nursing home in San Antonio, TX

Buena Vida Nursing and Rehab-San Antonio

5027 Pecan Grove, San Antonio, TX 78222 · (210) 333-6815

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★1
  • Quality measures★★★★★1
  • Special Focus candidate
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Buena Vida Nursing and Rehab-San Antonio at a glance

Buena Vida Nursing and Rehab-San Antonio is a 222-bed government nursing home in San Antonio, Texas (Bexar County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 2.9 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (August 29, 2025) found 26 health citations. The Texas average is 9.4.

Federal regulators fined it 4 times in the past three years, totaling $197,163.

Facility details

Type
Nursing home
Ownership
Government - Hospital District
Beds
222
Certified for
Medicare and Medicaid
Chain / affiliated entity
Creative Solutions in Healthcare
Medicare-certified since
December 1, 1984
Resident/family council
Resident
County
Bexar County
CMS Certification Number
455390

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)1 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)1 / 54 / 53.8 / 5Worse

Staffing

This facility2.93 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)2.93 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.27 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.63 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.66 hrs2.98 hrs3.42 hrsWorse
Administrators who left in the past year (lower is better)311Worse

Inspections

This facility26Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)2699Worse
Citations from complaint investigations (latest cycle) (lower is better)1343Worse
Weighted health inspection score ⓘ (lower is better)432.310280.6Worse

Penalties

This facility4Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)411Worse
Total fines in the past 3 years (lower is better)$197,163$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)421Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds222113107
Average residents per day677686
Occupancy30.1%67.6%80.9%

Long-stay residents

This facility3.6%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.6%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)4.5%3.8%4.6%Average
Long-stay residents given antipsychotic medication (lower is better)11.8%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)34.3%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)36.9%14%14.1%Worse
Long-stay residents who lose too much weight (lower is better)2.2%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)2.7%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)16.9%18%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)19%13.4%19%Average
Long-stay residents given a flu vaccine (higher is better)100%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)98.8%96.6%93.6%Better

Short-stay residents

This facility2.5%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)2.5%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)100%88%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)94.4%88.9%82%Better

Inspection citations

State inspectors cited this home for 51 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 5 rated "immediate jeopardy".

DateCitationSeverityStatus
July 24, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Past Non-Compliance
July 8, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected July 9, 2026
May 13, 2026
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected May 15, 2026
March 5, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected March 6, 2026
February 13, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Past Non-Compliance
January 16, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected September 6, 2025
January 16, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected January 17, 2026
October 6, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
K
Immediate jeopardy, pattern
Corrected October 7, 2025
October 6, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
K
Immediate jeopardy, pattern
Corrected October 7, 2025
October 6, 2025
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
K
Immediate jeopardy, pattern
Corrected October 7, 2025
October 6, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected October 7, 2025
October 6, 2025
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected October 7, 2025
October 6, 2025
Complaint
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
B
No harm, pattern
Corrected October 7, 2025
August 29, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected September 19, 2025
August 29, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected September 19, 2025
August 29, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected September 19, 2025
August 29, 2025
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected September 19, 2025
August 29, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected September 19, 2025
August 29, 2025
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected September 19, 2025
August 29, 2025
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected September 19, 2025
August 29, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected September 19, 2025
August 29, 2025
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected September 19, 2025
August 29, 2025
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected September 19, 2025
August 29, 2025
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected September 19, 2025
August 29, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected September 19, 2025
August 29, 2025
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected September 19, 2025
August 29, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected September 19, 2025
July 11, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected July 18, 2025
February 13, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected February 14, 2025
November 18, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected November 21, 2024
November 18, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected November 21, 2024
November 18, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected November 21, 2024
November 1, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected November 7, 2024
November 1, 2024
Complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected November 7, 2024
August 19, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected August 20, 2024
July 12, 2024
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
F
Potential harm, widespread
Corrected July 25, 2024
July 12, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected August 23, 2024
July 12, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
F
Potential harm, widespread
Corrected August 22, 2024
July 12, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected July 25, 2024
July 12, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected August 23, 2024
July 12, 2024
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected August 22, 2024
July 12, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 13, 2024
July 12, 2024
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected July 13, 2024
July 12, 2024
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected July 13, 2024
July 12, 2024
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected July 13, 2024
July 12, 2024
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
D
Potential harm, isolated
Corrected July 13, 2024
July 12, 2024
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected July 13, 2024
July 12, 2024
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected July 13, 2024
July 12, 2024
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected July 13, 2024
July 12, 2024
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
D
Potential harm, isolated
Corrected July 13, 2024
July 3, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected July 4, 2024
July 3, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected July 4, 2024
July 3, 2024
Complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected July 4, 2024
July 3, 2024
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected July 4, 2024
June 2, 2023
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected June 3, 2023
June 2, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected June 3, 2023
June 2, 2023
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected June 3, 2023
June 2, 2023
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected June 3, 2023
June 2, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected June 3, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 4 federal penalties in the past three years, including $197,163 in fines.

