Harbor Valley Health and Rehabilitation

CMS abuse icon · In hospital · CCN 676478 · FANNIN COUNTY HOSPITAL AUTHORITY · For profit - Individual · FANNIN COUNTY HOSPITAL DISTRICT chain · 120 certified beds · Bexar · TX


Harbor Valley Health and Rehabilitation is a 120-bed nursing home in San Antonio, Texas. CMS has certified it for Medicare and Medicaid since 2020-01-15. It averages 81.7 residents a day.

What harm was found in the violations cited at Harbor Valley Health and Rehabilitation?

CMS lists 40 health-inspection deficiencies for Harbor Valley Health and Rehabilitation since 2023-06-16, 36 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-21.

Survey dateTagDeficiencySeverity
2026-01-21F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D
2025-12-05F0565, F0641, F0656Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2025-12-05F0628, F0637, F0657, F0677, F0689, F0756, F0812, F0880Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Assess the resident when there is a significant change in condition / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.D
2025-11-21F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2025-11-14F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-11-14F0880Provide and implement an infection prevention and control program.D
2025-09-12F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2025-09-05F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-01-12F0550, F0677, F0689Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-08-30F0578, F0641, F0689, F0755, F0759, F0849, F0880, F0914Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure each resident receives an accurate assessment. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Provide and implement an infection prevention and control program. / Provide bedrooms that don't allow residents to see each other when privacy is needed.D
2024-08-09F0760, F0919Ensure that residents are free from significant medication errors. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2024-04-04F0712, F0761, F0812Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2023-10-27F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2023-10-27F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-08-10F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-06-16F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-06-16F0693, F0695, F0880Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program.D

Why was Harbor Valley Health and Rehabilitation fined 2 times?

DateTypeAmount
2025-09-05Fine$8,281
2023-10-27Fine$10,708

How is Harbor Valley Health and Rehabilitation staffed?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.578493.38539
Total nursing staff turnover (%)43.855.3
Average number of residents per day81.775.8

Who owns Harbor Valley Health and Rehabilitation, and what chain is it in?

Harbor Valley Health and Rehabilitation is registered with CMS as For profit - Individual, operates under the legal business name FANNIN COUNTY HOSPITAL AUTHORITY and belongs to the FANNIN COUNTY HOSPITAL DISTRICT chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFANNIN COUNTY HOSPITAL AUTHORITYsince 05/01/2026
MANAGING CONTROL - GOVERNING BODYJONES, JUSTIN, MARTINEZ, FERNANDOsince 05/01/2026
CORPORATE OFFICERBURNAM, SOON, KEETCH, CHAD, SANDERSON, CLARKsince 03/01/2011
OPERATIONAL/MANAGERIAL CONTROLREDBERRY CANYON HEALTHCARE LLC, JONES, JUSTIN, MARTINEZ, FERNANDOsince 05/01/2026
ADP OF THE SNFENSIGN SERVICES INC, PEARSALL ROAD HEALTH HOLDINGS LLC, REDBERRY CANYON HEALTHCARE LLC, STANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP INC, JONES, JUSTIN, MARTINEZ, FERNANDOsince 04/09/2026

Were you or a family member harmed at Harbor Valley Health and Rehabilitation?