Buena Vida Nursing and Rehab-San Antonio: Staffing, Turnover, and Inspection Record
Buena Vida Nursing and Rehab-San Antonio is a 222-bed government-run nursing home in San Antonio, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.63 nurse aide hours per resident per day, 18% below the Texas average of 2.00.
Buena Vida Nursing and Rehab-San Antonio
5027 Pecan GroveSan Antonio, TX 78222
Bexar County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Buena Vida Nursing and Rehab-San Antonio, nurse aides logged 1.63 hours per resident per day, 18% below the Texas average. With about 67 residents a day, that works out to roughly 109 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.63 | 2.00 | 2.32 |
| Licensed practical nurses | 1.03 | 0.95 | 0.86 |
| Registered nurses | 0.27 | 0.43 | 0.69 |
| All nursing staff | 2.93 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.66 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Buena Vida Nursing and Rehab-San Antonio in this release. 3 administrators left over the same period.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 29, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 24 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $174,889 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 13, 2026 | Fine | $14,508 |
| Jan 16, 2026 | Fine | $9,113 |
| Aug 29, 2025 | Fine | $151,268 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Buena Vida Nursing and Rehab-San Antonio holds 1 of 5 overall; the Texas average is 2.6.
About Buena Vida Nursing and Rehab-San Antonio
- Ownership: Government - Hospital district
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Dec 1, 1984
- Councils: resident council
- Area: urban
Nursing homes near Buena Vida Nursing and Rehab-San Antonio
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Pecan Valley Rehabilitation and Healthcare San Antonio | 0.1 | 124 | 1.98 | 3.41 | 45.2% | 4 | None |
| Southeast Nursing & Rehabilitation Center San Antonio | 0.5 | 116 | 2.18 | 3.59 | 35.4% | 2 | $10,631 |
| Highland Nursing Center San Antonio · staffing data not validated | 1.1 | 53 | — | — | 42.4% | 1 | None |
| The Rio at Mission Trails San Antonio | 2.4 | 124 | 2.14 | 3.71 | 97.2% | 1 | $153,825 |
| Normandy Terrace Nursing & Rehabilitation Center San Antonio · abuse citation | 2.5 | 320 | 1.85 | 3.01 | 95.8% | 1 | $287,359 |
| Windsor Mission Oaks San Antonio | 3.7 | 150 | 1.60 | 2.74 | 23.2% | 3 | $10,842 |
| River City Care Center San Antonio · abuse citation | 4.7 | 92 | 1.95 | 3.22 | — | 1 | $18,503 |
| San Jose Nursing Center San Antonio | 5.6 | 55 | 1.97 | 3.16 | 33.3% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.