Buena Vida Nursing And Rehab-San Antonio
5027 Pecan Grove, San Antonio, TX, 78222
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Creative Solutions In Healthcare
- Certified beds
- 222 · avg 61 residents/day
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $269,060 total
Medicare certification
- CMS Certification Number
- 455390
- Certified beds
- 222 beds · avg 61 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- West Wharton County Hospital District
- Chain affiliation
- Creative Solutions In Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.3 / 5.
Parent entity
West Wharton County Hospital District
Disclosed owners (18 on record)
- San Antonio iv Enterprises Llc
Adp of The Snf · since 2025
- Anna Dixon
Adp of The Snf · since 2025
- Randy l Panther
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Buena Vida Nursing & Rehab San Antonio
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 48)
- E0755·Mar 5, 2026Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- J0689·Feb 13, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0689·Jan 16, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0656·Jan 16, 2026Complaint
Resident 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.
- E0880·Oct 6, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- B0732·Oct 6, 2025Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- K0686·Oct 6, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- K0684·Oct 6, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20262 fines · $36K
- 20251 fine · $233K
Most recent events
- Feb 13, 2026Fine · $22K
- Jan 16, 2026Fine · $14K
- Aug 29, 2025Fine · $233K
Largest single fine on record: $233K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Aug 29, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Buena Vida Nursing And Rehab-san Antoniointo one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.