Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
90
88 employees · 2 contractors · 29 on an average day Buena Vida Nursing and Rehab Center San Antonio
Nursing Home, Memory Care & Skilled Nursing · San Antonio, TX
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 12 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 12 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Buena Vida Nursing and Rehab Center San Antonio
Nursing Home, Memory Care & Skilled Nursing · San Antonio, TX
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 12 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 12 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Buena Vida Nursing and Rehab Center San Antonio accepts Medicare, Medicaid, and private pay.
Overview of Buena Vida Nursing and Rehab Center San Antonio
Ideally nestled in the quiet area of San Antonio, TX, Buena Vida Nursing and Rehab Center San Antonio provides a safe and secure setting for skilled nursing, rehabilitation, and memory care. Their team of kind and experienced caregivers works hard to meet residents’ unique needs with personalized care plans tailored to their preferences and care requirements. From daily living assistance to therapy services, the community provides all the comfort residents need to thrive.
Residents also enjoy an array of fun and engaging activities tailored to their interests and capabilities. A team of culinary experts carefully prepares healthy, nutritious, and delicious meals to make sure residents receive proper nourishment and nutrition. Here, everyone is guaranteed to enjoy a speedy recovery or maintain their maximum functionality to continue enjoying their golden years.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 159th out of 233 nursing homes we track in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 58m
This nursing home is ranked 159th out of 233 nursing homes we track in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 58m6 of 6 metrics below Texas average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 9 are the facility's own employees; no agency contractors work in this role.
9 staff · 8.2-hour shifts
16m
↓ 39% · TX 26mThis facility: 16m per resident per day, 39% below the Texas average of 26m (among Texas facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 9 are the facility's own employees; no agency contractors work in this role.
9 staff · 8.2-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 9.3-hour shifts
51m
↓ 10% · TX 57mThis facility: 51m per resident per day, 10% below the Texas average of 57m (among Texas facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 9.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 31 are the facility's own employees; no agency contractors work in this role.
31 staff · 8.7-hour shifts
1h 51m
↓ 8% · TX 2h 1mThis facility: 1h 51m per resident per day, 8% below the Texas average of 2h 1m (among Texas facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 31 are the facility's own employees; no agency contractors work in this role.
31 staff · 8.7-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
↓ 77% · TX 4mThis facility: 1m per resident per day, 77% below the Texas average of 4m (among Texas facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
2h 43m
↓ 9% · TX 2h 59mThis facility: 2h 43m per resident per day, 9% below the Texas average of 2h 59m (among Texas facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
9m
↓ 56% · TX 21mThis facility: 9m per resident per day, 56% below the Texas average of 21m (among Texas facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
90
88 employees · 2 contractors · 29 on an average day
90 total staff / 68 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.32 : 1
↓ 8% · TX 1.44This facility: 1.32 staff per resident, 8% below the Texas average of 1.44 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
90 staff ÷ 68 residents
See full Texas ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.4 h
↑ 4% · TX 8.1 hThis facility: 8.4 h, 4% above the Texas average of 8.1 h (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
22,404 staff hours this quarter
See full Texas ranking →99.8% of staff hours were worked by the facility's own employees
Texas average: 94.4% · Contractors this quarter: Occupational Therapy Aide (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A large-scale community that may provide a wide range of amenities, services, and structured programs.
222
Rank #5 / 257Bed count — State benchmarked This nursing home is ranked 5th out of 257 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
222
Rank #5 / 257Bed count — State benchmarked This nursing home is ranked 5th out of 257 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.High-capacity home · May provide extensive amenities, services and programs.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #1 / 147Years in operation — State benchmarked This nursing home is ranked 1st out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #1 / 147Years in operation — State benchmarked This nursing home is ranked 1st out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
55
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #217 / 276Walk Score — State benchmarked This nursing home is ranked 217th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #217 / 276Walk Score — State benchmarked This nursing home is ranked 217th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
26
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #174 / 175Occupancy rate — State benchmarked This nursing home is ranked 174th out of 175 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 175. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #174 / 175Occupancy rate — State benchmarked This nursing home is ranked 174th out of 175 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 175. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
31.4%
This home usually has availability
Based on 69.8 residents and 222 beds. Source: CMS Provider Information, average daily residents
Lower than the Texas average: 71.5%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
88
days
About This Community
Facility TypeNursing
StatusActive
IssuanceJanuary 4, 2025
ExpirationJanuary 4, 2028
CountyBexar
License Number308534
Year Opened9/1/1971
CMS Certification Number455390
Buena Vida Nursing and Rehab Center San Antonio is administered by Glenna Caldwell.
Management CompanySAN ANTONIO IV ENTERPRISES, LLC
OwnerWest Wharton County Hospital District
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicare
86 units
Medicaid and Medicare
136 units
Total beds
222 units
Resident Council
Administrator Emailzachary_willig@csnhc.com
Short-Term Rehab
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Housekeeping
Laundry & Linen
Transportation
Beauty Services
Pets not allowed
Beauty Salon
Building Type2-story
Room Types
Private
Semi-Private Rooms
CMS Health Inspection History
ALM Inspection Grade
70 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
12 points below the Texas average for CMS-certified facilities (82/100)
Category breakdown
Citations
Concern
410 severity-weighted points (49 citations) · 5× higher than the typical CMS-certified TX facility (median: 85)
Enforcement
Concern
$174,889 in fines · 3 enforcement actions
Persistence
Strong
7 days to fix issues · much faster than the typical CMS-certified TX facility (median: 16)
Total health inspections
14
↑ 77% · TX 7.9This facility: 14, 77% above the Texas average of 7.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
49
Rank #213 / 234Health citations — State benchmarked This nursing home is ranked 213th out of 234 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 77% · TX 27.7This facility: 49, 77% above the Texas average of 27.7 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
3.5
Rank #145 / 234Citations per inspection — State benchmarked This nursing home is ranked 145th out of 234 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 4% · TX 3.65This facility: 3.5, 4% below the Texas average of 3.65 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
97% corrected
48 of 49 citations corrected · 1 still open
Critical
J–L
5
↑ 163% · TX 1.9This facility: 5, 163% above the Texas average of 1.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
80% corrected · 1 open
Immediate jeopardy
Serious
G–I
0
↓ 100% · TX 0.4This facility: 0, 100% below the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
43
↑ 73% · TX 24.9This facility: 43, 73% above the Texas average of 24.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, more than minimal risk
Minor
A–C
1
↑ 150% · TX 0.4This facility: 1, 150% above the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
100% corrected
No harm, minimal riskLatest inspection: May 13, 2026 · 1 citation (Care Planning, moderate), corrected
Most cited category: Resident Rights, 10 of 49 citations · 9 categories in total
Citations history
Most recent first
May 13, 2026
1 citation
Care Planning moderate citation
Corrected
Corrected
Mar 05, 2026
1 citation
Pharmacy moderate citation
Corrected
Corrected
Feb 13, 2026
1 citation
Quality of Care critical citation
Jan 16, 2026
2 citations
Quality of Care critical citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Oct 06, 2025
6 citations
Abuse/Neglect critical citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nursing Services minor citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Aug 29, 2025
13 citations
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jul 11, 2025
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Feb 13, 2025
1 citation
Care Planning moderate citation
Corrected
Corrected
Nov 18, 2024
3 citations
Infection Control moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nov 01, 2024
2 citations
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Aug 19, 2024
1 citation
Care Planning moderate citation
Corrected
Corrected
Jul 12, 2024
9 citations
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jul 03, 2024
4 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jun 02, 2023
4 citations
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 49 citations
Resident Rights
10 deficiencies (20%)
Resident Assessment & Care Planning
9 deficiencies (18%)
Quality of Life & Care
9 deficiencies (18%)
Pharmacy Services
7 deficiencies (14%)
Nutrition & Dietary
4 deficiencies (8%)
Infection Control
3 deficiencies (6%)
Abuse, Neglect & Exploitation
3 deficiencies (6%)
Environmental
3 deficiencies (6%)
Nursing & Physician Services
1 deficiency (2%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 49 citations resulted from standard inspections; and 23 of 49 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
3 penalties in the past 3 years
Latest: Feb 13, 2026 · $14,508 civil money penalty
Feb 13, 2026 · $14,508 civil money penalty
Jan 16, 2026 · $9,113 civil money penalty
Aug 29, 2025 · $151,268 civil money penalty
Total fines
$174,889
↑ 166% · TX $66KThis facility: $174,889, 166% above the Texas average of $65,686. Average among the 815 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #222 / 236Federal fines — State benchmarked This nursing home is ranked 222nd out of 236 nursing homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 236 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
3
↑ 39% · TX 2.16This facility: 3, 39% above the Texas average of 2.16. Average among the 815 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
TX avg 0.18Texas average: 0.18. Average among the 815 Texas facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Feb 13, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,508
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,508
Jan 16, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,113
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,113
Aug 29, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$151,268
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$151,268Fine amount comparison
This facility
$174,889
Texas average
$65,686
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Texas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 51% · TX 4.1This facility: 2.0, 51% below the TX average of 4.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
16.3
Score · lower is better
↑ 106% · TX 7.9This facility: 16.3, 106% above the TX average of 7.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
30.1
Score · lower is better
↑ 108% · TX 14.5This facility: 30.1, 108% above the TX average of 14.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 3 better, 8 worse, 2 near TX average
4 short-stay measures: 2 better, 1 worse, 1 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
34.3%
↑ 116% · TX 15.8This facility: 34.3, 116% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
34.3%
↑ 116% · TX 15.8This facility: 34.3, 116% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
36.9%
↑ 164% · TX 14.0This facility: 36.9, 164% above the TX average of 14.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
36.9%
↑ 164% · TX 14.0This facility: 36.9, 164% above the TX average of 14.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.0%
↑ 41% · TX 13.4This facility: 19.0, 41% above the TX average of 13.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.0%
↑ 41% · TX 13.4This facility: 19.0, 41% above the TX average of 13.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · TX 0.8This facility: 0.0, 100% below the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · TX 0.8This facility: 0.0, 100% below the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
↑ 11% · TX 3.3This facility: 3.6, 11% above the TX average of 3.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
↑ 11% · TX 3.3This facility: 3.6, 11% above the TX average of 3.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.5%
↑ 19% · TX 3.8This facility: 4.5, 19% above the TX average of 3.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.5%
↑ 19% · TX 3.8This facility: 4.5, 19% above the TX average of 3.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.2%
↓ 28% · TX 3.0This facility: 2.2, 28% below the TX average of 3.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.2%
↓ 28% · TX 3.0This facility: 2.2, 28% below the TX average of 3.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
2.7%
↑ 13% · TX 2.4This facility: 2.7, 13% above the TX average of 2.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
2.7%
↑ 13% · TX 2.4This facility: 2.7, 13% above the TX average of 2.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
11.8%
↑ 23% · TX 9.6This facility: 11.8, 23% above the TX average of 9.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
11.8%
↑ 23% · TX 9.6This facility: 11.8, 23% above the TX average of 9.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
↑ 2% · TX 96.5This facility: 98.8, 2% above the TX average of 96.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
↑ 2% · TX 96.5This facility: 98.8, 2% above the TX average of 96.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 2% · TX 98.0This facility: 100.0, 2% above the TX average of 98.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 2% · TX 98.0This facility: 100.0, 2% above the TX average of 98.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.28
↑ 7% · TX 2.13This facility: 2.28, 7% above the TX average of 2.13 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.28
↑ 7% · TX 2.13This facility: 2.28, 7% above the TX average of 2.13 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.89
↓ 57% · TX 2.07This facility: 0.89, 57% below the TX average of 2.07 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.89
↓ 57% · TX 2.07This facility: 0.89, 57% below the TX average of 2.07 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 4 measures
Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
↑ 68% · TX 1.5This facility: 2.5, 68% above the TX average of 1.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
2.5%
↑ 68% · TX 1.5This facility: 2.5, 68% above the TX average of 1.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
↑ 6% · TX 88.9This facility: 94.4, 6% above the TX average of 88.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
↑ 6% · TX 88.9This facility: 94.4, 6% above the TX average of 88.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 14% · TX 88.0This facility: 100.0, 14% above the TX average of 88.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 14% · TX 88.0This facility: 100.0, 14% above the TX average of 88.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Buena Vida Nursing and Rehab Center San Antonio’s finances from its CMS cost report for the fiscal year ending March 2025, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Mar 2025
Is it financially stable?
