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
Abuse citationFor-profitChain member
1 of 5 overall
Normandy Terrace Nursing & Rehabilitation Center in San Antonio has a 1 out of 5 overall rating, with 1-star health inspection and staffing scores and a 3-star quality score. It reports nurse staffing of 2.81 hours per resident per day versus the 4.1-hour federal benchmark, $287,073 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.8139 hrs/resident/day
Quality measures
Last inspection: March 20, 2026Penalties, last 24 months: $287,073recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8139.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.66
- Nurse aides
- 1.66
- Weekend nursing
- 2.48
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.2%Worsening
Residents with a fall causing major injury
6.2%Improving
Residents with pressure ulcers (bedsores)
2.9%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
6%Improving
Residents who were physically restrained
0.8%Worsening
Residents needing more help with daily activities
27.9%Worsening
Residents whose ability to walk got worse
26.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
14.7%Steady
Short-stay residents newly given an antipsychotic
1.1%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
19.1%Worsening
Residents with depressive symptoms
0.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
97.8%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
80.4%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 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
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: F
Recent history
- 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 $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: 5 fines · $296,055 in total fines.
- $24,845
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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 109.5 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.