Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 32 Google reviews
Email Harbor Valley Health and Rehabilitation to yourself
Get a one-time email with a link to this profile so it is easy to find and share later.
This sends one email and does not add you to a mailing list.
These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
Families often praise the facility's modern, beautiful building and the kindness of the administrative and reception staff. However, there are serious allegations regarding neglect, including issues with hygiene, delayed meal service, and unresponsive call buttons. While many find the nursing and activity staff attentive, others report significant concerns regarding staff responsiveness and overall quality of care.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 41 analyzed
Personalized based on this facility's data
Key Review Excerpts
“My dad loved the food 🍱 he ate everything there, we struggled at home to feed him, but he ate every bite at this nursing home, except for some foods he didn’t like seafood.”
“The staff here are incredibly kind and attentive. They really care about the residents and make them feel at home.”
“They do not care about there patients. They also will let them sit in there dirty diapers . There staff never answers the phone and you can never get a hold of loved ones on weekends.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
16
measures
1
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed multiple complaints triggering 18 deficiencies, with recurring concerns about medication management, food safety, and resident abuse/neglect protection. The facility shows a pattern of deficiencies across care planning, accident prevention, and infection control that persist across multiple surveys. Most issues have correction plans, but one recent transfer/discharge violation remains uncorrected, raising ongoing safety concerns.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal Penalties
Fine
Sep 5, 2025
$8,281
Fine
Oct 27, 2023
$10,708
Fannin County Hospital Authority
for profit
HARBOR VALLEY HEALTH AND REHABILITATION LLC
STEVE SOSA
Fannin County Hospital District
5 facilities nationwide
Chain avg rating: 2.8/5 · Rank 4 of 5 (Lowest rating)
Owners
Fannin County Hospital Authority
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
32 reviews from families & visitors
Official Website
Visit harborvalleyhr.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
These are the 6 closest facilities in our data within 10 miles. Proximity does not mean they provide the same care type or have stronger quality signals, so compare each profile and verify services directly.
The Mission at Blue Skies of Texas East
3.2 miNursing Home · San Antonio, TX
Arnold House at Blue Skies of Texas East
3.2 miAssisted Living · San Antonio, TX
Legend Oaks Healthcare and Rehabilitation West San Antonio
4.4 miNursing Home · San Antonio, TX
Avir at San Antonio
4.4 miNursing Home · San Antonio, TX
Legend Oaks Healthcare and Rehabilitation Center San Antonio
4.9 miNursing Home · San Antonio, TX
Hunters Pond Rehabilitation and Healthcare
4.9 miNursing Home · San Antonio, TX