Losing money on care, but less than last year
−4.0% operating margin
+24.3 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.6M) turns it into a net profit to $0.4M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Texas homes
62.6% payroll share of revenue
TX average 68.8%Rank #64 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 64th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.5M while revenue rose $1.6M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2016 → 2025Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $5.9M | +$1.6M | Trend 20162025 | TX median $9.3M | Rank in TX Rank #192 / 225Net patient revenue — State benchmarked This nursing home is ranked 192nd out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 15% of homes | Below TX median Higher net patient revenue than 15% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $6.2M | +$0.7M | Trend 20162025 | TX median — | Rank in TX Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.2M | +$1.0M | Trend 20162025 | TX median — | Rank in TX Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −4.0% | +24.3 pts | Trend 20162025 | TX median — | Rank in TX Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.6M | — | Trend — | TX median — | Rank in TX Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | $0.4M | +$0.2M | Trend — | TX median — | Rank in TX Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Texas homes
| Metric | FY 2025 | vs prior year | Trend 2016 → 2025Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.7M | +$0.5M | Trend 20162025 | TX median $4.9M | Rank in TX Rank #172 / 225Payroll costs — State benchmarked This nursing home is ranked 172nd out of 225 nursing homes we track in Texas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 24% of homes | Below TX median Higher payroll than 24% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 62.6% | −11.2 pts | Trend 20162025 | TX median 57.6% | Rank in TX Rank #64 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 64th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 69% of homes | 6.2 pts under TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2025 2 charts · TX benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average No report
Year-by-year data, 2016–2025 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019no report | 2020 | 2021 | 2022no report | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $6.1M | $6.3M | $7.2M | $6.4M | $6.3M | $3.7M | $4.3M | $5.9M | ||
| Operating expenses | $7.4M | $7.8M | $9.5M | $6.8M | $6.7M | $5.0M | $5.5M | $6.2M | ||
| Net patient income | −$1.3M | −$1.5M | −$2.2M | −$0.3M | −$0.4M | −$1.3M | −$1.2M | −$0.2M | ||
| Operating margin | −20.9% | −23.6% | −31.0% | −5.4% | −6.1% | −33.6% | −28.4% | −4.0% | ||
| Net income | −$1.3M | −$1.5M | −$2.2M | $1.2M | $1.1M | $0.1M | $0.2M | $0.4M | ||
| Payroll costs | $3.3M | $3.8M | $4.2M | $3.5M | $3.2M | $2.7M | $3.2M | $3.7M | ||
| Payroll share of revenue | 53.9% | 59.5% | 58.6% | 53.9% | 50.8% | 73.4% | 73.8% | 62.6% | ||
| Beds | 222 | 222 | 222 | 222 | 222 | 222 | 222 | 222 | ||
| Gross revenue | $9.4M | $9.9M | $12.4M | $7.5M | $7.0M | $4.3M | $5.3M | $6.8M | ||
| Salaries | $3.0M | $3.4M | $3.7M | $3.1M | $3.0M | $2.5M | $2.9M | $3.4M | ||
| Wage-related costs | $0.3M | $0.4M | $0.6M | $0.3M | $0.2M | $0.2M | $0.3M | $0.3M | ||
| Contract labor | $0.5M | $0.6M | $0.6M | $1.2M | $1.0M | $0.1M | — | — | ||
| Other operating costs | $4.1M | $4.0M | $5.2M | $3.3M | $3.5M | $2.2M | $2.3M | $2.5M | ||
| Net patient revenue per day | $180 | $184 | $200 | $220 | $229 | $187 | $192 | $249 | ||
| Cost per day | $217 | $227 | $262 | $232 | $243 | $250 | $247 | $259 | ||
| Average length of stay | 114.9 days | 126.9 days | 118.8 days | 212.0 days | 168.8 days | 221.1 days | 196.3 days | 88.1 days |
Showing 2025–2023 · scroll sideways for 7 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
241 admissions · FY2025
Residents admitted during the year.
