Skilled nursing facility · CMS certification number 676250
PECAN VALLEY REHABILITATION AND HEALTHCARE
SAN ANTONIO, Texas · Medicare and Medicaid · 124 certified beds in Care Compare
PECAN VALLEY REHABILITATION AND HEALTHCARE: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on May 19, 2025.
- Net patient revenue rose from $10.9M in fiscal year 2023 to $11.8M in fiscal year 2024.
- Its result from service to patients: $981K (2022), $359K (2023), $741K (2024).
- Its cost reports on file run from fiscal year 2010 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on May 19, 2025, 23 changes are listed on this record: 2 owner changes and 21 owner changes.
- Its net patient revenue of $11.8M ranks 77th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a gain on service to patients.
PECAN VALLEY REHABILITATION AND HEALTHCARE: Medicare cost reports
| Form CMS-2540-10 | 2024 · report 1423135 | 2023 · report 1379570 | 2022 · report 1358564 | 2021 · report 1325694 | 2020 · report 1289732 | 2019 · report 1255550 | 2018 · report 1276278 | 2017 · report 1209277 | 2016 · report 1174630 | 2015 · report 1223468 | 2014 · report 1149433 | 2013 · report 1112521 | 2012 · report 1045889 | 2011 · report 1014958 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | November 1, 2019 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | July 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | October 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | 183 | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | settled | settled | settled | settled |
| Processed by CMS | May 19, 2025 | May 28, 2024 | July 14, 2023 | July 22, 2022 | July 19, 2021 | May 14, 2020 | December 15, 2020 | August 21, 2018 | August 23, 2017 | April 29, 2019 | December 19, 2016 | November 10, 2015 | August 7, 2013 | October 26, 2012 |
| Total patient revenue | $14,126,983 | $13,499,666 | $12,249,497 | $11,833,746 | $12,271,373 | $8,131,398 | $9,754,354 | $7,599,468 | $10,667,325 | $6,080,606 | $13,263,504 | $13,020,448 | $13,516,131 | $9,705,874 |
| Contractual allowances and discounts | $2,328,483 | $2,613,303 | $1,898,924 | $1,457,137 | $1,000,728 | $1,749,520 | $2,128,919 | $116,417 | $2,025,076 | $1,631,537 | $4,058,745 | $4,095,115 | $4,140,398 | $1 |
| Net patient revenue | $11,798,500 | $10,886,363 | $10,350,573 | $10,376,609 | $11,270,645 | $6,381,878 | $7,625,435 | $7,483,051 | $8,642,249 | $4,449,069 | $9,204,759 | $8,925,333 | $9,375,733 | $9,705,873 |
| Total operating expenses | $11,057,366 | $10,527,149 | $9,370,037 | $8,994,852 | $9,936,588 | $6,706,012 | $8,054,097 | $7,972,526 | $9,113,931 | $4,692,923 | $8,537,847 | $8,333,845 | $8,429,395 | $9,068,222 |
| Net income from service to patients | $741,134 | $359,214 | $980,536 | $1,381,757 | $1,334,057 | −$324,134 | −$428,662 | −$489,475 | −$471,682 | −$243,854 | $666,912 | $591,488 | $946,338 | $637,651 |
| Total other income | $2,984 | $3,978 | $440 | $596 | $968 | $8,050 | $6,551 | $7,389 | $38,649 | $5,233 | $46,335 | $3,065 | $3,714 | $95,833 |
| Net income after other income | $744,118 | $363,192 | $980,976 | $1,382,353 | $1,335,025 | −$316,084 | −$422,111 | −$482,086 | −$433,033 | −$238,621 | $713,247 | $594,553 | $950,052 | $733,484 |
| Net income | $743,729 | $362,824 | $980,976 | $1,382,353 | $1,335,025 | −$316,084 | −$422,111 | −$482,086 | −$433,033 | −$238,621 | $682,664 | $546,043 | $950,052 | $733,484 |
| Total facility beds, all components | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 |
| Bed days available, all components | 45,384 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,965 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 25,594 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 7,400 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 35,959 | 33,419 | 31,771 | 30,940 | 38,993 | 29,453 | 36,805 | 34,900 | 35,393 | 18,964 | 39,405 | 41,184 | 41,113 | 40,519 |
