Pecan Valley Rehabilitation and Healthcare
3838 E Southcross Blvd, San Antonio, TX 78222
Pecan Valley Rehabilitation and Healthcare is a senior care community located in San Antonio, TX. It provides nursing home care for older adults in the San Antonio area. To learn more or schedule a tour, call (210) 581-2273.
Operated by The Ensign Group, which runs 419 communities in our directory.
With 124 beds, Pecan Valley Rehabilitation and Healthcare is smaller than most nearby options, senior care communities in San Antonio average about 176 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Antonio average about 2.3 stars. The individual scores differ noticeably: 1 star for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in January 2026 and recorded 7 deficiencies.
Residents receive about 3.4 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 45%.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 25 problems at Pecan Valley Rehabilitation and Healthcare. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 15 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Pecan Valley Rehabilitation and Healthcare offers nursing home care.
Facility details
- Beds / units 124
- Nursing hours per resident/day 3.4
- Annual staff turnover 45%
- Last health inspection January 2026
Resident & family reviews
No one has shared a review of Pecan Valley Rehabilitation and Healthcare yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.