San Antonio, TX · 80 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Usually has openings
One of San Antonio's top-rated skilled nursing communities.
Est. $5,070–$7,610/mo
View full evaluation →Skilled NursingCMS verified
Harbor Valley Health and Rehabilitation
6211 Old Pearsall Road, San Antonio, TX 78242 · Bexar County
31
Use CautionHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.Photos via google places.
Availability outlookModerate availability
Typically 75% full — openings are usually available.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A below-average federal rating — worth a careful look in San Antonio
Harbor Valley Health and Rehabilitation is a for-profit skilled nursing facility in San Antonio, TX, with 120 certified beds and an average of about 90 residents per day. It operates as part of the Fannin County Hospital District network.
Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 2/5 on staffing, 3/5 on quality measures.
Staff provide about 3.64 total nurse hours per resident each day (0.10 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 47.8%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 17 health deficiencies at its most recent standard survey, and 2 federal fines totaling $18,989 in the recent record. Note: CMS has flagged this facility with an abuse icon. We strongly recommend reviewing the full inspection report and discussing it on any tour.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 2-star overall CMS rating
- •Below-average health-inspection rating
- •Below-average nurse staffing (3.64 hrs/resident/day)
- •17 deficiencies at last survey
- •CMS abuse-citation flag — review carefully
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated San Antonio options — our advisors can help you compare.
At a glance
- Certified beds
- 120
- Avg. residents/day
- 90
- Ownership
- For profit - Individual
- Part of a chain
- Fannin County Hospital District
- Continuing care
- No
- CMS provider #
- 676478
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $5,070–$7,610/mo (median $6,130) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local San Antonio prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 3.64
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.10
- National avg ≈ 0.75
- Nursing staff turnover
- 47.8%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
⚠️ This community carries a serious CMS flag (abuse citation). We recommend reviewing the full inspection report and raising it directly on any tour.
- Health deficiencies (last survey)
- 17
- Federal fines
- 2 ($18,989)
- Total penalties
- 2
- Last standard survey
- 2025-12-05
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (40 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-01-21Severity D — potential for harmFrom a complaintResident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
2025-12-05Severity E — potential for harmResident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2025-12-05Severity E — potential for harmResident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2025-12-05Severity E — potential for harmResident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-12-05Severity D — potential for harmResident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2025-12-05Severity D — potential for harmResident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
2025-12-05Severity D — potential for harmResident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2025-12-05Severity D — potential for harmQuality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-09-05 | Fine | $8,281 |
| 2023-10-27 | Fine | $10,708 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Physical therapy
- ✓ Rehabilitation services
- ✓ Respite / short-term stays
- ✓ Daily activities & events
Location
6211 Old Pearsall Road, San Antonio, TX
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Harbor Valley Health and Rehabilitation.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Harbor Valley Health and Rehabilitation
How much does Harbor Valley Health and Rehabilitation cost?
Harbor Valley Health and Rehabilitation does not publish exact rates. Comparable skilled nursing in the San Antonio, TX area typically runs $5,070–$7,610 per month (median $6,130, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Harbor Valley Health and Rehabilitation's Medicare rating?
Medicare (CMS) rates Harbor Valley Health and Rehabilitation 2 out of 5 stars overall, including 2/5 for health inspections, 2/5 for staffing, 3/5 for quality measures. The national average is about 3 stars.
How is the staffing at Harbor Valley Health and Rehabilitation?
Staff provide about 3.64 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 47.8% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Harbor Valley Health and Rehabilitation?
Harbor Valley Health and Rehabilitation has 40 health citations on its recent federal inspection record (last standard survey: 2025-12-05). The full citation-by-citation detail, with severity levels, is published on this page.
Does Harbor Valley Health and Rehabilitation have availability?
Typically 75% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Harbor Valley Health and Rehabilitation offer?
Harbor Valley Health and Rehabilitation in San Antonio, TX offers skilled nursing and is licensed for 120 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Antonio.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Harbor Valley Health and Rehabilitation — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogle
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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