Pecan Valley Rehabilitation and Healthcare — nursing home in San Antonio, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 124 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 104.6 CMS, MDS-derived
CMS Certification Number: 676250
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 14, 2010
Ownership type: For profit - Corporation
Operator (legal business name): Calavaras Creek Healthcare LLC
CMS chain: The Ensign Group 347 facilities
Phone: (210) 581-2273
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

12

latest Apr 29, 2026

Citations

30

25 health · 5 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E9	F2
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676250
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 124
First approved: Apr 14, 2010
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 29, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jan 30, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jan 30, 2026	Health	Health Standard	4	Potential harm	—	Open →
Nov 24, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jul 7, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
May 9, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Feb 15, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Oct 31, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Oct 31, 2024	Health	Health Complaint, Health Standard	9	Potential harm	—	Open →
Nov 16, 2023	Health	Infection Control	0	No citations	—	Open →
Sep 15, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Sep 15, 2023	Health	Health Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E9	F2
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 29, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 30, 2026	Complaint
Apr 29, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 30, 2026	Complaint
Jan 30, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2026
Jan 30, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 27, 2026
Jan 30, 2026	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 3, 2026
Jan 30, 2026	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 3, 2026
Jan 30, 2026	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 3, 2026
Jan 30, 2026	F-0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Feb 3, 2026
Nov 24, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 25, 2025	Complaint
Jul 7, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Jul 7, 2025	Complaint
May 9, 2025	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 4, 2025	Complaint
May 9, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 4, 2025	Complaint
Feb 15, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 7, 2025	Complaint
Oct 31, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 22, 2024
Oct 31, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 22, 2024	Complaint
Oct 31, 2024	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 22, 2024	Complaint
Oct 31, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 22, 2024	Complaint
Oct 31, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 22, 2024	Complaint
Oct 31, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 22, 2024	Complaint
Oct 31, 2024	F-0837	Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Nov 22, 2024	Complaint
Oct 31, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 22, 2024	Complaint
Oct 31, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Nov 22, 2024
Oct 31, 2024	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	C · Minimal Widespread	Corrected Nov 22, 2024	Complaint
Sep 15, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 22, 2023
Sep 15, 2023	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 22, 2023
Sep 15, 2023	F-0578	Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 22, 2023
Sep 15, 2023	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 22, 2023
Sep 15, 2023	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 22, 2023
Sep 15, 2023	F-0770	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Sep 22, 2023
Sep 15, 2023	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 22, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.42

State avg 3.42US avg 3.90

Registered nurse (RN)0.32

State avg 0.44US avg 0.69

Licensed practical nurse1.08

State avg 0.94US avg 0.86

Nurse aide2.02

State avg 2.03US avg 2.35

Weekend total nurse2.80

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.11 (case-mix index 1.54).

Staff turnover

Total nursing staff turnover47.9%

State avg 50.8%US avg 45.3%

Registered nurse turnover66.7%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 30, 2026
Cycle 1 health score: 36
Total weighted score: 49
Infection-control citations: 0

Operating entity

Calavaras Creek Healthcare LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

24

Organizations

4

Individuals

20

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Wesam Aziz	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Oct 9, 2023
Soon Burnam	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 19, 2019
Tesha Winters	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2019
Tesha Winters	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2019
Swati Abbott	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2020
John Agwunobi	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Ann Blouin	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 28, 2018
Christopher Christensen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2014
Mark Parkinson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2024
Daren Shaw	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2012
Barry Smith	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 1, 2014
Andrew Ashton	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 19, 2019
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 19, 2019
Spencer Burton	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 30, 2015
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2019
Barry Port	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2019
Suzanne Snapper	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 7, 1973
Beverly Wittekind	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 29, 2008
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2019
Olmstead Health Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Standard Bearer Healthcare Op, LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
The Ensign Group Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Wesam Aziz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 14, 2025
Tesha Winters	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 14, 2025

Same chain in Texas

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586	93	Jun 17, 2026	16	—
Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625	100	May 1, 2026	281 IJ	—
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Golden Palms Rehabilitation and Retirement 2101 Treasure Hills Boulevard, Harlingen, TX 78550 CCN 455672	60	May 13, 2026	271 IJ1 harm	$16k
Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon	150	Aug 25, 2026	636 IJ2 harm2 open	$221k
Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732	162	Jun 17, 2026	691 IJ	$29k
Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745	120	Jan 14, 2026	181 IJ	$8,021

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 3838 E Southcross Blvd, San Antonio, TX 78222
ZIP: 78222
County: Bexar County FIPS 48029
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon	0.2 km	222	Jul 24, 2026	595 IJ1 harm	$198k
Southeast Nursing & Rehabilitation Center 4302 East Southcross Blvd, San Antonio, TX 78222 CCN 675883	1 km	116	Jul 31, 2026	561 IJ	$11k
Highland Nursing Center 5819 Pecan Valley Dr, San Antonio, TX 78223 CCN 45E341	1.6 km	51	Mar 27, 2026	601 IJ	—
The Rio at Mission Trails 6211 S New Braunfels Avenue, San Antonio, TX 78223 CCN 676297	3.7 km	124	Aug 4, 2026	423 IJ	$154k
Normandy Terrace Nursing & Rehabilitation Center 841 Rice Road, San Antonio, TX 78220 CCN 675823SFF Candidate	4.2 km	320	Aug 21, 2026	848 IJ	$349k
Windsor Mission Oaks 3030 S Roosevelt Ave, San Antonio, TX 78214 CCN 675409	5.9 km	150	Jun 12, 2026	521 IJ	$11k
River City Care Center 921 Nolan St, San Antonio, TX 78202 CCN 675896Abuse icon	7.6 km	92	Jul 2, 2026	462 IJ	$19k
San Jose Nursing Center 406 Sharmain Pl, San Antonio, TX 78221 CCN 45E312	8.8 km	54	Jun 26, 2026	50	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676250	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676250	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676250

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction