Buena Vida Nursing and Rehab Center San Antonio

    5027 Pecan Grove Dr, San Antonio, TX 78222
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Clean, caring staff, strong leadership

    I placed my mom here and have been very happy with the turnaround - leadership (administrator and DON) are strong and the staff are caring, dedicated and loyal. The building is clean and home-like, residents are active and well cared for, meals and therapy are solid, and admissions was seamless; I'd recommend this community.

    Loved one of resident
    Jul 2026

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.87·(119)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.6
    • Staff

      3.9
    • Meals

      2.8
    • Amenities

      2.4
    • Value

      1.0

    Pros

    • Attentive nursing and CNA care
    • Compassionate, personable caregiving staff
    • Strong clinical leadership (DON/ADON) noted
    • Helpful and responsive admissions/administrative team
    • Rehabilitation and therapy services
    • Engaging activities and social programming
    • Seamless admissions and room-transfer processes
    • Family-like, home-like atmosphere
    • Holiday and community event programming
    • Clean, well-maintained common areas

    Cons

    • Inconsistent cleanliness and sanitation practices with odor concerns in some areas
    • Pest-control concerns in resident rooms and service areas
    • Inconsistent staffing levels and persistent short-staffing
    • Delays in staff responsiveness and assistance for dependent residents
    • Inconsistent dining quality and limited menu variety
    • Gaps in meal-assistance for residents who require help
    • Management turnover and leadership inconsistency
    • Front-desk and administrative communication gaps
    • Security and property-loss concerns, including allegations of staff theft
    • Inconsistent environmental and room maintenance (heating/AC, room condition vs. marketing)

    Summary of reviews

    Reviews of this facility are strongly polarized, reflecting a mix of sustained strengths at the caregiver level and recurring operational weaknesses. Many families and visitors praise the hands-on nursing staff, CNAs, and clinical leadership (Director/Assistant Director of Nursing) for attentive resident care, therapeutic progress, and personal attention. Admissions and some administrative staff are frequently described as helpful and efficient, and rehabilitation/therapy services and activity programming (holiday events, social activities, and an engaged activity director) are clear areas of positive resident engagement.

    At the same time, a number of operational patterns raise concern. Cleanliness and sanitation practices are inconsistent: while some common areas and rooms are described as well-maintained, other accounts cite odor concerns and deficiencies in routine housekeeping. Several reviews specifically raise pest-control concerns and note that room conditions do not always match marketing images. Environmental maintenance is uneven as well, with reports of unreliable heating/air conditioning and variable room maintenance standards.

    Staffing and responsiveness present a mixed picture. Many reviewers emphasize compassionate, dedicated caregivers who develop strong relationships with residents and families; however, persistent short-staffing and turnover are also described. These workforce issues are associated with delays in assistance for residents who need help with mobility, dining, or toileting, and with reports of slow clinical responses in some situations. Communication gaps at the front desk or between families and management are another operational weakness raised repeatedly.

    Dining and nutritional support show variability. Some families describe hot, well-presented meals and thoughtful dining staff, while others report limited menu variety, unappealing food, and missed meal-assistance for residents who require help eating — in some cases contributing to unintended weight loss. Meal-service continuity and the availability of individualized dietary accommodations appear inconsistent.

    Management and culture have undergone change, and this is reflected in reviews. Several recent comments describe improvements attributed to new administrators and leadership teams, noting cleaner rooms, more activities, better coordination, and an improved atmosphere. Conversely, other reviewers describe defensive or distant management, administrative miscommunications, and serious claims such as property loss; there are isolated allegations about staff theft and calls for regulatory attention. These conflicting accounts suggest variability in leadership effectiveness over time and between departments.

    For families considering this facility, the salient pattern is one of strong bedside caregivers and programmatic strengths coexisting with operational vulnerabilities. Prospective residents and families should prioritize an on-site, up-to-date assessment of sanitation, pest control, staffing ratios, response times for dependent residents, meal quality and assistance, and the stability of current management. When possible, speak directly with nursing leadership, observe dining and activity periods, and confirm maintenance and security practices to determine whether the facility’s current operations align with your loved one’s needs.

    Reviews written on Mirador

    We have no reviews to show about Buena Vida Nursing and Rehab Center San Antonio.

    Help other families by writing a review about your experience with this community.

    Medicare Ratings

    1·/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Buena Vida Nursing and Rehab Center San Antonio

    Buena Vida Nursing and Rehab Center San Antonio is located at 5027 Pecan Grove Dr, San Antonio, TX, 78222.

    About Buena Vida Nursing and Rehab Center San Antonio

    Buena Vida Nursing and Rehab Center San Antonio sits in a two-story building that offers both short-term rehabilitation and long-term nursing care, which means they take care of folks who are healing for a while and those who need to stay longer, and they do so with a focus on empathy and compassion, something the staff are known for, with many reviews from families mentioning the helpfulness and kindness people find there. This facility is part of the Creative Solutions in Healthcare network, which helps keep care standards high and the staff attentive to quality. The building has private and semi-private rooms, a newly renovated gym with modern rehab technology, and is kept clean, with management working on ongoing improvements. Buena Vida has skilled nursing services, physical, occupational, and speech therapy, medication management, and daily living support, which helps people who need assistance with things like bathing, eating, and moving around.

    They have special programs too, including memory care, post-operative recovery, palliative care, respite, and hospice care for those in serious need, and staff check on residents all the time to make sure people stay comfortable and well. The dining program at Buena Vida is widely praised, with meals prepared by culinary experts and focused on nutrition and taste, while housekeepers and laundry workers keep rooms and clothes clean, and beauty, barber, and religious services help folks feel more settled. There's transportation to help residents get to appointments or outings, parking for visitors, and a variety of social activities and exercise programs every week. They also offer education, vocational rehab, and benefits navigation for people who need help planning care or managing a disability, with family and caregiver support set up for those who want it.

    People coming from home or the hospital often find a smooth admission process, with personalized care plans matched closely to individual needs-staff sit down with the resident and families to go over goals and preferences, and they check again and again to make sure requests are met. Security and safety are priorities, with bathrooms always available, skilled nurses in the building 24 hours a day, and state-of-the-art therapy spaces for stronger recoveries. Buena Vida also has a Care Portal and a Payment Portal online so families can check on health updates or settle bills easily, and a customer care line for any concerns, for open communication with residents and their loved ones, because people sometimes have things they want to talk over or questions to ask, and staff make a point to listen. Reviews show a reputation for a welcoming and clean environment, and the nursing home holds a steady 4 out of 5 stars, which suggests that most people feel comfortable and well cared for at this San Antonio senior community.

    People often ask...

    Buena Vida Nursing and Rehab Center San Antonio offers assisted living, memory care, and skilled nursing.

    The full address for this community is 5027 Pecan Grove Dr, San Antonio, TX 78222.

    No, Buena Vida Nursing and Rehab Center San Antonio does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Buena Vida Nursing and Rehab Center San Antonio. The information above has not been verified or approved by the owner or operator. For exact information, please contact Buena Vida Nursing and Rehab Center San Antonio directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 14 facilities$3,352/mo
    2. 64 facilities$4,260/mo
    3. 106 facilities$3,976/mo
    4. 132 facilities$3,771/mo
    5. 124 facilities$3,873/mo
    6. 81 facilities$4,188/mo
    7. 172 facilities$3,897/mo
    8. 39 facilities$4,498/mo
    9. 192 facilities$4,203/mo
    10. 41 facilities$3,715/mo
    11. 65 facilities$4,101/mo
    12. 33 facilities$4,739/mo
    © 2026 Mirador Living