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Buena Vida Nursing and Rehab-San Antonio

5027 Pecan Grove, San Antonio, Texas 78222

Medicare lists this as a Special Focus Facility, a home with a history of serious quality issues that receives more frequent inspections.

Overview

Buena Vida Nursing and Rehab-San Antonio has a Medicare overall rating of 1 out of 5, below the Texas average of 2.8. It ranks 53rd of 58 nursing homes in San Antonio. It scores best on quality of care (2 of 5) and lowest on health inspections (1 of 5).

Residents receive about 2.9 hours of nursing care per day, fewer than at 85% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.3 hours come from registered nurses.

Its most recent standard inspection, on August 29, 2025, found 26 health deficiencies, more than the Texas average of 9.6. 13 of them came from complaint investigations. Medicare records 4 fines totaling $197,516 in the past three years.

Buena Vida Nursing and Rehab-San Antonio is a government-run facility with 222 certified beds, caring for about 70 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1984.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

In San Antonio53rd of 58 facilities

Top 92%

Within 100 miles193rd of 200 facilities

Top 97%

In Texas1121st of 1,166 facilities

Top 97%

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Inspections and penalties

Most recent standard inspection
August 29, 2025
Health deficiencies cited
26
Complaint-related deficiencies
13
Fines in the last 3 years
4 totaling $197,516
Payment denials
0
Total penalties
4

Staffing

Average hours of care each resident receives per day.

  • All nursing staff2.94 hrs
  • Registered nurses (RN)0.26 hrs
  • Licensed practical nurses (LPN)0.84 hrs
  • Nurse aides1.83 hrs
  • Physical therapists0.02 hrs

Facility details

Ownership
Government - Hospital district
Certified beds
222
Average residents per day
70
Participates in
Medicare and Medicaid
Medicare/Medicaid since
December 1, 1984
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes