Pecan Valley Rehabilitation And Healthcare
Nursing Home · 3838 E Southcross Blvd, San Antonio, TX 78222 · 2105812273
B
graded on 75% of our rubric
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 3.0 / 5 | high |
| Staffing | 1.8 / 5 | high |
| Clinical outcomes | 4.2 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 3.4 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 124 |
| Ownership | For Profit - Corporation |
| Operator | Calavaras Creek Healthcare Llc |
| Chain size | 338 facilities |
| Certified since | 2010-04-14 |
| CMS overall star | 3 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$ of 5 · ~$393/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 1 immediate jeopardy · 0 actual harm · 21 potential for harm · 1 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-30 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Resident Assessment and Care Planning Deficiencies, tag 0636) | D | corrected 2026-02-03 |
| 2026-01-30 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (Resident Assessment and Care Planning Deficiencies, tag 0640) | D | corrected 2026-02-03 |
| 2026-01-30 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Quality of Life and Care Deficiencies, tag 0688) | D | corrected 2026-02-03 |
| 2026-01-30 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Nutrition and Dietary Deficiencies, tag 0813) | D | corrected 2026-02-03 |
| 2025-11-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | D | corrected 2025-11-25 |
| 2025-07-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | J · immediate jeopardy | corrected 2025-07-07 |
| 2025-05-09 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Resident Rights Deficiencies, tag 0585) | E | corrected 2025-06-04 |
| 2025-05-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Quality of Life and Care Deficiencies, tag 0684) | D | corrected 2025-06-04 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.42 hrs/resident/day (expected 4.12 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.34 hrs/resident/day (expected 0.72 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.95 · LPN 1.12 hrs/resident/day
- Weekend total staffing: 2.79 hrs/resident/day (expected 3.66 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 48.9% · RN turnover 55.6% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.48 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 13.3% | 30.6 → 21.1 → 3.3 → 2.1 | better than 51% of US homes · TX median 13% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 3.9% | 5.6 → 4.1 → 3.6 → 2.6 | better than 56% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0.2% | 0.8 → 0 → 0 → 0 | better than 59% of US homes · TX median 0% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 9% | 20 → 6.1 → 4.3 → 5.5 | better than 69% of US homes · TX median 14.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0.6% | 1.1 → 0 → 0 → 1.1 | better than 90% of US homes · TX median 3% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 0.9% | 0 → 1.7 → 1.8 → 0 | better than 98% of US homes · TX median 8.1% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.7% |
What this costs
- This facility's reported avg daily charge: $393/day · $$$$ (price tier 4 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 71% Medicaid · 8% Medicare · 21% other/private · 79% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Bexar County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Baptist Neighborhood Hospital Thousand Oaks | San Antonio | Yes | 5★ | Acute care |
| San Antonio VA Medical Center (va South Texas Healthcare System) | San Antonio | Yes | 5★ | Acute care - Veterans Administration |
| Methodist Hospital | San Antonio | Yes | 4★ | Acute care |
| Methodist Hospital Stone Oak | San Antonio | Yes | 4★ | Acute care |
| Baptist Medical Center | San Antonio | Yes | 3★ | Acute care |
| Christus Santa Rosa Medical Center | San Antonio | Yes | 3★ | Acute care |
Compare nearby
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- B+ The Heights On Huebner · San Antonio
- B+ The Village At Incarnate Word · San Antonio
- B+ Legend Oaks Healthcare And Rehabilitation Center - · San Antonio
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Bexar County nursing homes coverage. Spot an error? Tell us.