Medicare
45 · 19%
Medicaid
91 · 38%
Private pay & other
105 · 44%
Resident snapshot
68 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
2 · 3%
Medicaid
56 · 82%
Private pay & other
10 · 15%
Leaving
271 discharges · FY2025
Residents discharged during the year.
Medicare
30 · 11%
Medicaid
128 · 47%
Private pay & other
113 · 42%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Buena Vida Nursing and Rehab Center San Antonio
5.6 miles from city center
Estimated distance in miles from San Antonio's city center to Buena Vida Nursing and Rehab Center San Antonio's address, calculated via Google Maps.
Calculate Travel Distance to Buena Vida Nursing and Rehab Center San Antonio
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Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 68.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lakeside Nursing and Rehabilitation Center | NH SNF | San Antonio (Far West Side) | 120
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120
TX AVG
109
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95.8%
Facility
95.8%
TX AVG
71.5%
Rank
#8 / 175 | +34% | 3.05
Facility
3.05
TX AVG
3.50
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#159 / 233 | +35% | -13% | $14.6k
Facility
$14.6k
TX AVG
$66.1k
Rank
#96 / 236 | 23
Facility
23
TX AVG
27.7
Rank
#105 / 234 | 3.8
Facility
3.8
TX AVG
3.6
Rank
#172 / 234 | 3 | 113 | - |
19
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19
TX AVG
44
Rank
#242 / 276 | West Wharton County Hospital District | $12.8MFiscal year ending 03/2025
Facility
$12.8MFiscal year ending 03/2025
TX AVG
$10.2M
Rank
#41 / 225 | $7.7MFiscal year ending 03/2025
Facility
$7.7MFiscal year ending 03/2025
TX AVG
$5.8M
Rank
#40 / 225 | 60%Fiscal year ending 03/2025
Facility
60%Fiscal year ending 03/2025
TX AVG
68.8%
Rank
#77 / 202 | 676325 | ||||
| Remington Transitional Care | NH HC HOS RC SNF | San Antonio (Northwest Side) | 60
Facility
60
TX AVG
109
Rank
#211 / 257 | A |
93.0%
Facility
93.0%
TX AVG
71.5%
Rank
#1 / 175 | +30% | 4.04
Facility
4.04
TX AVG
3.50
Rank
#70 / 233 | +67% | +15% | $0
Facility
$0
TX AVG
$66.1k
Rank
#1 / 236 | 23
Facility
23
TX AVG
27.7
Rank
#105 / 234 | 3.8
Facility
3.8
TX AVG
3.6
Rank
#172 / 234 | - | 56 | - |
75
Facility
75
TX AVG
44
Rank
#18 / 276 | Regency Ihs Of San Antonio, LLC | $11.1MFiscal year ending 12/2024
Facility
$11.1MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#63 / 225 | $5.0MFiscal year ending 12/2024
Facility
$5.0MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#110 / 225 | 44.9%Fiscal year ending 12/2024
Facility
44.9%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#163 / 202 | 676216 | ||||
| Morningside at the Meadows | NH AL IL MC SNF | San Antonio (Sunshine Estates) | 147
Facility
147
TX AVG
109
Rank
#37 / 257 | A- |
44.4%
Facility
44.4%
TX AVG
71.5%
Rank
#155 / 175 | -38% | 4.42
Facility
4.42
TX AVG
3.50
Rank
#46 / 233 | -16% | +26% | $5.0k
Facility
$5.0k
TX AVG
$66.1k
Rank
#63 / 236 | 26
Facility
26
TX AVG
27.7
Rank
#135 / 234 | 6.5
Facility
6.5
TX AVG
3.6
Rank
#230 / 234 | - | 65 | - |
46
Facility
46
TX AVG
44
Rank
#135 / 276 | Guadalupe County Hospital Board | $6.2MFiscal year ending 09/2024
Facility
$6.2MFiscal year ending 09/2024
TX AVG
$10.2M
Rank
#184 / 225 | $5.6MFiscal year ending 09/2024
Facility
$5.6MFiscal year ending 09/2024
TX AVG
$5.8M
Rank