DatePenaltyAmount / length
July 24, 2026Fine$19,635
February 13, 2026Fine$14,508
January 16, 2026Fine$9,113
August 29, 2025Fine$153,907

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
BLAKE, GARY
Individual
adp of the snfNOT APPLICABLE09/01/2022
DIXON, ANNA
Individual
adp of the snfNOT APPLICABLE04/14/2025
PANTHER, RANDY
Individual
adp of the snfNOT APPLICABLE01/01/2025
SAN ANTONIO IV ENTERPRISES LLC
Organization
adp of the snfNOT APPLICABLE05/07/2025
HUGGINS, LINDA
Individual
corporate directorNOT APPLICABLE09/01/2022
WILLIG, ZACHARY
Individual
corporate directorNOT APPLICABLE01/01/2025
THOMPSON, JOHNNY
Individual
corporate officerNOT APPLICABLE01/01/2024
WEST WHARTON COUNTY HOSPITAL DISTRICT
Organization
direct ownership interestNOT APPLICABLE09/01/2022
BOWERS, SEAN
Individual
managing control - governing bodyNOT APPLICABLE07/01/2024
CISNEROS, ALFRED
Individual
managing control - governing bodyNOT APPLICABLE02/18/2008
COBB, TRAVIS
Individual
managing control - governing bodyNOT APPLICABLE10/05/2022
COOPER, STEPHEN
Individual
managing control - governing bodyNOT APPLICABLE11/22/2022
HARDIN, SHERRIE
Individual
managing control - governing bodyNOT APPLICABLE09/04/2024
KERZEE, RICHARD
Individual
managing control - governing bodyNOT APPLICABLE09/24/2007
KORENEK, PATRICIA
Individual
managing control - governing bodyNOT APPLICABLE05/05/2018
SOECHTING, PAUL
Individual
managing control - governing bodyNOT APPLICABLE11/22/2024
STRACK, JOE
Individual
managing control - governing bodyNOT APPLICABLE02/11/2022
BLAKE, GARY
Individual
operational/managerial controlNOT APPLICABLE09/01/2022
BLAKE, MALISA
Individual
operational/managerial controlNOT APPLICABLE09/01/2022
SAN ANTONIO IV ENTERPRISES LLC
Organization
operational/managerial controlNOT APPLICABLE09/01/2022

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  5. Normandy Terrace Nursing & Rehabilitation Center

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Frequently asked questions

What is Buena Vida Nursing and Rehab-San Antonio's rating?

Buena Vida Nursing and Rehab-San Antonio has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Buena Vida Nursing and Rehab-San Antonio receive?

Its most recent standard health inspection found 26 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Buena Vida Nursing and Rehab-San Antonio accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Buena Vida Nursing and Rehab-San Antonio?

It is government - hospital district and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Buena Vida Nursing and Rehab-San Antonio and how do I contact it?

Buena Vida Nursing and Rehab-San Antonio is at 5027 Pecan Grove, San Antonio, TX 78222. Phone: (210) 333-6815.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.