Nursing home in San Antonio, Texas
Normandy Terrace Nursing & Rehabilitation Center
Medicare and Medicaid
841 Rice Road, San Antonio, TX 78220
(210) 648-0101
- CMS lists this nursing home as a candidate for the Special Focus Facility program.
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home1
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home3
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Jul 25, 2025. CMS counts 32 health deficiencies in rating cycle 1.
- This nursing home32
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 51 health deficiencies on 17 inspection dates since Sep 30, 2023. By level of harm: 8 immediate jeopardy, 41 potential for harm, 2 minimal harm potential.
- 8 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 41 No actual harm, potential for more than minimal harm
- 2 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jul 17, 2026 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Jul 18, 2026 |
| Jul 17, 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Jul 18, 2026 |
| Jul 17, 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 18, 2026 |
| Jul 17, 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 18, 2026 |
| Jul 17, 2026 | F0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 18, 2026 |
| Jul 17, 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 18, 2026 |
| Jul 2, 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 29, 2026 |
| May 21, 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jun 12, 2026 |
| May 21, 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jun 12, 2026 |
| May 21, 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jun 12, 2026 |
Show the other 41 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Apr 24, 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 15, 2026 |
| Apr 24, 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 15, 2026 |
| Mar 20, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 21, 2026 |
| Mar 20, 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 21, 2026 |
| Mar 20, 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 21, 2026 |
| Feb 23, 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Mar 27, 2026 |
| Feb 23, 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 27, 2026 |
| Jan 16, 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.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 2, 2026 |
| Jan 16, 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 2, 2026 |
| Jan 16, 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 2, 2026 |
| Nov 25, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Nov 30, 2025 |
| Nov 25, 2025 | F0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 30, 2025 |
| Aug 18, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Aug 16, 2025 |
| Aug 18, 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Aug 19, 2025 |
| Aug 15, 2025 | F0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies | C Minimal harm potential, widespread | Complaint | Deficient, Provider has date of correction Aug 16, 2025 |
| Jul 25, 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Jul 25, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Jul 25, 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Resident Rights Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Jul 25, 2025 | F0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Jul 25, 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.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Jul 25, 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.Nursing and Physician Services Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Jul 25, 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Jul 25, 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Jul 25, 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Jul 25, 2025 | F0814 | Dispose of garbage and refuse properly.Nutrition and Dietary Deficiencies | C Minimal harm potential, widespread | Standard, Complaint | Deficient, Provider has date of correction Aug 4, 2025 |
| Apr 25, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Feb 18, 2025 |
| Apr 25, 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Apr 26, 2025 |
| Aug 13, 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Aug 14, 2024 |
| Aug 13, 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Aug 14, 2024 |
| Jun 22, 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Jul 18, 2024 |
| Jun 22, 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 18, 2024 |
| Jun 22, 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 18, 2024 |
| May 31, 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods.Resident Rights Deficiencies | F Potential for harm, widespread | Standard, Complaint | Deficient, Provider has date of correction Jun 23, 2024 |
| May 31, 2024 | F0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Jun 23, 2024 |
| May 31, 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Jun 23, 2024 |
| May 31, 2024 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Jun 23, 2024 |
| May 31, 2024 | F0645 | PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Jun 23, 2024 |
| May 31, 2024 | F0687 | Provide appropriate foot care.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Jun 23, 2024 |
| Apr 18, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Mar 5, 2024 |
| Mar 22, 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Apr 22, 2024 |
| Mar 22, 2024 | F0924 | Put firmly secured handrails on each side of hallways.Environmental Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Apr 22, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.01 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.52 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home95.8%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 6 penalties for this nursing home: 6 fines totaling $349,006, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 320 |
|---|---|
| Average residents per day | 110.4 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Creative Solutions in Healthcare (149 facilities) |
| Legal business name | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Mar 16, 2000 |
| County | Bexar |
| CMS certification number | 675823 |
Also in San Antonio
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Morningside Manor | 147 | Non profit - Corporation | ||
| San Pedro Manor | 150 | Government - Hospital district | ||
| Silver Creek Nursing and Rehabilitation | 120 | For profit - Limited Liability company | ||
| Avir at San Antonio | 119 | For profit - Corporation | ||
| Broadway Nursing & Rehabilitation | 237 | For profit - Limited Liability company | ||
| Buena Vida Nursing and Rehab-San Antonio | 222 | Government - Hospital district | ||
| Castle Hills Rehabilitation and Care Center | 143 | For profit - Limited Liability company | ||
| Memorial Medical Nursing and Rehabilitation | 135 | Government - Hospital district | ||
| Meridian Care Monte Vista | 106 | For profit - Individual | ||
| Mesa Vista Inn Health Center | 144 | For profit - Corporation | ||
| Northeast Rehabilitation and Healthcare Center | 120 | Government - Hospital district | ||
| The Lev at San Antonio | 106 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| San Antonio VA Medical Center (VA South Texas Healthcare System) | Acute Care - Veterans Administration | Yes | |
| Methodist Hospital | Acute Care Hospitals | Yes | |
| Baptist Medical Center | Acute Care Hospitals | Yes | |
| CHRISTUS Santa Rosa Medical Center | Acute Care Hospitals | Yes | |
| University Health System | Acute Care Hospitals | Yes | |
| Children's Hospital of San Antonio | Not available | Childrens | Yes |
| San Antonio State Hosp State School | Not available | Psychiatric | No |
| South Texas Spine and Surgical Hospital | Not available | Acute Care Hospitals | Yes |