NORTHGATE HEALTH AND REHABILITATION CENTER in San Antonio has a 1-star overall rating, with a 1-star staffing rating and nurse staffing below the federal benchmark (3.01 vs 4.1 hours per resident per day). It has no fines in the last 24 months, but it is flagged for the lowest overall rating and recent inspection citations included accident hazards, range-of-motion care, and infection control.
Last inspection: March 7, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.013.
Staffing detail
Registered nurses
0.16
Licensed practical nurses
1.26
Nurse aides
1.59
Weekend nursing
2.66
Hours per resident per day.
Total staff turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11%Improving
Residents with a fall causing major injury
2.6%Worsening
Residents with pressure ulcers (bedsores)
2.7%Improving
Residents with a urinary tract infection
0.5%Worsening
Residents who lost too much weight
3.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
23.9%Improving
Residents whose ability to walk got worse
10.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.6%Improving
Short-stay residents newly given an antipsychotic
5.9%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
8.6%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
96%Steady
Long-stay residents given the pneumonia vaccine
74.3%Worsening
Short-stay residents given the seasonal flu vaccine
85%Steady
Short-stay residents given the pneumonia vaccine
58.3%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — 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 provide appropriate care to help a resident maintain or improve movement and mobility. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 688 — 42 CFR §483.25(c) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 801 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
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.
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INSPECTION
Health inspection found 7 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $27,710 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Apr 14, 2024
3 days
Federal fine
Apr 14, 2024
$27,710
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SUMMIT LTC · 6 homes · 1.7 stars avg
Occupancy
48.8 residents on an average day (41% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.