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Pecan Valley Rehabilitation and Healthcare
3838 E Southcross Blvd, San Antonio, TX 78222 (opens Google Maps) · Bexar County · (210) 581-2273· 124 certified beds · avg 104 residents/day · certified since Apr 14, 2010 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
4/5
Health inspection rating (on-site)
inspected Jan 30, 2026
1
Serious findings on record
most recent Jul 7, 2025
$0
Fines, last 3 years
3.01
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 7, 2025 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.
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 F-0755
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842
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. F-0636
View all 25 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 29, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0755 |
| Apr 29, 2026 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jan 30, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
| Jan 30, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0640 |
| Jan 30, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Jan 30, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · F-0813 |
| Nov 24, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0812 |
| Jul 7, 2025 | ▲ J · Immediate jeopardy, isolated | 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 · F-0689 |
| May 9, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0585 |
| May 9, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Feb 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Oct 31, 2024 | F · Potential for more than minimal harm, widespread | 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 · F-0837 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0641 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0812 |
| Oct 31, 2024 | C · Potential for minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · from a complaint · F-0814 |
| Sep 15, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0655 |
| Sep 15, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Sep 15, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
| Sep 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Sep 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 4).
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 9
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 1
2026
All citations: 6
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.01
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.28
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.40
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.41 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Pecan Valley Rehabilitation and Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain The Ensign Group — 342 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Pleasant Manor Healthcare and Rehabilitation — Waxahachie, TX · overall 3/5
- Pleasant Valley Healthcare and Rehabilitation Cent — Garland, TX · overall 2/5
- Richland Hills Rehabilitation and Healthcare Cente — Fort Worth, TX · overall 3/5
- River Pointe of Trinity Healthcare and Rehabilitat — Trinity, TX · overall 4/5
- Rowlett Health and Rehabilitation Center — Rowlett, TX · overall 3/5
- San Marcos Rehabilitation and Healthcare Center — San Marcos, TX · overall 1/5
- Sedona Trace Health and Wellness Center — Austin, TX · overall 3/5
- Sonterra Health Center — San Antonio, TX · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 341 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 45% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 65 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 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Bexar, TX — 62 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Remington Transitional Care of San Antonio — San Antonio, TX · overall 4/5
- Sage Park San Antonio — San Antonio, TX · overall 3/5
- San Antonio Wellness & Rehabilitation — San Antonio, TX · overall 2/5
- San Antonio West Nursing and Rehabilitation — San Antonio, TX · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 676250.