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
2 of 5 overall
Harbor Valley Health and Rehabilitation has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and 3-star quality measures. It reported 3.64 nurse staffing hours per resident day versus the 4.1 federal benchmark, $8,281 in fines in the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.6434 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 3.6434.
Staffing detail
- Registered nurses
- 0.10
- Licensed practical nurses
- 1.13
- Nurse aides
- 2.42
- Weekend nursing
- 3.28
Hours per resident per day.
Total staff turnover: 48%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
3.6%Improving
Residents with a fall causing major injury
3.8%Improving
Residents with pressure ulcers (bedsores)
1.9%Improving
Residents with a urinary tract infection
2.7%Steady
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.6%Improving
Residents whose ability to walk got worse
3.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
15%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
3.3%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
94.5%Steady
Short-stay residents given the pneumonia vaccine
99.3%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 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.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
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.
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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
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
- Ownership
- For profit - Individual
- Chain
- Part of FANNIN COUNTY HOSPITAL DISTRICT · 5 homes · 3.2 stars avg
- Occupancy
- 89.5 residents on an average day (75% 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.