Buena Vida Nursing & Rehab San Antonio
5027 PECAN GROVE 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 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 68 residents/day
- Total nursing staff turnover
- 67.2% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 75% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $241,940 total
State licensing & capacity
- License number
- 308534
- Service type
- Medicare/medicaid
- Licensed capacity
- 222 beds
- Bed type breakdown
- 86 Medicare-only · 136 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- San Antonio Iv Enterprises, Llc
- Administrator
- Mary Santana
Texas HHS licensing registry · as of April 16, 2026
About this community
Buena Vida Nursing & Rehab San Antonio is a 222-bed Medicare/Medicaid nursing home in Bexar County, managed by San Antonio IV Enterprises under a hospital district license. CMS rates it 1 star overall, and it carries an active abuse finding and an SFF Candidate designation — a pattern-of-serious-deficiencies flag. Two fines have totaled $241,940 since the last inspection cycle. The facility is currently operating at about 31% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the bottom tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 175 minutes of total nursing care per day, approximately 66 minutes less than at a 4-star-staffing facility in Texas. RN coverage runs about 18 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility. Residents here require more hands-on care than at a typical facility — less mobile or medically complex on average — so those already-low staffing hours stretch thinner than the raw numbers suggest.
About 7 in 10 nursing staff left in the past year — above the Texas 75th percentile, meaning turnover here is higher than at least three-quarters of nursing homes in the state. RN turnover runs even higher, at roughly 8 in 10 per year. A long-stay resident will likely cycle through multiple primary caregivers over the course of a year.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. Separately, CMS has flagged this facility as a Special Focus candidate — a step below outright SFF designation, signaling a pattern of serious deficiencies across multiple inspection cycles.
Two CMS fines have totaled $241,940. The median fine total among penalized Texas nursing homes is approximately $20,699; this facility's total is roughly 12 times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at about 31% of its 222 licensed beds — roughly 68 residents in a building licensed for 222. High turnover, safety flags, and severe fines are all present alongside this low occupancy.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Status of the abuse findings
CMS has substantiated abuse or neglect findings here in the past 36 months — ask what specifically occurred, what staff changes followed, and what monitoring is now in place.
Response to SFF Candidate designation
CMS has flagged this facility as a Special Focus candidate for a pattern of serious deficiencies — ask what the correction plan is and which deficiencies remain open.
Staffing levels on nights and weekends
Reported weekend nursing hours average about 2.5 hours per resident per day, below the already-low weekday figure — ask how many nurses and aides are on each shift Saturday and Sunday.
Nursing staff turnover this year
Roughly 7 in 10 nursing staff left in the past year — ask how many of the current floor staff have been here longer than six months.
Current resident count and bed plans
The facility is licensed for 222 beds but averaging about 68 residents — ask whether wings are closed, and how staffing is allocated across active and inactive areas.
Administrator continuity going forward
The signals indicate elevated administrator turnover — ask how long the current administrator has been in the role and whether that position is considered stable.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.