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 HHS 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 HHS licensing registry · as of April 16, 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 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.