Skilled nursing facility · CMS certification number 676478
Harbor Valley Health and Rehabilitation
San Antonio, Texas · Medicare and Medicaid · 120 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $18,989.00 · Payment denials: 0. The most recent penalty on file: September 5, 2025, Fine, $8,281. Every penalty on file ↓
Harbor Valley Health and Rehabilitation: 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 2025, covering January 1, 2025 to August 31, 2025 (242 days, not a full year), and CMS processed it on June 2, 2026.
- Net patient revenue fell from $7.9M in fiscal year 2024 to $5.6M in fiscal year 2025.
- Its result from service to patients: −$1.2M (2023), −$738 (2024), −$500K (2025).
- Its cost reports on file run from fiscal year 2020 to fiscal year 2025.
- Since its cost report for fiscal year 2025 was filed on June 2, 2026, 20 changes are listed on this record: 7 owner changes and 13 owner changes.
- Its net patient revenue of $5.6M ranks 312th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 4 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
Harbor Valley Health and Rehabilitation: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1450152 | 2024 · report 1432457 | 2023 · report 1392066 | 2022 · report 1359007 | 2021 · report 1323163 | 2020 · report 1289058 |
|---|---|---|---|---|---|---|
| Period began | January 1, 2025 | January 1, 2024 | January 1, 2023 | April 1, 2022 | January 1, 2021 | January 15, 2020 |
| Period ended | August 31, 2025 | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 |
| Days, where not a full year | 242 | — | — | 274 | — | — |
| Processed by CMS | June 2, 2026 | June 25, 2025 | August 13, 2024 | July 17, 2023 | June 27, 2022 | July 15, 2021 |
| Total patient revenue | $5,973,531 | $8,325,062 | $6,568,350 | $5,056,173 | $4,865,195 | $3,556,391 |
| Contractual allowances and discounts | $405,208 | $447,189 | $403,565 | $429,780 | $133,789 | $21,164 |
| Net patient revenue | $5,568,323 | $7,877,873 | $6,164,785 | $4,626,393 | $4,731,406 | $3,535,227 |
| Total operating expenses | $6,068,494 | $7,878,611 | $7,315,096 | $5,633,675 | $5,733,441 | $4,940,484 |
| Net income from service to patients | −$500,171 | −$738 | −$1,150,311 | −$1,007,282 | −$1,002,035 | −$1,405,257 |
| Total other income | $500,171 | $738 | $113,361 | $1,118,429 | $396,524 | $30,277 |
| Net income after other income | — | — | −$1,036,950 | $111,147 | −$605,511 | −$1,374,980 |
| Net income | — | — | −$1,036,950 | $111,147 | −$605,511 | −$1,374,980 |
| Total facility beds, all components | 120 | 120 | 153 | 153 | 122 | 122 |
| Bed days available, all components | 29,160 | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,571 | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 18,172 | — | — | — | — | — |
| Other-payer patient days | 1,898 | — | — | — | — | — |
| Total patient days, all components | 22,641 | 32,493 | 28,551 | 22,707 | 19,702 | 14,646 |
| Medicare discharges | 26 | — | — | — | — | — |
| Medicaid discharges | 41 | — | — | — | — | — |
| Other-payer discharges | 99 | — | — | — | — | — |
| Total discharges, all components | 166 | 199 | 243 | 251 | 156 | 142 |
| Average length of stay, Medicare, in days | 98.88 | 93.59 | 53.06 | 33.97 | 51.12 | 62.08 |
| Average length of stay, Medicaid, in days | 443.22 | 280.5 | 333.69 | 261.97 | 431.21 | 211.89 |
| Average length of stay, all patients, in days | 136.39 | 163.28 | 117.49 | 90.47 | 126.29 | 103.14 |
Net income, fiscal years 2023, 2022, 2021, 2020. Checked against the form’s own arithmetic: what that check shows.
