Pecan Valley Rehabilitation And Healthcare
3838 EAST SOUTHCROSS BOULEVARD, San Antonio, TX, 78222
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 Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: The Ensign Group
- Certified beds
- 124 · avg 101 residents/day
- Total nursing staff turnover
- 38.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 30% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $184,142 total
- Infection control citations
- 10
State licensing & capacity
- License number
- 307626
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 25 Medicare-only · 99 Medicaid/Medicare
- Current license effective
- November 1, 2023
- Current license expires
- November 1, 2026
- Initial license date
- April 14, 2010
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Calavaras Creek Healthcare Llc (FOR-PROFIT CORPORATION)
- Operator / manager
- Calavaras Creek Healthcare Llc
- Administrator
- Michael Gaona
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (21 on record)
- Tesha Winters
Adp of The Snf · since 2025
- Wesam Sabri Aziz
Adp of The Snf · since 2025
- Mark v Parkinson
Corporate Director · since 2024
- John o Agwunobi
Corporate Director · since 2023
- Olmstead Health Holdings Llc
Adp of The Snf · since 2022
- Standard Bearer Healthcare Op, lp
Adp of The Snf · since 2022
+ 15 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 33)
- D0812·Nov 24, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- J0689·Jul 7, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0684·May 9, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0585·May 9, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D0842·Feb 15, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0842·Oct 31, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F0837·Oct 31, 2024Complaint
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- C0814·Oct 31, 2024Complaint
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Federal penalties
By year
- 20231 fine · $184K
Most recent events
- Apr 19, 2023Fine · $184K
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Oct 31, 2024. 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
Pecan Valley Rehabilitation And Healthcare is a 124-bed nursing home in San Antonio (Bexar County) accepting Medicare and Medicaid, part of The Ensign Group chain. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. One fine totaling $184,142 has been issued. Quality-of-care measures rate 4 stars overall, including a 5-star rating for long-stay residents. The license is active through November 2026.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — a tier shared by about 32% of Texas nursing homes. Each resident receives roughly 206 minutes of nursing care per day, about 35 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — less mobile or more medically complex on average — so the available hours stretch thinner than the raw minutes suggest.
Roughly 4 in 10 nursing staff left in the past year, which falls below Texas's 25th-percentile cutoff — better than about three-quarters of nursing homes in the state. RN turnover follows the same pattern, also in the low tier. That relative stability in the care team runs alongside 2-star staffing hours.
Two administrators have left in the past year. Residents and families experience that kind of change through shifting care priorities, new processes, and gaps in institutional knowledge during transitions.
One CMS fine totaling $184,142 has been issued. For context, the median fine among Texas facilities that received any fine is about $20,699, and roughly 30% of Texas nursing homes have received no fines at all.
Quality-of-care measures rate 4 stars overall — 5 stars for long-stay residents, 3 stars for short-stay. These scores reflect outcomes like pressure wounds, falls, and pain management, measured separately from staffing levels or inspection findings.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Behind the $184,000 fine
Ask what the single CMS fine of $184,142 was cited for, what corrective steps were taken, and whether any follow-up inspections have occurred since.
Two administrators in one year
Two administrators have turned over in the past year — ask who is currently leading the facility and how long they have been in the role.
Staffing on nights and weekends
Reported weekend nursing hours average about 172 minutes per resident per day, lower than the weekday figure — ask how staffing levels differ on evenings, nights, and weekends.
Ensign Group oversight here
This facility operates under The Ensign Group; ask how often corporate clinical staff visit and what metrics they review at the facility level.
No Family Council on record
CMS records show a Resident Council but no Family Council — ask whether families have a formal channel to raise concerns collectively.
Short-stay versus long-stay care
Long-stay quality measures rate 5 stars while short-stay rates 3 — ask what the typical length of a rehabilitation stay is and how discharge planning is handled.
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.