The nursing home failed to protect residents from abuse and neglect by others. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Normandy Terrace Nursing & Rehabilitation Center
San Antonio, TX · Medicare-certified · 320 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of September 1, 2026
1 of 5 overall
Normandy Terrace Nursing & Rehabilitation Center in San Antonio has a 1-star overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It is a special focus facility candidate/attention-flagged facility, had $88,400 in fines in the last 24 months, and reported nurse staffing of 3.01 hours per resident day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.0076 hrs/resident/day
Quality measures
Last inspection: July 17, 2026Penalties, last 24 months: $88,400special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0076.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.63
- Nurse aides
- 1.85
- Weekend nursing
- 2.46
Hours per resident per day.
Total staff turnover: 96%
Registered nurse turnover: 93%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2.2%10.2%Worsening
Residents with a fall causing major injury
5.6%2.8%Improving
Residents with pressure ulcers (bedsores)
2.7%1.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
11.8%6%Improving
Residents who were physically restrained
1.1%0.9%No change
Residents needing more help with daily activities
28%26.6%Improving
Residents whose ability to walk got worse
23.5%29.1%Worsening
Long-stay residents on antianxiety or sleep medication
14.3%19%Worsening
Short-stay residents newly given an antipsychotic
4.8%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.1%18.9%Worsening
Residents with depressive symptoms
0%2.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
96.6%90.7%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
87.2%47.7%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited July 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $61,410 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,386 was recorded.
- PENALTY
A federal fine of $16,149 was recorded.
- PENALTY
A federal fine of $24,845 was recorded.
- PENALTY
A federal fine of $10,604 was recorded.
- PENALTY
A federal fine of $207,019 was recorded.
- PENALTY
A federal fine of $44,605 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $349,006 in total fines.
- $61,410
Federal fine
Jul 2, 2026
- $16,386
Federal fine
Aug 18, 2025
- $10,604
Federal fine
Apr 25, 2025
- $207,019
Federal fine
Aug 13, 2024
- $44,605
Federal fine
May 31, 2024
- $8,982
Federal fine
Apr 18, 2024
Operator & ownership
Recent ownership change · Feb 1, 2023
Now operated by Normandy Terrace Nursing & Rehabilitation Center, previously Normandy Terrace Healthcare and Rehabilitation Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.1 stars avg
- Occupancy
- 110.4 residents on an average day (34% of 320 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.