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Nursing HomeMedicaid

Pecan Valley Rehabilitation and Healthcare

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

3838 East Southcross Boulevard, Pecan Valley · San Antonio, TX 78222124 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 186 Google reviews

5
4
3
2
1

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What this means for your family

This facility is an excellent choice for rehabilitation, particularly due to the high quality of their physical and occupational therapy teams. However, families should be vigilant about communication with the front desk and ensure that call light responses are being met, as some visitors have noted inconsistent professionalism in these areas.

Google Reviews

Google Reviews

186 reviews on Google
Families considering Pecan Valley Rehabilitation and Healthcare will find a facility highly praised for its physical therapy, cleanliness, and the warmth of its nursing staff. While many long-term residents and rehab patients report excellent outcomes, some reviewers have raised serious concerns regarding staff professionalism at the front desk and occasional lapses in responsiveness to call lights.

Quality Themes

Tap a score for details
Food8.0Staff8.0Clean9.0Activities7.0MedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy
  • Clean and well-maintained environment
  • Compassionate and attentive nursing staff
  • Welcoming and professional community liaison

Concerns

  • Unprofessional attitude from front desk/reception staff (mentioned by 3 reviewers)
  • Slow response times to call lights or patient needs (mentioned by 3 reviewers)
  • Inconsistent cleanliness in certain patient rooms (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(1)'18(1)'20(4)'22(7)'24(49)'26(18)

Distribution · 189 analyzed

5
147
4
16
3
6
2
1
1
19

How They Respond to Reviews

53%response rate
Good

The owner provides personalized responses that specifically reference details from the reviewer's text, such as names of staff members, cleanliness, or food quality. They maintain a professional and appreciative tone across both positive and negative feedback.

Questions for Your Tour

  • 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how those are customized for each resident?
  • 2How does the nursing team manage call light response times to ensure residents' needs are met promptly throughout the day?
  • 3What specific steps are being taken to ensure consistent cleanliness and upkeep in the resident rooms?
  • 4I noticed the management team is very engaged in responding to community feedback; how does that feedback loop help improve daily care for the residents?
  • 5What is the protocol for handling medical emergencies or sudden changes in a resident's health during the night?
  • 6What kind of daily activities or social outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

The staff took great care of our Dad and were attentive to his needs. He even like the food!

Rehab patient's family · 2025★★★★★

I had an outstanding experience with Denise Morales the Community Liaison from the moment we connected, she brought such genuine beauty and positive energy into every interaction.

New resident's family · 2025★★★★★

The shining stars of this facility are the staff. Everyone is kind, helpful & competent. The person who stands out the most, is the wonderful Pauline!

Long-term resident's family · 2025★★★★★
Source: 186 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
46%
Registered nurses for medical care
Total Nursing
3.42hrs
83%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

16

measures

Worse Than Avg

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
15.4%
TX
9.4%
Bexar
10.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.5%
Better than Avg
Here
9.5%
US
19.5%
TX
18.4%
Bexar
21.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
TX
2.5%
Bexar
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
14.4%
TX
16.1%
Bexar
16.1%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility8.8%
Worse than Avg
Here
8.8%
US
5.3%
TX
3.2%
Bexar
4.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
93.4%
TX
96.9%
Bexar
94.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.9%
Better than Avg
Here
93.9%
US
79.7%
TX
88.0%
Bexar
84.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.4%
Better than Avg
Here
93.4%
US
81.8%
TX
89.2%
Bexar
81.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bexar
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (9.1)
13 complaint-triggered
$184,142 in fines

Families have filed numerous reports triggering 23 of 37 total deficiencies, signaling ongoing concerns about resident safety and abuse protection, care planning and medical records management, and resident rights protections. The facility has faced recurring issues with preventing abuse and neglect, maintaining proper medical records, and honoring residents' rights to dignity and privacy. While all violations show correction dates, the pattern of repeated problems in these critical areas suggests persistent quality issues that families should carefully consider.

Jan 30, 2026Routine
6
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Nov 24, 2025Complaint
1
0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Jul 7, 2025Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 9, 2025Complaint
2
0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 15, 2025Complaint
1
0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Oct 31, 2024Complaint
8
0837Potential for harm · WidespreadCorrected

Administration Deficiencies

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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Minimal · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Calavaras Creek Healthcare LLC

Organization Type

for profit

Management Company

CALAVARAS CREEK HEALTHCARE LLC

Administrator

MICHAEL GAONA

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 72 of 84

Ownership & Management

Key personnel

Aziz, WesamManaging Control - Governing BodyBurnam, SoonManaging Control - Governing BodyWinters, TeshaManaging Control - Governing BodyAbbott, SwatiOfficer / DirectorAgwunobi, JohnOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

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