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B

70.5/100

Above average

Pecan Valley Rehabilitation And Healthcare

3838 E Southcross Blvd, San Antonio, TX 78222

CMS 4/5 stars #22 of 62 in Bexar County (210) 581-2273
Certified beds
124
Occupancy
84%
Ownership
For-profit
Accepts
Medicare + Medicaid

Our read on Pecan Valley Rehabilitation And Healthcare

Pecan Valley runs a 124-bed corporate-owned building where the aide and nurse hours per resident sit around 3.41 a day, roughly 12% under the national figure, and weekends get thinner still, about a fifth lighter than weekdays. That gap matters more than the turnover rate, which at 45.2% is basically the national norm. What stands out is the shape of the record: a five-star quality measure score sitting on top of a one-star staffing score, with 25 deficiencies logged and one serious enough to involve harm. The last inspection was January 30, 2026, so the picture is current rather than stale. If you're weighing this one, ask how they cover weekends and what that harm-level citation involved.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing6.5/30Stability9/15Outcomes15/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

6.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.01 total nurse hours per resident per day (national median 3.77)
  • →0.31 RN hours per resident per day
  • →Weekend staffing drops 20% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →45% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.41 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.31 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.72 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover45.20%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: January 30, 2026 (9 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of THE ENSIGN GROUP, which operates 344 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Pecan Valley Rehabilitation And Healthcare

What is the ElderGrade for Pecan Valley Rehabilitation And Healthcare? +

Pecan Valley Rehabilitation And Healthcare holds an ElderGrade of B (70.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Pecan Valley Rehabilitation And Healthcare? +

Residents receive an average of 3.41 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Pecan Valley Rehabilitation And Healthcare been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Pecan Valley Rehabilitation And Healthcare accept Medicaid? +

Yes, Pecan Valley Rehabilitation And Healthcare is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.