Harbor Valley Health And Rehabilitation
6211 Old Pearsall Road, San Antonio, TX, 78242
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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.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Fannin County Hospital District
- Certified beds
- 120 · avg 90 residents/day
- Total nursing staff turnover
- 47.8% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $18,989 total
- Infection control citations
- 2
Medicare certification
- CMS Certification Number
- 676478
- Certified beds
- 120 beds · avg 90 residents/day
- Ownership type
- For profit - Individual
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Fannin County Hospital Authority
- Chain affiliation
- Fannin County Hospital District
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Fannin County Hospital District chain — 5 facilities. Chain-wide average overall rating 3.2 / 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 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 40)
- 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 · $8,281
- 20231 fine · $11K
Most recent events
- Sep 5, 2025Fine · $8,281
- Oct 27, 2023Fine · $11K
Largest single fine on record: $11K.
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Harbor Valley Health And Rehabilitationinto 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.