Harbor Valley Health And Rehabilitation has received an F grade based on CMS data, with a score of 31/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this San Antonio facility should carefully review its inspection history and quality metrics.
Staffing at Harbor Valley Health And Rehabilitation is near the national average, with 3.52 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 41 deficiencies at Harbor Valley Health And Rehabilitation, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.52 | 3.8 | Average |
| Registered Nurses (RN) | 0.10 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.12 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.30 | 2.4 | Average |
| Weekend Total Nursing | 3.18 | 3.8 | Below Average |
| Weekend RN Hours | 0.13 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0627 Severity DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Jan 20, 2026 · Resident Rights Deficiencies
- Tag 0565 Severity EHonor the resident's right to organize and participate in resident/family groups in the facility.Dec 4, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity EEnsure each resident receives an accurate assessment.Dec 4, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 4, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Dec 4, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.5% | 4.5% | Better |
| Falls with major injury | 4.4% | 3.0% | Worse |
| On antipsychotic medication | 5.0% | 14.5% | Better |
| Urinary tract infections | 3.4% | 2.5% | Worse |
| ADL decline (daily activities) | 4.1% | 14.0% | Better |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 1.4% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $27,269
How This Grade Was Calculated
This facility's grade of F is based on a score of 31 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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