Harbor Valley Health and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 31 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (17 vs median 8.0)
Below average in Texas · Critically understaffed (RN) · Above average staffing · Worst in FANNIN COUNTY HOSPITAL DISTRICT chain · $27,269 in fines · Abuse citation
What this means for your family
This facility offers a beautiful, modern environment with excellent activity programming and a friendly front-desk staff. However, families should be extremely vigilant regarding nursing responsiveness and hygiene, as multiple recent reviews allege neglect and slow response to call buttons.
Google Reviews
Google Reviews
31 reviews on Google“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
- Modern and beautiful facility design
- Kind and welcoming administrative staff
- Engaging activity programs
- Clean and well-maintained environment
Concerns
- Unresponsive call buttons and slow staff response times (mentioned by 2 reviewers)
- Issues with hygiene and resident neglect (mentioned by 2 reviewers)
- Inconsistent meal service timing
Rating Trends
Tap a year to see what changed
Distribution · 40 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1The facility looks beautiful and modern; how do you ensure the cleanliness and hygiene of the resident rooms are maintained daily?
- 2We've heard great things about your activity programs; could you tell us more about what a typical day of engagement looks like for residents?
- 3How do you manage staff response times to ensure that call buttons are answered promptly, especially during busy shifts?
- 4What is the process for communicating important medical updates or changes in condition to family members?
- 5Could you describe the meal service schedule and how you ensure dining is consistent and enjoyable for everyone?
- 6In the event of a medical emergency during the night, what is the protocol for immediate care and notifying the family?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
2
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Jan 21, 2026Complaint1
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Dec 5, 2025Routine13
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.
Nov 21, 2025Complaint1
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.
Nov 14, 2025Complaint2
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.
Sep 12, 2025Complaint1
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.
Sep 5, 2025Complaint1
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
Ownership & Operations
Who Operates This Facility
Fannin County Hospital Authority
for profit
HARBOR VALLEY HEALTH AND REHABILITATION LLC
STEVE SOSA
Chain Affiliation
Fannin County Hospital District
5 facilities nationwide
Chain avg rating: 2.8/5 · Rank 4 of 5 (Worst)
Ownership & Management
Owners
Fannin County Hospital Authority
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
31 reviews from families & visitors
Official Website
Visit harborvalleyhr.com
Medicare data downloads
Original nursing home datasets
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