Harbor Valley Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Harbor Valley Health and Rehabilitation is a 120-bed for-profit nursing home in San Antonio, Texas, part of Fannin County Hospital District. In the CMS August 2026 release it reported 2.38 nurse aide hours per resident per day, 19% above the Texas average of 2.00, and 43.8% nursing staff turnover (Texas average 55.3%).
Harbor Valley Health and Rehabilitation
6211 Old Pearsall RoadSan Antonio, TX 78242
Bexar County
CMS Care Compare, August 2026 release
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 Harbor Valley Health and Rehabilitation, nurse aides logged 2.38 hours per resident per day, 19% above the Texas average. With about 82 residents a day, that works out to roughly 194 aide hours a day, or about 24 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.38 | 2.00 | 2.32 |
| Licensed practical nurses | 1.10 | 0.95 | 0.86 |
| Registered nurses | 0.10 | 0.43 | 0.69 |
| All nursing staff | 3.58 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.16 | 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
43.8% of nursing staff at Harbor Valley Health and Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 5, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $18,989 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 5, 2025 | Fine | $8,281 |
| Oct 27, 2023 | Fine | $10,708 |
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. Harbor Valley Health and Rehabilitation holds 2 of 5 overall; the Texas average is 2.6.
About Harbor Valley Health and Rehabilitation
- Ownership: For profit - Individual
- Chain: Fannin County Hospital District, 5 homes
- Legal name: Fannin County Hospital Authority
- Medicare and Medicaid certified since: Jan 15, 2020
- Located inside a hospital
- Councils: resident council
- Area: urban
Nursing homes near Harbor Valley Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Mission at Blue Skies of Texas East San Antonio | 3.2 | 80 | 2.72 | 4.87 | 57.6% | 5 | $17,345 |
| Avir at San Antonio San Antonio · many days without an RN | 4.2 | 119 | 1.70 | 2.63 | 60.7% | 1 | $29,494 |
| Legend Oaks Healthcare and Rehabilitation - West S San Antonio | 4.4 | 124 | 2.12 | 3.64 | 20.7% | 3 | $8,632 |
| Legend Oaks Healthcare and Rehabilitation Center San Antonio | 4.7 | 126 | 1.96 | 3.62 | 46.2% | 3 | None |
| Hunters Pond Rehabilitation and Healthcare San Antonio | 4.8 | 128 | 2.09 | 3.31 | 40.0% | 3 | $66,531 |
| San Antonio West Nursing and Rehabilitation San Antonio | 6.0 | 135 | 1.52 | 2.75 | 63.6% | 1 | $364,695 |
| Lakeside Nursing and Rehabilitation Center San Antonio | 6.5 | 118 | 2.02 | 3.33 | 36.8% | 5 | $14,611 |
| San Jose Nursing Center San Antonio | 6.5 | 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.