The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Harbor Valley Health and Rehabilitation
San Antonio, TX · Medicare-certified · 120 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall
Harbor Valley Health and Rehabilitation in San Antonio has a 2 out of 5 star overall rating, with 2-star health inspection and staffing scores and 3-star quality measures. It reports 3.58 nurse staffing hours per resident per day, below the 4.1 federal benchmark, and has had $8,281 in fines in the last 24 months along with a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.5785 hrs/resident/day
Quality measures
Last inspection: January 21, 2026Penalties, last 24 months: $8,281recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5785.
Staffing detail
- Registered nurses
- 0.10
- Licensed practical nurses
- 1.10
- Nurse aides
- 2.38
- Weekend nursing
- 3.16
Hours per resident per day.
Total staff turnover: 44%
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
4.8%2.2%Improving
Residents with a fall causing major injury
3.5%2.5%Improving
Residents with pressure ulcers (bedsores)
0%2.2%Worsening
Residents with a urinary tract infection
2.4%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.1%8.3%Worsening
Residents whose ability to walk got worse
0%4.4%Worsening
Long-stay residents on antianxiety or sleep medication
16.4%14.5%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
3.3%3.6%No change
Residents with depressive symptoms
0%0%No change
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%100%No change
Short-stay residents given the seasonal flu vaccine
—94.5%—
Short-stay residents given the pneumonia vaccine
98.8%100%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — 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
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,281 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $18,989 in total fines.
- $8,281
Federal fine
Sep 5, 2025
- $10,708
Federal fine
Oct 27, 2023
Operator & ownership
Recent ownership change · Apr 1, 2022
Now operated by Fannin County Hospital Authority, previously Harbor Valley Health and Rehabilitation LLC.
- Ownership
- For profit - Individual
- Chain
- Part of FANNIN COUNTY HOSPITAL DISTRICT · 5 homes · 3 stars avg
- Occupancy
- 81.7 residents on an average day (68% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 6 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.