Buena Vida Nursing and Rehab-San Antonio
Nursing home in San Antonio, Texas, CMS certification number 455390
5027 Pecan Grove, San Antonio, TX 78222 · Bexar County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 222
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 29, 2025
- Deficiencies at that inspection
- 26
- Fines in 3 years
- $197,516 (4)
Does Buena Vida Nursing and Rehab-San Antonio take Medicare and Medicaid?
Yes to both. Buena Vida Nursing and Rehab-San Antonio is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Buena Vida Nursing and Rehab-San Antonio reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.94
- Registered nurse hours
- 0.26
- Licensed practical nurse hours
- 0.84
- Nurse aide hours
- 1.83
- Weekend total hours
- 2.68
- Nursing staff turnover
- 75.3%
- Registered nurse turnover
- 85.7%
- Administrators who left
- 3
Health inspections and complaints
Inspectors last made a standard visit on August 29, 2025 and cited 26 deficiencies, plus 13 from complaint visits.
The visit before, on July 12, 2024, found 9.
CMS shows an abuse icon for Buena Vida Nursing and Rehab-San Antonio. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
It is a candidate for the CMS special focus program. CMS puts homes with a long record of serious problems on this list for extra inspections.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Buena Vida Nursing and Rehab-San Antonio 4 times in the past 3 years, for $197,516 in total.
Beds and residents
On an average day 69.8 residents live here, about 31% of its 222 certified beds.
- Certified beds
- 222
- Average residents per day
- 69.8
- Certified since
- December 1, 1984
- Resident or family council
- Resident
Who owns Buena Vida Nursing and Rehab-San Antonio
- Legal business name
- West Wharton County Hospital District
- Ownership type
- Government - Hospital district
- Chain
- 150 homes nationally under Creative Solutions in Healthcare, 2.3-star chain average
Other nursing homes near Buena Vida Nursing and Rehab-San Antonio
- Pecan Valley Rehabilitation and Healthcare3838 E Southcross Blvd, San Antonio 78222
- Southeast Nursing & Rehabilitation Center4302 East Southcross Blvd, San Antonio 78222
- Highland Nursing Center5819 Pecan Valley Dr, San Antonio 78223
- The Rio at Mission Trails6211 S New Braunfels Avenue, San Antonio 78223
- Normandy Terrace Nursing & Rehabilitation Center841 Rice Road, San Antonio 78220
See also all nursing homes in San Antonio.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 58 in San Antonio, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Buena Vida Nursing and Rehab-San Antonio, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Buena Vida Nursing and Rehab-San Antonio
What is the CMS star rating of Buena Vida Nursing and Rehab-San Antonio?
1 out of 5 stars overall.
Does Buena Vida Nursing and Rehab-San Antonio accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Buena Vida Nursing and Rehab-San Antonio?
26 cited at the last standard visit.
Who owns Buena Vida Nursing and Rehab-San Antonio?
West Wharton County Hospital District, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.