#87 / 225 | 90.2%Fiscal year ending 09/2024
Facility
90.2%Fiscal year ending 09/2024
TX AVG
68.8%
Rank
#22 / 202 | 455523 | ||||
| San Pedro Manor | NH MC SNF | San Antonio (Monte Vista) | 150
Facility
150
TX AVG
109
Rank
#30 / 257 | B |
67.3%
Facility
67.3%
TX AVG
71.5%
Rank
#124 / 175 | -6% | 3.85
Facility
3.85
TX AVG
3.50
Rank
#70 / 233 | +2% | +10% | $24.3k
Facility
$24.3k
TX AVG
$66.1k
Rank
#129 / 236 | 30
Facility
30
TX AVG
27.7
Rank
#159 / 234 | 3.3
Facility
3.3
TX AVG
3.6
Rank
#118 / 234 | 2 | 101 | A+ |
79
Facility
79
TX AVG
44
Rank
#14 / 276 | Uvalde County Hospital Authority | $8.9MFiscal year ending 06/2025
Facility
$8.9MFiscal year ending 06/2025
TX AVG
$10.2M
Rank
#126 / 225 | $6.5MFiscal year ending 06/2025
Facility
$6.5MFiscal year ending 06/2025
TX AVG
$5.8M
Rank
#60 / 225 | 72.3%Fiscal year ending 06/2025
Facility
72.3%Fiscal year ending 06/2025
TX AVG
68.8%
Rank
#33 / 202 | 455689 | ||||
| Buena Vida Nursing and Rehab Center San Antonio | NH MC SNF | San Antonio (East Side) | 222
Facility
222
TX AVG
109
Rank
#5 / 257 | C- |
31.4%
Facility
31.4%
TX AVG
71.5%
Rank
#174 / 175 | -56% | 2.97
Facility
2.97
TX AVG
3.50
Rank
#159 / 233 | +31% | -15% | $174.9k
Facility
$174.9k
TX AVG
$66.1k
Rank
#222 / 236 | 49
Facility
49
TX AVG
27.7
Rank
#213 / 234 | 3.5
Facility
3.5
TX AVG
3.6
Rank
#145 / 234 | 5 | 70 | - |
26
Facility
26
TX AVG
44
Rank
#217 / 276 | West Wharton County Hospital District | $5.9MFiscal year ending 03/2025
Facility
$5.9MFiscal year ending 03/2025
TX AVG
$10.2M
Rank
#192 / 225 | $3.7MFiscal year ending 03/2025
Facility
$3.7MFiscal year ending 03/2025
TX AVG
$5.8M
Rank
#172 / 225 | 62.6%Fiscal year ending 03/2025
Facility
62.6%Fiscal year ending 03/2025
TX AVG
68.8%
Rank
#64 / 202 | 455390 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Texas
Buena Vida Nursing and Rehab Center San Antonio is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about Buena Vida Nursing and Rehab Center San Antonio
What neighborhood is Buena Vida Nursing and Rehab Center San Antonio in?
Buena Vida Nursing and Rehab Center San Antonio is in the East Side neighborhood of San Antonio.
Who is the owner of Buena Vida Nursing and Rehab Center San Antonio?
Buena Vida Nursing and Rehab Center San Antonio is legally operated by West Wharton County Hospital District, and administered by Glenna Caldwell.
Is Buena Vida Nursing and Rehab Center San Antonio in a walkable area?
Buena Vida Nursing and Rehab Center San Antonio has a walk score of 26. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Buena Vida Nursing and Rehab Center San Antonio?
According to TX state health department records, Buena Vida Nursing and Rehab Center San Antonio's license number is 308534.
When does Buena Vida Nursing and Rehab Center San Antonio's license expire?
According to TX state health department records, Buena Vida Nursing and Rehab Center San Antonio's license expires on January 4, 2028.
What is the occupancy rate at Buena Vida Nursing and Rehab Center San Antonio?
Buena Vida Nursing and Rehab Center San Antonio's occupancy is 31.4%.
How long has Buena Vida Nursing and Rehab Center San Antonio been in business?
Buena Vida Nursing and Rehab Center San Antonio has been operating for approximately 55 years, based on available licensing and registration records.
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