Harbor Valley Health And Rehabilitation
6211 OLD PEARSALL RD, San Antonio, TX, 78242
Federal 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 March 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.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Fannin County Hospital District
- Certified beds
- 120 · avg 97 residents/day
- Total nursing staff turnover
- 43.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $27,269 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 308570
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 30 Medicare-only · 90 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- January 21, 2020
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Harbor Valley Health And Rehabilitation Llc
- Administrator
- Steve Sosa
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fannin County Hospital District chain — 5 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (10 on record)
- Harbor Valley Health And Rehabilitation Llc
Adp of The Snf · since 2025
- Clark r Sanderson
Corporate Officer · since 2022
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2022
- Fernando Martinez
Operational/managerial Control · since 2022
- James m Stein
Operational/managerial Control · since 2022
- Paul m Stein
Operational/managerial Control · since 2022
+ 4 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Harbor Valley Health And Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 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 41)
- D0627·Jan 21, 2026Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D0880·Dec 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Dec 5, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0756·Dec 5, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D0689·Dec 5, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0677·Dec 5, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0657·Dec 5, 2025
Resident 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.
- E0656·Dec 5, 2025
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.
Federal penalties
By year
- 20251 fine · $13K
- 20231 fine · $15K
Most recent events
- Sep 5, 2025Fine · $13K
- Oct 27, 2023Fine · $15K
Largest single fine on record: $15K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Dec 5, 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 Mar 1, 2026.
About this community
Harbor Valley Health And Rehabilitation is a 120-bed nursing home in San Antonio, Bexar County, accepting Medicare and Medicaid. CMS rates it 2 stars overall, with a 2-star health inspection rating and a 2-star staffing rating. CMS has substantiated findings of resident abuse or neglect here within the past 36 months. Two CMS fines total $27,269. The license is active through April 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — each resident receives about 211 minutes of nursing care per day, roughly 30 minutes less than at a 4-star-staffing facility in Texas. Of those 211 minutes, only about 6 are with a registered nurse; the Texas threshold for a 4-star staffing rating is 37 RN minutes per resident per day.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This finding is part of the public CMS Care Compare record and contributed to the 2-star health inspection rating.
Two CMS fines totaling $27,269 have been issued — above the Texas median of $20,699 per fined facility. About 30% of Texas nursing homes have received no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings
CMS has recorded substantiated abuse or neglect here in the past 36 months — ask what specific incidents occurred, what corrective steps were taken, and how the facility now monitors for recurrence.
RN coverage each day
Reported registered nurse hours work out to about 6 minutes per resident per day — ask how many RNs are on the floor each shift and whether an RN is present overnight.
Two CMS fines since 2023
Two fines totaling $27,269 are on the CMS record — ask what deficiencies triggered each fine and what policy changes followed.
Staffing on weekends
Reported weekend nursing hours run lower than weekday hours — ask how the staffing schedule differs Saturday through Sunday and whether call-ins are covered by agency staff.
Resident Council activity
A Resident Council exists here but no Family Council — ask how often the Resident Council meets, who facilitates it, and how concerns raised there get resolved.
Management company role
The licensed owner is Fannin County Hospital Authority while day-to-day management runs through Harbor Valley Health And Rehabilitation LLC — ask which entity sets staffing budgets and handles regulatory compliance.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.