Buena Vida Nursing and Rehab: Staffing Disclosure Failures - TX
The plastic display holder near the front desk held a form dated September 10. The facility had 61 residents. The posting was supposed to show, for that day, how many registered nurses, licensed practical nurses, and certified nursing assistants were on each shift. It did not.
The inspector came back the next day. At 12:02 in the afternoon on October 2, the display holder was empty. No staffing poster at all. The inspector returned again that same afternoon at 4:00 p.m. Still empty.
Staff schedules obtained during the inspection told a different story than the blank display. On October 1, the facility had five licensed nurses, two medication aides, and eleven CNAs scheduled across the day. On October 2, the numbers were nearly identical: five licensed nurses, two medication aides, ten CNAs. The information existed. It simply was not posted where families and visitors could see it.
The administrator, interviewed on October 3, said the assistant director of nursing was responsible for updating and posting the form each day and had been given a directive to do so. The administrator acknowledged the importance of the posting plainly: it gives families and visitors the ability to know how many staff are present for the patients and gives a visual number of staff available.
The administrator also acknowledged the facility had no written policy requiring the daily posting. They followed regulatory guidelines, the administrator said, but had not put that expectation into a formal internal policy.
That gap matters. A directive given to one person, with no policy behind it, depends entirely on that person remembering. When the assistant director of nursing did not post the form, there was no documented procedure to catch the lapse or correct it. On two consecutive days, anyone who walked in to check on a family member had no way to know from the front desk whether the floor was staffed with ten aides or four.
The daily staffing notice is one of the few tools available to people who are not inside the building. A family member who visits once a week cannot observe shift changes or count nurses in the hallway. The posting is the mechanism. When it is blank, or three weeks out of date, the mechanism fails.
The inspection was a complaint survey, meaning someone prompted regulators to take a look. The report does not describe what complaint triggered the visit, or whether the staffing disclosure failure was connected to whatever concern brought inspectors to the door.
CMS rated the violation at the lowest level of harm, potential for minimal harm, and noted it affected some residents. Nothing in the report describes a resident who was harmed because the posting was missing. But the point of the requirement is not to document harm after the fact. It is to let the people who love these residents ask the right questions before something goes wrong.
The administrator said the right things when asked. Families deserve to know how many staff are present. The visual number matters. It is part of regulatory requirements. All of that is true. None of it explains why the display was empty at noon and still empty at four in the afternoon on October 2, or why the most recent posting on October 1 was from three weeks earlier.
A directive had been given to the assistant director of nursing. Whether anything changed after inspectors left is not something the inspection report addresses.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Buena Vida Nursing and Rehab-san Antonio from 2025-10-06 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
Buena Vida Nursing and Rehab-San Antonio in SAN ANTONIO, TX was cited for violations during a health inspection on October 6, 2025.
The plastic display holder near the front desk held a form dated September 10.
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.