| Medicare discharges | 60 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 71 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 218 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 349 | 400 | 373 | 250 | 185 | 288 | 350 | 303 | 365 | 395 | 436 | 442 | 471 | 509 |
| Average length of stay, Medicare, in days | 49.42 | 37.38 | 32.91 | 45.1 | 60.95 | 28.62 | 25.12 | 21.46 | 28.24 | 48 | 39.3 | 40.93 | 34.84 | 35.88 |
| Average length of stay, Medicaid, in days | 360.48 | 510.76 | 560.38 | 865.89 | 1,137.38 | 276.62 | 469.89 | 578.18 | 239.74 | 48.06 | 323.55 | 225.46 | 255.28 | 170.58 |
| Average length of stay, all patients, in days | 103.03 | 83.55 | 85.18 | 123.76 | 210.77 | 102.27 | 105.16 | 115.18 | 96.97 | 48.01 | 90.38 | 93.18 | 87.29 | 79.61 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 407675 |
|---|---|
| Period began | April 14, 2010 |
| Period ended | December 31, 2010 |
| Days, where not a full year | 261 |
| Processed by CMS | June 24, 2011 |
| Net patient revenue | $4,946,838 |
| Total operating expenses | $5,205,146 |
| Net income from service to patients | −$258,308 |
| Total other income | $3,628 |
| Net income | −$254,680 |
| Total facility beds, all components | 124 |
| Total patient days, all components | 19,404 |
| Total discharges, all components | 305 |
| Average length of stay, Medicare, in days | 35.66 |
| Average length of stay, Medicaid, in days | 127.82 |
| Average length of stay, all patients, in days | 63.62 |
Net income, fiscal year 2010. Checked against the form’s own arithmetic: what that check shows.
PECAN VALLEY REHABILITATION AND HEALTHCARE: nurse staffing hours by quarter →
Who owns PECAN VALLEY REHABILITATION AND HEALTHCARE, as filed with CMS
Care Compare
- ADP OF THE SNF: AZIZ, WESAM (individual), since 04/14/2025; ENSIGN SERVICES INC (organization), since 11/01/2019; OLMSTEAD HEALTH HOLDINGS LLC (organization), since 01/01/2022; STANDARD BEARER HEALTHCARE OP, LP (organization), since 01/01/2022; THE ENSIGN GROUP INC (organization), since 01/01/2022; WINTERS, TESHA (individual), since 04/14/2025
- CORPORATE DIRECTOR: ABBOTT, SWATI (individual), since 01/01/2020; AGWUNOBI, JOHN (individual), since 01/01/2023; BLOUIN, ANN (individual), since 11/28/2018; CHRISTENSEN, CHRISTOPHER (individual), since 11/01/2014; PARKINSON, MARK (individual), since 10/01/2024; SHAW, DAREN (individual), since 03/01/2012; SMITH, BARRY (individual), since 06/01/2014
- CORPORATE OFFICER: ASHTON, ANDREW (individual), since 08/19/2019; BURNAM, SOON (individual), since 08/19/2019; BURTON, SPENCER (individual), since 05/30/2015; KEETCH, CHAD (individual), since 11/01/2019; PORT, BARRY (individual), since 11/01/2019; SNAPPER, SUZANNE (individual), since 09/07/1973; WITTEKIND, BEVERLY (individual), since 09/29/2008
- MANAGING CONTROL - GOVERNING BODY: AZIZ, WESAM (individual), since 10/09/2023; BURNAM, SOON (individual), since 08/19/2019; WINTERS, TESHA (individual), since 11/01/2019
- OPERATIONAL/MANAGERIAL CONTROL: WINTERS, TESHA (individual), since 11/01/2019
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of CALAVARAS CREEK HEALTHCARE LLC (enrollment ID O20191122000717).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: KEYSTONE CARE LLC (organization), 100.00%, since 08/19/2019
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 08/19/2019
- ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 11/01/2019; OLMSTEAD HEALTH HOLDINGS LLC (organization), since 01/01/2022; STANDARD BEARER HEALTHCARE OP, LP (organization), since 01/01/2022; TESHA WINTERS (individual), since 04/14/2025; THE ENSIGN GROUP INC (organization), since 01/01/2022; WESAM SABRI AZIZ (individual), since 04/14/2025
