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Buena Vida Nursing and Rehab-San Antonio, San Antonio, Texas
- 51
- Citations from health inspectionsTexas average: 28 a home
- 6
- Residents harmed or put in dangerTexas average: 2.3 a home
- $197,163
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
16 inspection visits produced 51 citations. Residents were in immediate danger in five findings. Residents were found hurt in one case. Federal fines came to $197,163 (four fines).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
Are you worried about the way someone was treated at this home?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 1 out of 5
- Nurse time for each resident
- 2.93 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.27 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- Not sent to CMS
- Beds that are certified
- 222
- Ownership
- Hospital district (government)
- Chain
- Creative Solutions in Healthcare, with 149 homes
- Street address
- 5027 Pecan Grove, San Antonio, Texas 78222
- County
- Bexar
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated July 24, 2026
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated July 8, 2026
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated May 13, 2026
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated March 5, 2026
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Feb. 13, 2026
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated Jan. 16, 2026
Six citations dated Oct. 6, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F732 Post Daily Nurse Staffing Information: minimal risk to residents, a pattern, several residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
13 citations dated Aug. 29, 2025
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
One citation dated July 11, 2025
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Feb. 13, 2025
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Nov. 18, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Nov. 1, 2024
One citation dated Aug. 19, 2024
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Nine citations dated July 12, 2024
- F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents.
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
Four citations dated July 3, 2024
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated June 2, 2023
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| July 24, 2026 | Fine | $19,635 |
| Feb. 13, 2026 | Fine | $14,508 |
| Jan. 16, 2026 | Fine | $9,113 |
| Aug. 29, 2025 | Fine | $153,907 |
Ownership and Management of the Home
- The home is run by San Antonio IV Enterprises LLC (operational or managerial control).
- The direct owner is West Wharton County Hospital District.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 455390. Other homes in San Antonio.