Harbor Valley Health and Rehabilitation: nurse staffing hours by quarter →
Who owns Harbor Valley Health and Rehabilitation, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FANNIN COUNTY HOSPITAL AUTHORITY (organization), 100%%, since 05/01/2026
- ADP OF THE SNF: ENSIGN SERVICES INC (organization), NOT APPLICABLE, since 05/01/2026; JONES, JUSTIN (individual), NOT APPLICABLE, since 05/01/2026; MARTINEZ, FERNANDO (individual), NOT APPLICABLE, since 05/01/2026; PEARSALL ROAD HEALTH HOLDINGS LLC (organization), NOT APPLICABLE, since 05/01/2026; REDBERRY CANYON HEALTHCARE LLC (organization), NOT APPLICABLE, since 04/09/2026; STANDARD BEARER HEALTHCARE OP, LP (organization), NOT APPLICABLE, since 05/01/2026; THE ENSIGN GROUP INC (organization), NOT APPLICABLE, since 05/01/2026
- CORPORATE OFFICER: BURNAM, SOON (individual), NOT APPLICABLE, since 05/01/2026; KEETCH, CHAD (individual), NOT APPLICABLE, since 03/01/2011; SANDERSON, CLARK (individual), NOT APPLICABLE, since 05/01/2026
- MANAGING CONTROL - GOVERNING BODY: JONES, JUSTIN (individual), NOT APPLICABLE, since 05/01/2026; MARTINEZ, FERNANDO (individual), NOT APPLICABLE, since 05/01/2026
- OPERATIONAL/MANAGERIAL CONTROL: JONES, JUSTIN (individual), NOT APPLICABLE, since 05/01/2026; MARTINEZ, FERNANDO (individual), NOT APPLICABLE, since 05/01/2026; REDBERRY CANYON HEALTHCARE LLC (organization), NOT APPLICABLE, since 05/01/2026
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20220406001338).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FANNIN COUNTY HOSPITAL AUTHORITY (organization), 100.00%, since 05/01/2026
- ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 05/01/2026; FERNANDO MARTINEZ (individual), since 05/01/2026; JUSTIN JONES (individual), since 05/01/2026; PEARSALL ROAD HEALTH HOLDINGS LLC (organization), since 05/01/2026; REDBERRY CANYON HEALTHCARE LLC (organization), since 04/09/2026; STANDARD BEARER HEALTHCARE OP, LP (organization), since 05/01/2026; THE ENSIGN GROUP INC (organization), since 05/01/2026; No owner named in the filing (organization), since 04/01/2022; No owner named in the filing (organization), since 05/01/2026
- CORPORATE OFFICER: CHAD KEETCH (individual), since 03/01/2011; CLARK SANDERSON (individual), 0.00%, since 05/01/2026; SOON BURNAM (individual), since 05/01/2026
- MANAGING CONTROL - GOVERNING BODY: FERNANDO MARTINEZ (individual), since 05/01/2026; JUSTIN JONES (individual), since 05/01/2026
- OPERATIONAL/MANAGERIAL CONTROL: FERNANDO MARTINEZ (individual), since 05/01/2026; JUSTIN JONES (individual), since 05/01/2026; REDBERRY CANYON HEALTHCARE LLC (organization), since 05/01/2026
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FANNIN COUNTY HOSPITAL AUTHORITY; ENSIGN SERVICES INC; PEARSALL ROAD HEALTH HOLDINGS LLC; REDBERRY CANYON HEALTHCARE LLC; STANDARD BEARER HEALTHCARE OP, LP; THE ENSIGN GROUP INC; No owner named in the filing; No owner named in the filing; REDBERRY CANYON HEALTHCARE LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: FERNANDO MARTINEZ; JUSTIN JONES; CHAD KEETCH; CLARK SANDERSON; SOON BURNAM; FERNANDO MARTINEZ; JUSTIN JONES; FERNANDO MARTINEZ; JUSTIN JONES.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: HARBOR VALLEY HEALTH AND REHABILITATION LLC (ADP OF THE SNF); HARBOR VALLEY HEALTH AND REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL); ROBERT A RYE (OPERATIONAL/MANAGERIAL CONTROL); ROBERT V RYE LIV TR DTD 10042022 (ADP OF THE SNF); JAMES M STEIN (OPERATIONAL/MANAGERIAL CONTROL); STEVE E SOSA (ADP OF THE SNF); PAUL M STEIN (OPERATIONAL/MANAGERIAL CONTROL); listed: SOON BURNAM (CORPORATE OFFICER); a listing under ADP OF THE SNF with no owner named; STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF); REDBERRY CANYON HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL); JUSTIN JONES (ADP OF THE SNF); JUSTIN JONES (MANAGING CONTROL - GOVERNING BODY); JUSTIN JONES (OPERATIONAL/MANAGERIAL CONTROL); ENSIGN SERVICES INC (ADP OF THE SNF); THE ENSIGN GROUP INC (ADP OF THE SNF); PEARSALL ROAD HEALTH HOLDINGS LLC (ADP OF THE SNF); FERNANDO MARTINEZ (MANAGING CONTROL - GOVERNING BODY); first listed: CHAD KEETCH (CORPORATE OFFICER), associated since March 1, 2011; REDBERRY CANYON HEALTHCARE LLC (ADP OF THE SNF), associated since April 9, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- September 1, 2025, enrollment ownership file; no longer listed: CLARK R SANDERSON (CORPORATE DIRECTOR); DIANA URISTA (W-2 MANAGING EMPLOYEE); first listed: HARBOR VALLEY HEALTH AND REHABILITATION LLC (ADP OF THE SNF), associated since April 30, 2025; ROBERT V RYE LIV TR DTD 10042022 (ADP OF THE SNF), associated since April 1, 2022; JAMES M STEIN (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2022; CLARK R SANDERSON (CORPORATE OFFICER), associated since April 1, 2022; STEVE E SOSA (ADP OF THE SNF), associated since April 1, 2022; a listing under ADP OF THE SNF with no owner named, associated since April 1, 2022; PAUL M STEIN (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2022; FERNANDO MARTINEZ (ADP OF THE SNF), associated since April 1, 2022; FERNANDO MARTINEZ (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections of Harbor Valley Health and Rehabilitation
- Cycle 1: health December 5, 2025 (15 deficiencies), fire safety December 5, 2025 (2)
- Cycle 2: health August 30, 2024 (13 deficiencies), fire safety August 30, 2024 (1)
- Cycle 3: health June 16, 2023 (11 deficiencies), fire safety June 16, 2023 (1)
Deficiencies cited at Harbor Valley Health and Rehabilitation
40 deficiencies on file, by tag, newest citation first
every one from a health inspection; 17 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0627, resident rights: January 21, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected February 3, 2026).
