.cms.gov
November 21, 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 harmCorrectedNovember 22, 2025data.cms.gov
November 14, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2025data.cms.gov
November 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2025data.cms.gov
September 12, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
September 5, 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 harmCorrectedSeptember 26, 2025data.cms.gov
January 12, 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 harmCorrectedJanuary 13, 2025data.cms.gov
January 12, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 13, 2025data.cms.gov
January 12, 2025F550Honor 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 harmCorrectedJanuary 13, 2025data.cms.gov
August 30, 2024F914Provide bedrooms that don't allow residents to see each other when privacy is needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2024data.cms.gov
August 30, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2024data.cms.gov
August 30, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2024data.cms.gov
August 30, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2024data.cms.gov
August 30, 2024F755Provide 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 harmCorrectedSeptember 30, 2024data.cms.gov
August 30, 2024F689Ensure 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 30, 2024data.cms.gov
August 30, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2024data.cms.gov
August 30, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2024data.cms.gov
August 9, 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 harmCorrectedAugust 13, 2024data.cms.gov
August 9, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2024data.cms.gov
April 4, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2024data.cms.gov
April 4, 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 harmCorrectedApril 5, 2024data.cms.gov
April 4, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 5, 2024data.cms.gov
October 27, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedOctober 28, 2023data.cms.gov
October 27, 2023F609Timely 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 harmCorrectedOctober 28, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (4 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Fannin County Hospital AuthorityDirect owner100%May 1, 2026data.cms.gov
Redberry Canyon Healthcare LLCOperational or managerial controlNot listedMay 1, 2026data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedMay 1, 2026data.cms.gov
Pearsall Road Health Holdings LLCAdditional disclosable partyNot listedMay 1, 2026data.cms.gov
Redberry Canyon Healthcare LLCAdditional disclosable partyNot listedApril 9, 2026data.cms.gov
Standard Bearer Healthcare OP, LPAdditional disclosable partyNot listedMay 1, 2026data.cms.gov
The Ensign Group IncAdditional disclosable partyNot listedMay 1, 2026data.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.