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Harbor Valley Health and Rehabilitation, San Antonio, Texas
- 39
- Citations from health inspectionsTexas average: 28 a home
- 2
- Residents harmed or put in dangerTexas average: 2.3 a home
- $18,989
- Fines from the federal governmentTexas average: $44,141 a home
- 2 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
12 inspection visits produced 39 citations. Residents were in immediate danger in two findings. Federal fines came to $18,989 (two fines).
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.
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- The home's overall star rating
- 2 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 2 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 3.58 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.10 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 43.8%against the Texas average of 55.3%
- Beds that are certified
- 120
- Ownership
- Individual (for profit)
- Chain
- Fannin County Hospital District, with five homes
- Street address
- 6211 Old Pearsall Rd, San Antonio, Texas 78242
- 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 Jan. 21, 2026
- F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
11 citations dated Dec. 5, 2025
- F880 Infection Prevention and Control: 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, one or a few residents.
- F756 Monthly Drug Regimen Review: 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.
- F677 Help With Daily Living: 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, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
- F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
- F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
One citation dated Nov. 21, 2025
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Nov. 14, 2025
One citation dated Sept. 12, 2025
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Sept. 5, 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 Jan. 12, 2025
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: 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.
Eight citations dated Aug. 30, 2024
- F914 Bedroom Privacy Between Residents: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: 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.
- F641 Accurate Resident Assessments: 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.
Two citations dated Aug. 9, 2024
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated April 4, 2024
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F712 Face to Face Doctor Visits: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Oct. 27, 2023
Four citations dated June 16, 2023
- F880 Infection Prevention and Control: 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.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Sept. 5, 2025 | Fine | $8,281 |
| Oct. 27, 2023 | Fine | $10,708 |
Ownership and Management of the Home
- The home is run by Redberry Canyon Healthcare LLC (operational or managerial control).
- The direct 100% owner is Fannin County Hospital Authority.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 676478. Other homes in San Antonio.