- CORPORATE DIRECTOR: ANN SCOTT BLOUIN (individual), 0.00%, since 11/28/2018; BARRY M SMITH (individual), 0.00%, since 06/01/2014; CHRISTOPHER R CHRISTENSEN (individual), 0.00%, since 11/01/2014; DAREN SHAW (individual), 0.00%, since 03/01/2012; JOHN O AGWUNOBI (individual), 0.00%, since 01/01/2023; MARK V PARKINSON (individual), 0.00%, since 10/01/2024; SWATI ABBOTT (individual), 0.00%, since 01/01/2020
- CORPORATE OFFICER: ANDREW ASHTON (individual), 0.00%, since 08/19/2019; BARRY PORT (individual), 0.00%, since 11/01/2019; BEVERLY B WITTEKIND (individual), 0.00%, since 09/29/2008; CHAD KEETCH (individual), 0.00%, since 11/01/2019; SOON BURNAM (individual), 0.00%, since 08/19/2019; SPENCER W BURTON (individual), 0.00%, since 05/30/2015; SUZANNE D SNAPPER (individual), 0.00%, since 09/07/1973
- MANAGING CONTROL - GOVERNING BODY: SOON BURNAM (individual), since 08/19/2019; TESHA WINTERS (individual), since 11/01/2019; WESAM SABRI AZIZ (individual), since 10/09/2023
- OPERATIONAL/MANAGERIAL CONTROL: TESHA WINTERS (individual), since 11/01/2019
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: KEYSTONE CARE LLC; THE ENSIGN GROUP INC; ENSIGN SERVICES INC; OLMSTEAD HEALTH HOLDINGS LLC; STANDARD BEARER HEALTHCARE OP, LP; THE ENSIGN GROUP INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: TESHA WINTERS; WESAM SABRI AZIZ; ANN SCOTT BLOUIN; BARRY M SMITH; CHRISTOPHER R CHRISTENSEN; DAREN SHAW; JOHN O AGWUNOBI; MARK V PARKINSON; SWATI ABBOTT; ANDREW ASHTON; BARRY PORT; BEVERLY B WITTEKIND; CHAD KEETCH; SOON BURNAM; SPENCER W BURTON; SUZANNE D SNAPPER; SOON BURNAM; TESHA WINTERS; WESAM SABRI AZIZ; TESHA WINTERS.
Changes in ownership
- June 1, 2025, enrollment ownership file; no longer listed: CRAIG FITCH (CORPORATE OFFICER); TESHA WINTERS (W-2 MANAGING EMPLOYEE); first listed: SOON BURNAM (MANAGING CONTROL - GOVERNING BODY), associated since August 19, 2019; BEVERLY B WITTEKIND (CORPORATE OFFICER), associated since September 29, 2008; SPENCER W BURTON (CORPORATE OFFICER), associated since May 30, 2015; WESAM SABRI AZIZ (ADP OF THE SNF), associated since April 14, 2025; WESAM SABRI AZIZ (MANAGING CONTROL - GOVERNING BODY), associated since October 9, 2023; SUZANNE D SNAPPER (CORPORATE OFFICER), associated since September 7, 1973; STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF), associated since January 1, 2022; SWATI ABBOTT (CORPORATE DIRECTOR), associated since January 1, 2020; CHAD A KEETCH (CORPORATE OFFICER), associated since November 1, 2019; OLMSTEAD HEALTH HOLDINGS LLC (ADP OF THE SNF), associated since January 1, 2022; DAREN SHAW (CORPORATE DIRECTOR), associated since March 1, 2012; MARK V PARKINSON (CORPORATE DIRECTOR), associated since October 1, 2024; CHRISTOPHER R CHRISTENSEN (CORPORATE DIRECTOR), associated since November 1, 2014; ENSIGN SERVICES, INC. (ADP OF THE SNF), associated since November 1, 2019; THE ENSIGN GROUP INC (ADP OF THE SNF), associated since January 1, 2022; JOHN O AGWUNOBI (CORPORATE DIRECTOR), associated since January 1, 2023; BARRY PORT (CORPORATE OFFICER), associated since November 1, 2019; ANN SCOTT BLOUIN (CORPORATE DIRECTOR), associated since November 28, 2018; TESHA WINTERS (ADP OF THE SNF), associated since April 14, 2025; TESHA WINTERS (MANAGING CONTROL - GOVERNING BODY), associated since November 1, 2019; BARRY M SMITH (CORPORATE DIRECTOR), associated since June 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
Inspections of PECAN VALLEY REHABILITATION AND HEALTHCARE
- Cycle 1: health January 30, 2026 (7 deficiencies), fire safety January 30, 2026 (2)
- Cycle 2: health October 31, 2024 (13 deficiencies), fire safety October 31, 2024 (1)