- F 0565, resident rights: December 5, 2025 (E, Deficient, Provider has date of correction, corrected December 8, 2025).
- F 0628, resident rights: December 5, 2025 (D, Deficient, Provider has date of correction, corrected December 8, 2025).
- F 0637, resident assessment and care planning: December 5, 2025 (D, Deficient, Provider has date of correction, corrected December 10, 2025).
- F 0641, resident assessment and care planning: December 5, 2025 (E, Deficient, Provider has date of correction, corrected December 22, 2025); August 30, 2024 (D, Deficient, Provider has date of correction, corrected September 30, 2024).
- F 0656, resident assessment and care planning: December 5, 2025 (E, Deficient, Provider has date of correction, corrected December 22, 2025); September 5, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected September 26, 2025).
- F 0657, resident assessment and care planning: December 5, 2025 (D, Deficient, Provider has date of correction, corrected December 22, 2025).
- F 0677, quality of life and care: December 5, 2025 (D, Deficient, Provider has date of correction, corrected December 10, 2025); January 12, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected January 13, 2025).
- F 0689, quality of life and care: December 5, 2025 (D, Deficient, Provider has date of correction, corrected December 8, 2025); January 12, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected January 13, 2025); August 30, 2024 (D, Deficient, Provider has date of correction, corrected September 30, 2024).
- F 0756, pharmacy service: December 5, 2025 (D, Deficient, Provider has date of correction, corrected December 18, 2025).
- F 0812, nutrition and dietary: December 5, 2025 (D, Deficient, Provider has date of correction, corrected December 8, 2025); November 14, 2025 (F, from a complaint, Deficient, Provider has date of correction, corrected November 15, 2025); April 4, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 5, 2024); June 16, 2023 (E, Deficient, Provider has date of correction, corrected June 16, 2023).
- F 0880, infection control: December 5, 2025 (D, Deficient, Provider has date of correction, corrected December 8, 2025); November 14, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 15, 2025); August 30, 2024 (D, Deficient, Provider has date of correction, corrected September 30, 2024); June 16, 2023 (D, Deficient, Provider has date of correction, corrected June 16, 2023).
- F 0761, pharmacy service: November 21, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 22, 2025); April 4, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 5, 2024).
- F 0600, freedom from abuse, neglect, and exploitation: September 12, 2025 (J, from a complaint, Past Non-Compliance); October 27, 2023 (J, from a complaint, Deficient, Provider has date of correction, corrected October 28, 2023).
- F 0550, resident rights: January 12, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected January 13, 2025).
- F 0578, resident rights: August 30, 2024 (D, Deficient, Provider has date of correction, corrected September 30, 2024).
- F 0755, pharmacy service: August 30, 2024 (D, Deficient, Provider has date of correction, corrected September 30, 2024).
- F 0759, pharmacy service: August 30, 2024 (D, Deficient, Provider has date of correction, corrected September 30, 2024).
- F 0849, administration: August 30, 2024 (D, Deficient, Provider has date of correction, corrected September 30, 2024).
- F 0914, environmental: August 30, 2024 (D, Deficient, Provider has date of correction, corrected September 30, 2024).
- F 0760, pharmacy service: August 9, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 13, 2024).
- F 0919, environmental: August 9, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 13, 2024).
- F 0712, nursing and physician services: April 4, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 5, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: October 27, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 28, 2023).
- F 0842, resident assessment and care planning: August 10, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected August 13, 2023).
- F 0693, quality of life and care: June 16, 2023 (D, Deficient, Provider has date of correction, corrected July 13, 2023).
- F 0695, quality of life and care: June 16, 2023 (D, Deficient, Provider has date of correction, corrected July 13, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 5, 2025 | Fine | $8,281 | 135134 | ||
| October 27, 2023 | Fine | $10,708 | 111708 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Harbor Valley Health and Rehabilitation in Care Compare
- Ownership Type: For profit - Individual
- Legal Business Name: FANNIN COUNTY HOSPITAL AUTHORITY
- Date First Approved to Provide Medicare and Medicaid Services: 2020-01-15
- Provider Resides in Hospital: Y
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2105010825
- Chain Name: FANNIN COUNTY HOSPITAL DISTRICT
- Chain ID: 842
- 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: 85.6
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 4
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in San Antonio
Report a figure on Harbor Valley Health and Rehabilitation’s record that differs from its CMS file, quoting 676478.