Pecan Valley Rehab: Medical Records Violation - San Antonio, TX
The violation fell under the category of resident assessment and care planning deficiencies — specifically, the facility's failure to protect resident-identifiable information and maintain medical records according to accepted professional standards. Inspectors classified it as a pattern, meaning this wasn't an isolated slip. It was happening with enough regularity to constitute a recurring problem.
No actual harm was documented. That matters, and it doesn't. The inspection record makes clear there was potential for more than minimal harm to the residents whose information wasn't being handled correctly. In a nursing facility, medical records contain some of the most sensitive details a person carries: diagnoses, medications, mental health histories, financial and insurance information, next-of-kin contacts. A pattern of failures around that material isn't a paperwork problem. It's a vulnerability that belongs to real people who live there and can't simply walk away from it.
The complaint that triggered the inspection isn't described in the record. What it produced, though, was a citation — one of two deficiencies inspectors documented during this visit.
Pecan Valley reported the problem corrected the following day, April 30, 2026. One day. Whatever the facility changed, it changed fast.
That speed is worth sitting with. A pattern violation, by definition, reflects something that developed over time. It wasn't the result of a single bad afternoon or one employee's mistake. Inspectors use the word "pattern" specifically to describe a deficiency that has repeated itself across residents, or across time, or both. The idea that a systemic problem in how resident records were being handled could be fully resolved in 24 hours is a claim the facility made to regulators. Whether the underlying conditions that allowed the pattern to develop were actually addressed in that window is something the inspection record doesn't answer.
The facility carries two citations from this inspection. The second deficiency isn't detailed in the available record, but its presence means inspectors arrived in response to a complaint and left having documented problems in more than one area of the facility's operations.
Nursing home residents in Texas, as elsewhere, have limited recourse when their private information is mishandled. Many are elderly, many have cognitive impairments, and most depend entirely on the staff and administration of the facility to handle their records with care. They aren't in a position to audit their own files or monitor who has access to what. The burden of getting it right falls entirely on the facility.
A scope and severity level of E sits in the middle range of the federal deficiency scale. It signals a pattern rather than an isolated incident, and harm that is potential rather than confirmed. Regulators use that designation when something is going wrong consistently enough to be a concern, but hasn't yet produced a documented injury. The gap between "no actual harm" and "no harm possible" is exactly where level E lives.
The inspection was a complaint investigation, not a routine survey. That distinction matters because it means someone, likely a resident, a family member, or a staff member, saw something troubling enough to report it to regulators. Complaint investigations are targeted. Inspectors come in knowing there's a specific concern to examine. Finding a pattern violation in that context suggests the complaint had substance.
Pecan Valley Rehabilitation and Healthcare serves residents who rely on the facility not only for their physical care but for the basic protection of their personal and medical information. When that protection fails in a pattern, the people most affected are the ones with the least ability to know it's happening.
The facility says it fixed the problem the day after inspectors left.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pecan Valley Rehabilitation and Healthcare from 2026-04-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 25, 2026 · Our methodology
PECAN VALLEY REHABILITATION AND HEALTHCARE in SAN ANTONIO, TX was cited for violations during a health inspection on April 29, 2026.
Inspectors classified it as a pattern, meaning this wasn't an isolated slip.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.