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 Center San Antonio
Registered name: Buena Vida Nursing and Rehab-San Antonio
SAN ANTONIO, TX · Medicare-certified · 222 beds
Needs attention
Special Focus candidateAbuse citationGovernment-runChain member
Data as of July 1, 2026
1 of 5 overall
Buena Vida Nursing and Rehab Center San Antonio has a 1-star overall rating, with 1-star health inspection, staffing, and quality ratings. It is a Special Focus Facility candidate/flagged facility, has reported nurse staffing below the federal benchmark (2.93 vs 4.1 hours per resident per day), and had $187,608 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.9339 hrs/resident/day
Quality measures
Last inspection: May 13, 2026Penalties, last 24 months: $187,608special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9339.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 1.03
- Nurse aides
- 1.63
- Weekend nursing
- 2.66
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.2%19.4%Worsening
Residents with a fall causing major injury
3.4%1.6%Improving
Residents with pressure ulcers (bedsores)
5.1%3.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.5%2.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.1%34%Worsening
Residents whose ability to walk got worse
22.8%17.6%Improving
Long-stay residents on antianxiety or sleep medication
19%12%Improving
Short-stay residents newly given an antipsychotic
—2.5%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
25.6%12.8%Improving
Residents with depressive symptoms
3.8%1.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%96.8%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
93.3%89.7%Worsening
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
- 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 $151,268 was recorded.
- PENALTY
A federal fine of $232,720 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $187,608 in total fines.
- $22,320
Federal fine
Feb 13, 2026
- $14,020
Federal fine
Jan 16, 2026
- $151,268
Federal fine
Aug 29, 2025
Operator & ownership
Recent ownership change · Apr 1, 2022
Now operated by West Wharton County Hospital District, previously San Antonio Iv Enterprises LLC.
- Ownership
- Government - Hospital district
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
- Occupancy
- 66.9 residents on an average day (30% 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.