Buena Vida Nursing and Rehab-San Antonio

Nursing Home · San Antonio, TX

CMS overall rating 1/5 SFF candidate Abuse citation Government - Hospital district

CMS certification number455390
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

5027 Pecan Grove
San Antonio, TX 78222
Bexar County
Phone
(210) 333-6815
ZIP code
78222 – all care providers

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Facility details

Certified beds
222
Residents per day
66.9 (30% occupied)
Ownership
Government - Hospital district
Legal name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare (149 facilities, avg 2.1★)
Medicare certified since
December 1, 1984
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 1/5
State avg 3.7
Long-stay quality★★★★★ 1/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.93 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.27 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.03 (state 0.95 · U.S. 0.86)
Nurse aides
1.63 (state 2.00 · U.S. 2.32)
Weekend total
2.66 (state 2.98 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—
Administrators who left
3 in the last year

Inspections

Last standard inspection
August 29, 2025
Health deficiencies (last cycle)
24.0 (state 9.3 · U.S. 9.3)
From complaints
11
Citations on record (3 years)
49 health · 8 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-13 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-15
2026-03-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-02-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Past Non-Compliance
2026-01-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-09-06
2026-01-16 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-17
2025-10-06 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-10-07
2025-10-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-10-07
2025-10-06 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2025-10-07
2025-10-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-07
2025-10-06 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-07
2025-10-06 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2025-10-07
2025-08-29 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Ensure 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-29 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-07-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-18
2025-02-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2024-11-18 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-21
2024-11-18 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-21
2024-11-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-21
2024-11-01 Honor 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-11-01 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-07
2024-08-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-20
2024-07-12 Honor 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-13
2024-07-12 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-13
2024-07-12 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-13
2024-07-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-13
2024-07-12 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-13
2024-07-12 Ensure 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-13
2024-07-12 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-13
2024-07-12 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-13
2024-07-12 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-13
2024-07-03 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-04
2024-07-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-04
2024-07-03 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-04
2024-07-03 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-04
2023-06-02 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-06-03
2023-06-02 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-03
2023-06-02 Honor 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-03
2023-06-02 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-06-03

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $174,889 in fines.

DateTypeAmount
2026-02-13Fine$14,508
2026-01-16Fine$9,113
2025-08-29Fine$151,268

Ownership & management

NameRoleSince
Blake, Gary (individual)Administrator · NOT APPLICABLE
Dixon, Anna (individual)Administrator · NOT APPLICABLE
Panther, Randy (individual)Administrator · NOT APPLICABLE
San Antonio IV Enterprises LLC (organization)Administrator · NOT APPLICABLE
Huggins, Linda (individual)Corporate Director · NOT APPLICABLE
Willig, Zachary (individual)Corporate Director · NOT APPLICABLE
Thompson, Johnny (individual)Corporate Officer · NOT APPLICABLE
West Wharton County Hospital District (organization)Direct Ownership Interest · NOT APPLICABLE
Bowers, Sean (individual)Managing Control - Governing Body · NOT APPLICABLE
Cisneros, Alfred (individual)Managing Control - Governing Body · NOT APPLICABLE
Cobb, Travis (individual)Managing Control - Governing Body · NOT APPLICABLE
Cooper, Stephen (individual)Managing Control - Governing Body · NOT APPLICABLE
Hardin, Sherrie (individual)Managing Control - Governing Body · NOT APPLICABLE
Kerzee, Richard (individual)Managing Control - Governing Body · NOT APPLICABLE
Korenek, Patricia (individual)Managing Control - Governing Body · NOT APPLICABLE
Soechting, Paul (individual)Managing Control - Governing Body · NOT APPLICABLE
Strack, Joe (individual)Managing Control - Governing Body · NOT APPLICABLE
Blake, Gary (individual)Operational/managerial Control · NOT APPLICABLE
Blake, Malisa (individual)Operational/managerial Control · NOT APPLICABLE
San Antonio IV Enterprises LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Buena Vida Nursing and Rehab-San Antonio?

Buena Vida Nursing and Rehab-San Antonio has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Buena Vida Nursing and Rehab-San Antonio have?

It has 222 certified beds and cares for about 67 residents per day.

Has Buena Vida Nursing and Rehab-San Antonio been fined?

Yes. CMS lists 3 penalties totaling $174,889 in the last three years.

Who owns Buena Vida Nursing and Rehab-San Antonio?

It is part of Creative Solutions in Healthcare and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Buena Vida Nursing and Rehab-San Antonio?

(210) 333-6815. The facility is located at 5027 Pecan Grove, San Antonio, TX 78222.

Other nursing homes in San Antonio

Compare all nursing homes in San Antonio, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.