Harbor Valley Health and Rehabilitation
Nursing home in San Antonio, Texas, CMS certification number 676478
6211 Old Pearsall Rd, San Antonio, TX 78242 · Bexar County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- December 5, 2025
- Deficiencies at that inspection
- 15
- Fines in 3 years
- $18,989 (2)
Does Harbor Valley Health and Rehabilitation take Medicare and Medicaid?
Yes to both. Harbor Valley Health and Rehabilitation 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 | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Harbor Valley Health and Rehabilitation 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
- 3.50
- Registered nurse hours
- 0.27
- Licensed practical nurse hours
- 0.98
- Nurse aide hours
- 2.25
- Weekend total hours
- 2.95
- Nursing staff turnover
- 50%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on December 5, 2025 and cited 15 deficiencies, plus 4 from complaint visits.
The visit before, on August 30, 2024, found 8.
Infection control citations: 2.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Harbor Valley Health and Rehabilitation 2 times in the past 3 years, for $18,989 in total.
Beds and residents
On an average day 85.6 residents live here, about 71% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 85.6
- Certified since
- January 15, 2020
- Inside a hospital
- Yes
- Resident or family council
- Resident
Who owns Harbor Valley Health and Rehabilitation
- Legal business name
- Fannin County Hospital Authority
- Ownership type
- For profit - Individual
- Chain
- 5 homes nationally under Fannin County Hospital District, 3.2-star chain average
Other nursing homes near Harbor Valley Health and Rehabilitation
- The Mission at Blue Skies of Texas East4949 Ravenswood Drive, San Antonio 78227
- Avir at San Antonio50 Briggs Ave., San Antonio 78224
- Legend Oaks Healthcare and Rehabilitation - West S222 Bertetti Dr, San Antonio 78227
- Legend Oaks Healthcare and Rehabilitation Center -2003 W Hutchins Place, San Antonio 78224
- Hunters Pond Rehabilitation and Healthcare9903 Hunters Pond, San Antonio 78224
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 Harbor Valley Health and Rehabilitation, 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 Harbor Valley Health and Rehabilitation
What is the CMS star rating of Harbor Valley Health and Rehabilitation?
1 out of 5 stars overall.
Does Harbor Valley Health and Rehabilitation accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Harbor Valley Health and Rehabilitation?
15 cited at the last standard visit.
Who owns Harbor Valley Health and Rehabilitation?
Fannin County Hospital Authority, for profit - individual.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.