The nursing home failed to protect residents from abuse and neglect by others. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Buena Vida Nursing and Rehab-San Antonio
SAN ANTONIO, TX · Medicare-certified · 222 beds
Needs attention
Special Focus candidateAbuse citationGovernment-runChain member
1 of 5 overall
Buena Vida Nursing and Rehab-San Antonio has a 1-star overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It is a special focus candidate/facility, has $269,060 in fines over the last 24 months, and reported nurse staffing of 3.28 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.2789 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $269,060special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2789.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 1.05
- Nurse aides
- 1.88
- Weekend nursing
- 2.90
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.3%Worsening
Residents with a fall causing major injury
3.7%Worsening
Residents with pressure ulcers (bedsores)
5.4%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
29.7%Worsening
Residents whose ability to walk got worse
33.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
16.6%Worsening
Short-stay residents newly given an antipsychotic
2.4%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
20.4%Improving
Residents with depressive symptoms
2.7%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.6%Worsening
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
95.7%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $22,320 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $14,020 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $232,720 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $269,060 in total fines.
- $22,320
Federal fine
Feb 13, 2026
- $14,020
Federal fine
Jan 16, 2026
- $232,720
Federal fine
Aug 29, 2025
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 60.8 residents on an average day (27% of 222 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.