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Nursing home report

Northgate Health and Rehabilitation Center

Registered name: Avir at San Knoll

San Antonio, TX · Medicare-certified · 120 beds

Needs attention
For-profit
Data as of September 1, 2026
1 of 5 overall

Northgate Health and Rehabilitation Center in San Antonio has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings, though its quality measures are 4 stars. It has the lowest overall rating flag, no fines in the last 24 months, and reported nurse staffing of 3.10 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.1014 hrs/resident/day

Quality measures

Last inspection: July 24, 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).

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).

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 July 2026 — limited pattern, potential for harm.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  7. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  8. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  9. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  10. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  11. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  12. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

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
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.