- Cycle 3: health September 15, 2023 (5 deficiencies), fire safety September 15, 2023 (2)
Deficiencies cited at PECAN VALLEY REHABILITATION AND HEALTHCARE
25 deficiencies on file, by tag, newest citation first
every one from a health inspection; 15 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0755, pharmacy service: April 29, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected April 30, 2026).
- F 0842, resident assessment and care planning: April 29, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected April 30, 2026); February 15, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected March 7, 2025); October 31, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2024); September 15, 2023 (D, Deficient, Provider has date of correction, corrected September 22, 2023).
- F 0636, resident assessment and care planning: January 30, 2026 (D, Deficient, Provider has date of correction, corrected February 3, 2026); September 15, 2023 (D, Deficient, Provider has date of correction, corrected September 22, 2023).
- F 0640, resident assessment and care planning: January 30, 2026 (D, Deficient, Provider has date of correction, corrected February 3, 2026).
- F 0688, quality of life and care: January 30, 2026 (D, Deficient, Provider has date of correction, corrected February 3, 2026).
- F 0813, nutrition and dietary: January 30, 2026 (D, Deficient, Provider has date of correction, corrected February 3, 2026).
- F 0812, nutrition and dietary: November 24, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 25, 2025); October 31, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2024).
- F 0689, quality of life and care: July 7, 2025 (J, from a complaint, Past Non-Compliance, corrected July 7, 2025).
- F 0585, resident rights: May 9, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected June 4, 2025).
- F 0684, quality of life and care: May 9, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected June 4, 2025).
- F 0550, resident rights: October 31, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2024).
- F 0583, resident rights: October 31, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2024).
- F 0641, resident assessment and care planning: October 31, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2024).
- F 0677, quality of life and care: October 31, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2024).
- F 0814, nutrition and dietary: October 31, 2024 (C, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2024).
- F 0837, administration: October 31, 2024 (F, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2024).
- F 0880, infection control: October 31, 2024 (E, Deficient, Provider has date of correction, corrected November 22, 2024).
- F 0578, resident rights: September 15, 2023 (D, Deficient, Provider has date of correction, corrected September 22, 2023).
- F 0655, resident assessment and care planning: September 15, 2023 (E, Deficient, Provider has date of correction, corrected September 22, 2023).
- F 0770, administration: September 15, 2023 (D, Deficient, Provider has date of correction, corrected September 22, 2023).
PECAN VALLEY REHABILITATION AND HEALTHCARE in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: CALAVARAS CREEK HEALTHCARE LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2010-04-14
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2105812273
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 104.6
- Overall Rating: 4
- Health Inspection Rating: 4
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for PECAN VALLEY REHABILITATION AND HEALTHCARE: no penalty in Care Compare.
Other nursing facilities in SAN ANTONIO
Report a figure on PECAN VALLEY REHABILITATION AND HEALTHCARE’s record that differs from its CMS file, quoting 676250.