Pecan Valley Rehabilitation and Healthcare
3838 E Southcross Blvd, San Antonio, TX 78222 · Bexar County · 124 certified beds · avg 104 residents/day · certified since Apr 14, 2010
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 7, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 7, 2025 (Past Non-Compliance)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 29, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Apr 29, 2026 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 30, 2026 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Nov 24, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jul 7, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 9, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| May 9, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 15, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Oct 31, 2024 | F · Potential for harm, facility-wide | The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. · from a complaint |
| Oct 31, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Oct 31, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Oct 31, 2024 | C · Minimal risk, facility-wide | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Sep 15, 2023 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Sep 15, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 9 | 0 | F |
| 2025 | 5 | 1 | J ▲ |
| 2026 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.01 | 3.46 | 3.95 | bottom 24% in Texas; bottom 14% in the U.S. |
| Registered Nurse hours | 0.28 | 0.44 | 0.69 | bottom 23% in Texas; bottom 7% in the U.S. |
| Weekend total nurse staffing | 2.40 | 3.04 | 3.50 | bottom 10% in Texas; bottom 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.34 | 0.48 | bottom 23% in Texas; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 45.2 | 55.3 | 45.8 | top 34% in Texas; bottom 49% in the U.S. |
| RN turnover (%) | 63.6 | 54.6 | 42.9 | bottom 35% in Texas; bottom 17% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.41, RN 0.31, weekend 2.72. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Abbott, Swati | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Agwunobi, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Ashton, Andrew | Individual | Corporate Officer | NOT APPLICABLE | 08/19/2019 |
| Aziz, Wesam | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/09/2023 |
| Aziz, Wesam | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Blouin, Ann | Individual | Corporate Director | NOT APPLICABLE | 11/28/2018 |
| Burnam, Soon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/19/2019 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 08/19/2019 |
| Burton, Spencer | Individual | Corporate Officer | NOT APPLICABLE | 05/30/2015 |
| Christensen, Christopher | Individual | Corporate Director | NOT APPLICABLE | 11/01/2014 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2019 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2019 |
| Olmstead Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Parkinson, Mark | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Port, Barry | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2019 |
| Shaw, Daren | Individual | Corporate Director | NOT APPLICABLE | 03/01/2012 |
| Smith, Barry | Individual | Corporate Director | NOT APPLICABLE | 06/01/2014 |
| Snapper, Suzanne | Individual | Corporate Officer | NOT APPLICABLE | 09/07/1973 |
| Standard Bearer Healthcare Op, LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| The Ensign Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Buena Vida Nursing and Rehab-San Antonio | 0.1 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Southeast Nursing & Rehabilitation Center | 0.6 mi | San Antonio, TX | ★★☆☆☆ | 1/5 | |
| Highland Nursing Center | 1.0 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| The Rio at Mission Trails | 2.3 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| Normandy Terrace Nursing & Rehabilitation Center | 2.6 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | abuse |
| Windsor Mission Oaks | 3.6 mi | San Antonio, TX | ★★★☆☆ | 3/5 | |
| River City Care Center | 4.7 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | abuse |
| San Jose Nursing Center | 5.5 mi | San Antonio, TX | ★★★☆☆ | 3/5 | |
| Parklane West Healthcare Center | 6.3 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | |
| San Antonio North Nursing and Rehabilitation | 6.4 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | |
| Memorial Medical Nursing and Rehabilitation | 6.5 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | |
| San Pedro Manor | 6.9 mi | San Antonio, TX | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676250.