Pecan Valley Rehabilitation and Healthcare Center

    3838 E Southcross, San Antonio, TX 78222
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate competent care and rehab

    I was very pleased with my experience - professional, genuinely caring staff, a clean bright facility, and excellent rehab/therapy that got my family member improving quickly. Meals were varied and timely, check-in and communication were smooth, and the atmosphere felt welcoming and family-oriented. I'd recommend this center for compassionate, competent care.

    Loved one of resident
    Jul 2026

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    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)
    • Transportation to doctors appointments

    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

    4.29·(181)

    Overall rating

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

      4.0
    • Staff

      4.2
    • Meals

      3.4
    • Amenities

      4.1
    • Value

      1.0

    Pros

    • Compassionate nursing staff
    • Dedicated certified nursing assistants (CNAs)
    • Strong physical and occupational therapy program
    • Clean, well‑maintained common areas
    • Engaging activities and events program
    • Appetizing and varied meal service
    • Responsive admissions and community-liaison support
    • Family-friendly communication options (FaceTime, phone updates)
    • Welcoming and helpful front-desk staff
    • Experienced long‑tenure caregivers
    • Notable short‑term rehabilitation successes
    • Visible improvements under recent management

    Cons

    • Inconsistent staffing levels and availability
    • Poor management responsiveness and communication
    • Delays in timely attention to basic resident needs
    • Sanitation and odor concerns in some areas
    • Gaps in infection-control and quarantine procedures
    • Weaknesses in privacy and belongings security
    • Inconsistent end‑of‑life and hospice coordination
    • Deficient incident-response and family notification
    • Variability in staff professionalism and training
    • Limited private-room availability and room assignment practices
    • Inadequate oversight of therapy safety practices
    • Inconsistent meal quality and service continuity

    Summary of reviews

    Pecan Valley Rehabilitation and Healthcare Center elicits a strongly polarized set of impressions. Many families and residents praise clinical rehabilitation, attentive CNAs, and compassionate nurses; physical and occupational therapy programs are frequently described as effective and motivating, and short‑term rehabilitation success stories are common. The facility’s public areas and many rooms are described as clean and well maintained, and reviewers often cite a robust activities program and generally satisfactory meal presentation. Several reviewers also highlight responsive admissions processes, helpful community liaisons, and family‑friendly communication options such as FaceTime updates.

    Care quality is mixed. Positive accounts emphasize competent nursing and aide care, individualized therapy plans, and continuity from long‑tenure staff. However, a significant number of accounts describe inconsistent staffing levels that translate into delayed responses to call lights and other basic needs. There are recurring concerns about sanitation and odors in some areas, and some families flagged gaps in infection‑control practices and quarantine-to-discharge procedures. A few serious clinical complaints — including care coordination around end‑of‑life, bloodstream infection concerns, and an injury allegedly related to a therapy interaction — suggest variability in clinical oversight; these are isolated but notable and point to the need for clearer incident-response protocols and family communication after adverse events.

    Staff and professionalism show wide variation. Many reviewers singled out compassionate, courteous nurses, CNAs, therapists, receptionists, and administrative staff who go above and beyond. At the same time, others described inconsistent staff conduct, unresponsiveness at nursing stations, and instances of poor communication or tone from specific employees. Training and accountability appear uneven: families should expect strong caregiving in some units and shifts, and weaker performance in others. Security of personal belongings and room privacy emerged as an operational concern for some families, alongside constraints on private-room availability.

    Dining, activities, and facility environment are generally reported positively but not uniformly. Several reviewers enjoyed meals and the activity schedule; others found meal quality and temperature inconsistent. The facility’s building and common spaces are often described as bright and welcoming, with ongoing renovation and a positive atmosphere under newer management reported by a number of families.

    Management and administration receive mixed assessments. Some reviews praise improved leadership, transparent communication from administration, and effective case‑worker support. Conversely, a substantial portion of feedback cites poor responsiveness from management, inconsistent explanations about insurance/eligibility, mishandled discharge paperwork, and occasional admission-process issues. These management and communication shortcomings frequently amplify clinical and operational problems by delaying resolution and eroding family confidence.

    Overall, Pecan Valley offers credible rehabilitation services, engaged therapy teams, and many caring direct‑care staff, but the facility also displays recurring operational weaknesses: inconsistent staffing, uneven professional conduct, sanitation and infection‑control gaps, privacy and belongings‑security issues, and variable management responsiveness. Prospective residents and families would benefit from targeted questions during tours and admissions — for example, asking about current staffing ratios and shift coverage, private‑room availability, infection‑control protocols and recent inspection outcomes, therapy‑safety supervision, procedures for incident notification, and how the facility secures resident belongings — to assess whether the facility’s strengths align with their specific care priorities.

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    Medicare Ratings

    3·/ 5
    • 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 Pecan Valley Rehabilitation and Healthcare Center

    Pecan Valley Rehabilitation and Healthcare Center is located at 3838 E Southcross, San Antonio, TX, 78222.

    About Pecan Valley Rehabilitation and Healthcare Center

    Pecan Valley Rehabilitation and Healthcare Center sits in San Antonio, Texas, not too far from places like The Alamo and the San Antonio River Walk, and a quick drive to the airport, which some might find handy, and this place really focuses on making sure residents get the care they need, whether that's wound care, rehab, or long-term nursing with nurses, clinicians, therapists, and other medical staff always around. There are programs here aimed at improving quality of life, and therapists tailor their work to the actual needs of each person, so each person gets therapy they need, and there's a sense that they want people to feel as independent as possible even as they age, with lots of support and amenities designed for both comfort and recovery, like therapy rooms, convenient parking, and wheelchair access throughout the building. The facility offers many kinds of care-assisted living, independent living, memory care, nursing, respite, and even home care, so it covers a lot of ground when it comes to services for aging adults or those needing special support, and they're careful about things like privacy, non-discrimination, and confidentiality, even providing access to an ombudsman if anyone needs help resolving complaints. They're open all day and night, and the staff, including people like CNAs and Speech Language Pathologists, work to apply new research to daily care, trying to make sure everyone, whether in short-term rehab or long-term stays, is treated well, stays engaged, and feels like they're part of a community. Visitor tours can be arranged to meet the staff and residents, see the rooms, or just look around the community, and the website has more details and photos for anyone curious. The place is set up to encourage activity and connection, with group activities and areas for socializing, and the approach overall tries to mix state-of-the-art care with a steady, reliable environment where people's needs come first, whether they need help every day or a short time after surgery or illness.

    People often ask...

    Pecan Valley Rehabilitation and Healthcare Center offers assisted living, memory care, and skilled nursing.

    There are 1 photos of Pecan Valley Rehabilitation and Healthcare Center on Mirador.

    The full address for this community is 3838 E Southcross, San Antonio, TX 78222.

    No, Pecan Valley Rehabilitation and Healthcare Center 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 Pecan Valley Rehabilitation and Healthcare Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Pecan Valley Rehabilitation and Healthcare Center directly. There is no cost for this service. We are compensated by the community you select.

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