Harbor Valley Health and Rehabilitation – San Antonio, TX

CMS Verified | 2026-03-01

Harbor Valley Health And Rehabilitation

6211 Old Pearsall Road, San Antonio, TX 78242
(210) 501-0825
120 beds
All San Antonio facilities
2.0*
Overall
2.0*
Health Inspection
3.0*
Quality Care
2.0*
Staffing
63.14
Score /100
#11040
National Rank

#11040
of 14703 facilities
National
24.9% position
#870
of 1177 in TX
State Rank
#46
of 62 in Bexar
County Rank
#45
of 58 in San Antonio
City Rank
#1
of 1 in ZIP 78242
ZIP Rank






About Harbor Valley Health And RehabilitationHarbor Valley Health And Rehabilitation is located at 6211 Old Pearsall Road, San Antonio, TX, reachable at (210) 501-0825. This For profit – Individual facility operates 120.0 certified beds and serves an average of 96 residents per day. It is part of the Fannin County Hospital District network (5 facilities nationwide). Medicare and Medicaid services have been provided since 2020-01-15. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Harbor Valley Health And Rehabilitation

Address

6211 Old Pearsall Road, San Antonio, TX 78242

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 120 Certified Beds
  • Ownership: For profit – Individual
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: FANNIN COUNTY HOSPITAL DISTRICT

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 3 fine(s) over 5 years
5-Year Trend
Declining over 5 years
63.14
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#11040 of 14703 nationally – #870 of 1177 in Texas

Who Is This Facility Best For?

Harbor Valley Health And Rehabilitation may be considered for families with limited options in San Antonio, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightHarbor Valley Health And Rehabilitation currently provides 3 hours 31 minutes of total nurse staffing per resident per day, including 6 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover stands at 43.6% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 31 minutes
Nurse Aide Hours2 hours 18 minutes
Licensed Practical Nurse (LPN) Hours1 hour 7 minutes
Registered Nurse (RN) Hours6 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 11 minutes
Weekend Registered Nurse (RN) Hours8 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance Summary⚠️ CMS has flagged Harbor Valley Health And Rehabilitation with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $27,269. 19 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $27269.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record Y
Total Weighted Health Survey Score 118.75 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#11,040
of 14,703
National
Bottom 25%
#870
TX State
Bottom 26% in TX
#46
of 62
️ Bexar County
#46 of 62
#45
of 58
️ San Antonio
#45 of 58
#1
of 1
ZIP 78242
Best in ZIP

Nationally, Harbor Valley Health And Rehabilitation ranks 11040th out of 14,703 facilities (composite score: 63.1/100), placing it in the bottom 25% nationwide. Within TX, it ranks 870th out of 1,177 nursing homes. In San Antonio, it ranks 45th out of 58 facilities. For 2026 staffing: total nurse hours rank #8,938 nationally and RN hours rank #14,143 nationally (#1116 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.52 #7,716 / 14,703 #338 / 1,177 Below average
2023 3.85 #5,078 / 14,703 #181 / 1,177 Above average
2024 3.83 #5,338 / 14,703 #154 / 1,177 Above average
2025 3.66 #7,284 / 14,703 #206 / 1,177 Above average
2026 3.52 #8,938 / 14,703 #305 / 1,177 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.24 #13,221 / 14,703 #862 / 1,177 ⚠️ Bottom 25%
2023 0.27 #12,591 / 14,703 #701 / 1,177 ⚠️ Bottom 25%
2024 0.20 #13,680 / 14,703 #959 / 1,177 ⚠️ Bottom 10%
2025 0.15 #14,110 / 14,703 #1,097 / 1,177 ⚠️ Bottom 5%
2026 0.10 #14,143 / 14,703 #1,116 / 1,177 ⚠️ Bottom 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Harbor Valley Health And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2020-01-15. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 501-0825 or your local Medicaid office to verify current eligibility.

Harbor Valley Health And Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 63.1/100, placing it #11040 of 14703 facilities nationally and #870 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Harbor Valley Health And Rehabilitation receives a reported average of 3 hours 31 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 6 minutes; Licensed Practical Nurse (LPN) — 1 hour 7 minutes; Nurse Aide — 2 hours 18 minutes. On weekends, total nurse staffing is 3 hours 11 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 43.6%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Harbor Valley Health And Rehabilitation with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 2 fine(s) totaling $27,269. 19 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $27,269, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 118.75 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Harbor Valley Health And Rehabilitation ranks 11040th out of 14,703 facilities (composite score: 63.1/100), placing it in the bottom 25% nationwide. Within TX, it ranks 870th out of 1,177 nursing homes. In San Antonio, it ranks 45th out of 58 facilities. For 2026 staffing: total nurse hours rank #8,938 nationally and RN hours rank #14,143 nationally (#1116 in TX). Our composite quality score of 63.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Antonio, visit: https://nursinghomesnearme.org/texas/san-antonio/

Contact and Location

ADR
Address

6211 Old Pearsall Road, San Antonio, TX 78242
Get directions on Google Maps

TEL
LLC
Legal Name

FANNIN COUNTY HOSPITAL AUTHORITY

MAP
Browse by Location

All Texas ·
Bexar County ·
San Antonio ·
ZIP 78242

Facility Details

Number of Certified Beds 120
Average Residents / Day 96 (80% occupancy)
Ownership Type For profit – Individual
Provider Type Medicare and Medicaid
County Bexar County, TX
City San Antonio, TX
ZIP Code 78242
Approved Since January 15, 2020
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676478
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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