Normandy Terrace Nursing & Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 841 Rice Road, San Antonio, TX 78220
- CCN
- 675823
- Ownership type
- For-profit, limited liability company
- Certified beds
- 320
- Residents per day
- 110
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Normandy Terrace Nursing & Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 25 Jul 2025. The latest survey cycle has 29 health citations. The median for nursing homes in Texas is 8. CMS lists 5 fines with a total of $287,359 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Bexar County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 62 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 25 Jul 2025 | 29 | 8 |
| Cycle 2 | 31 May 2024 | 10 | 8 |
| Cycle 3 | No date | 11 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 29 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 29 Jul 2026 |
| 21 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 12 Jun 2026 |
| 21 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 12 Jun 2026 |
| 21 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 12 Jun 2026 |
| 24 Apr 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 15 May 2026 |
| 24 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 15 May 2026 |
| 20 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Mar 2026 |
| 20 Mar 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 21 Mar 2026 |
| 20 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 21 Mar 2026 |
| 23 Feb 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 27 Mar 2026 |
| 23 Feb 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 27 Mar 2026 |
| 16 Jan 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 2 Feb 2026 |
| 16 Jan 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 2 Feb 2026 |
| 16 Jan 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 2 Feb 2026 |
| 25 Nov 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 30 Nov 2025 |
| 25 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 30 Nov 2025 |
| 18 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Aug 2025 |
| 18 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Aug 2025 |
| 15 Aug 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 16 Aug 2025 |
| 25 Jul 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint investigation | 4 Aug 2025 |
| 25 Jul 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 4 Aug 2025 |
| 25 Jul 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 4 Aug 2025 |
| 25 Jul 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 4 Aug 2025 |
| 25 Jul 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 4 Aug 2025 |
| 25 Jul 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 4 Aug 2025 |
| 25 Jul 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint investigation | 4 Aug 2025 |
| 25 Jul 2025 | F0814 | Dispose of garbage and refuse properly. | C | Complaint investigation | 4 Aug 2025 |
| 25 Jul 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 Aug 2025 |
| 25 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 4 Aug 2025 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 26 Apr 2025 |
| 25 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 18 Feb 2025 |
| 13 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 14 Aug 2024 |
| 13 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | Complaint investigation | 14 Aug 2024 |
| 31 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 23 Jun 2024 |
| 31 May 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | Complaint investigation | 23 Jun 2024 |
| 31 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 23 Jun 2024 |
| 31 May 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 23 Jun 2024 |
| 31 May 2024 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 23 Jun 2024 |
| 31 May 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 23 Jun 2024 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Jun 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 18 Jul 2024 |
| 22 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 18 Jul 2024 |
| 22 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 18 Jul 2024 |
| 18 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 5 Mar 2024 |
| 22 Mar 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 22 Apr 2024 |
| 22 Mar 2024 | F0924 | Put firmly secured handrails on each side of hallways. | D | Complaint investigation | 22 Apr 2024 |
| 6 Apr 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 5 May 2023 |
| 6 Apr 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 5 May 2023 |
| 6 Apr 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 5 May 2023 |
| 6 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 May 2023 |
| 6 Apr 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 5 May 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 18 Aug 2025 | Fine | $16,149 | |
| 25 Apr 2025 | Fine | $10,604 | |
| 13 Aug 2024 | Fine | $207,019 | |
| 31 May 2024 | Fine | $44,605 | |
| 18 Apr 2024 | Fine | $8,982 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.01 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.52 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.63 | 0.95 | |
| Nurse aides | 1.85 | 2.00 | |
| All nurse staff, weekends | 2.46 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 95.8%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 92.9%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 30.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.4% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- West Wharton County Hospital District
- Chain
- Creative Solutions in Healthcare (149 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| San Antonio V Enterprises LLC | Operational/managerial control | 1 Sep 2023 | |
| San Antonio V Enterprises LLC | Adp of the snf | 6 May 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Bexar County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Southeast Nursing & Rehabilitation Center | San Antonio | 2 of 5 | 11 | $10,631 | 3 Apr 2026 | |
| Buena Vida Nursing and Rehab-San AntonioSpecial Focus candidate | San Antonio | 1 of 5 | 24 | $174,889 | 29 Aug 2025 | |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 4 of 5 | 7 | $0 | 30 Jan 2026 | |
| Highland Nursing Center | San Antonio | 1 of 5 | 14 | $0 | 27 Mar 2026 | |
| River City Care Center | San Antonio | 1 of 5 | 10 | $18,503 | 10 Jul 2025 | |
| The Rio at Mission Trails | San Antonio | 1 of 5 | 18 | $153,825 | 25 Mar 2026 | |
| Parklane West Healthcare Center | San Antonio | 1 of 5 | 33 | $0 | 16 May 2025 | |
| Windsor Mission Oaks | San Antonio | 3 of 5 | 11 | $10,842 | 27 Jun 2025 | |
| The Village at Incarnate Word | San Antonio | 4 of 5 | 4 | $0 | 12 Dec 2025 | |
| San Antonio North Nursing and Rehabilitation | San Antonio | 1 of 5 | 22 | $17,268 | 31 Jul 2025 | |
| Northeast Rehabilitation and Healthcare Center | San Antonio | 1 of 5 | 22 | $15,616 | 21 Mar 2025 | |
| Memorial Medical Nursing and Rehabilitation | San Antonio | 1 of 5 | 21 | $35,396 | 11 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Normandy Terrace Nursing & Rehabilitation Center (CCN 675823). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/normandy-terrace-nursing-rehabilitation-center-san-antonio-tx-675823/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Normandy Terrace Nursing & Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 2 Jul 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 31 May 2024.
- Who operates Normandy Terrace Nursing & Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Creative Solutions in Healthcare. The CMS ownership file names San Antonio V Enterprises LLC for operational or managerial control. This site does not show the names of persons.
- Is Normandy Terrace Nursing & Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.