Northgate Health and Rehabilitation Center in San Antonio has a 1-star overall rating, with 1-star health inspection and staffing ratings but 4 stars for quality measures. It has the lowest overall rating flag, reported nurse staffing is below the federal benchmark (3.10 vs 4.1 hours per resident per day), and there were no fines in the last 24 months.
Last inspection: May 22, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1014.
Staffing detail
Registered nurses
0.28
Licensed practical nurses
1.09
Nurse aides
1.74
Weekend nursing
2.91
Hours per resident per day.
Total staff turnover: 75%
Registered nurse turnover: 80%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20.8%0%Improving
Residents with a fall causing major injury
0%6.7%Worsening
Residents with pressure ulcers (bedsores)
1.5%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.3%5.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.3%3.2%Improving
Residents whose ability to walk got worse
—13.3%—
Long-stay residents on antianxiety or sleep medication
9.3%17.9%Worsening
Short-stay residents newly given an antipsychotic
—4.2%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.2%2.9%Improving
Residents with depressive symptoms
0%2.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96%—
Long-stay residents given the pneumonia vaccine
87.8%17.8%Worsening
Short-stay residents given the seasonal flu vaccine
—85%—
Short-stay residents given the pneumonia vaccine
70%33.3%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 ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 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 April 2026 — limited pattern, potential for harm.
View the original federal record
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 4 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 7 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 7 health deficiencies.
See what inspectors found
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 · 5 homes · 1.4 stars avg
Occupancy
48.2 residents on an average day (40% 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.