Government Medicare Medicaid

Buena Vida Nursing and Rehab-San Antonio

5027 Pecan Grove, San Antonio, TX 78222

1.0 CMS Rating
Government - Hospital district
222 Certified Beds
14 Safety Score

Based on 2026 CMS Data

Official Government Ratings

Health Inspections

Frequency & severity of deficiencies


Staffing Levels

Nurse hours per resident per day


Quality Measures

Clinical outcomes & care quality

Resident Council Active

Active councils indicate resident empowerment and facility transparency.

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.

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Care Quality Indicators

Pressure Ulcers (High Risk) 5.42%

Lower is better

Antipsychotic Medication Use 8.33%

Lower is better

Falls with Major Injury 3.66%

Lower is better

How Buena Vida Nursing and Rehab-San Antonio Compares

Buena Vida Nursing and Rehab-San Antonio is a 222-bed government-owned nursing facility in San Antonio, Texas. It holds an overall CMS rating of 1 out of 5 stars, below the Texas average of 2.7 stars. Its lowest sub-rating is health inspections at 1 star. Its rate of high-risk residents with pressure ulcers (5.4%) is above the Texas average of 4.0% — a measure worth asking the staff about. With 222 certified beds, it has notable available capacity at roughly 27% occupied.

Among the 58 nursing facilities ElderVoice tracks in San Antonio, 5 hold a 5-star rating and the local average is 2.4 stars.

By the numbers vs. Texas average

  • Long-stay antipsychotic medication use: 8.3% — better than the Texas average of 9.4%.
  • Falls with major injury: 3.7% — worse than the Texas average of 3.3%.
  • High-risk pressure ulcers: 5.4% — worse than the Texas average of 4.0% (34% higher).

CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.

Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Texas averages across 1176 facilities tracked by ElderVoice.

The Senior Community Around San Antonio

San Antonio sits in Bexar County, where adults 65 and older make up about 12.1% of the population — a share of seniors in line with Texas as a whole (12.5% statewide). The area's median household income is consistent with state averages.

Residents 65+
239,416 (12.1%)
Median age
33.8 years
Median household income
$58,288
Median home value
$171,200

Demographics for Bexar County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near San Antonio.

Facility Details

CMS Provider ID 455390
County Bexar
Total Beds 222
Occupied Beds 61
Occupancy Rate 27%
Ownership Government - Hospital district

Other Facilities in San Antonio

Location

5027 Pecan Grove, San Antonio, TX 78222

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Important Data Disclaimer

All facility information, ratings, and quality metrics displayed on this page are sourced from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog. Data was last updated: May 4, 2026.

ElderVoice does not endorse, recommend, or guarantee any nursing home facility. The Safety Score is a proprietary calculation based on publicly available CMS data and is provided for informational purposes only. It should not be the sole factor in your care decisions.

We strongly recommend visiting facilities in person, speaking with staff and current residents' families, and verifying all information directly with the facility before making any decisions. For official Medicare ratings and complaint information, visit Medicare Care Compare.