Home›Texas›Bexar County›BUENA VIDA NURSING AND REHAB-SAN ANTONIO
D
Poor

BUENA VIDA NURSING AND REHAB-SAN ANTONIO

5027 PECAN GROVE · SAN ANTONIO, TX 78222

2103336815 · Government - Hospital district

222 beds67.8 residents94 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BUENA VIDA NURSING AND REHAB-SAN ANTONIO receives an overall staffing grade of D (Poor). With 2.927 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3047 HPRD, below the recommended 0.75. It is 0.97 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.93% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.927 HPRD — needs 0.55 more hours per resident per day.
⚠️RN staffing (0.3047 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.927hrs/resident/day▼ 0.97
CMS benchmark: 3.48
RN HPRD
0.3047hrs/resident/day▼ 0.38
Recommended: 0.75
Weekend Drop-off
17.93%
3.0833 weekday → 2.5304 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.2616hrs/resident/day
Direct care aides
LPN HPRD
1.0166hrs/resident/day
Licensed practical nurses
Consistency
0.4227std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Bexar County Average-0.46 HPRD
3.39
02.93 HPRD
vs. Texas State Average-0.48 HPRD
3.40
02.93 HPRD
vs. National Average-0.97 HPRD
3.90
02.93 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
BUENA VIDA NURSING AND REHAB-SAN ANTONIO ★
SAN ANTONIO · This facility
—
D
2.9270.3047★☆☆☆☆
San Antonio North Nursing and Rehabilitation
San Antonio
6.4 mi
D
2.53820.3129★☆☆☆☆
MEMORIAL MEDICAL NURSING CENTER
SAN ANTONIO
6.4 mi
D
2.92660.4491★☆☆☆☆
SAN PEDRO MANOR
SAN ANTONIO
6.9 mi
D
3.40360.3485★★★★☆
MERIDIAN CARE MONTE VISTA
SAN ANTONIO
7.1 mi
D
4.63420.347★☆☆☆☆
Avir at San Antonio
San Antonio
7.8 mi
F
2.68710.0911★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
44
Total Deficiencies
$241,940
Fines Assessed
Oct 6, 2025Health
6 deficiencies cited· Includes actual harm
▼
Aug 29, 2025Health
13 deficiencies cited
▼
Jul 11, 2025Health
1 deficiency cited
▼
Feb 13, 2025Health
1 deficiency cited
▼
Nov 18, 2024Health
3 deficiencies cited
▼
Nov 1, 2024Health
2 deficiencies cited
▼
Aug 19, 2024Health
1 deficiency cited
▼
Jul 12, 2024Health
9 deficiencies cited
▼
Jul 3, 2024Health
4 deficiencies cited
▼
Jun 2, 2023Health
4 deficiencies cited
▼

Penalty History

Jan 16, 2026Fine
$14,020
Aug 29, 2025Fine
$227,920
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.