Normandy Terrace Nursing & Rehabilitation Center

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address: 841 Rice Road, San Antonio, TX 78220
Phone: (210) 648-0101
Listed under: For-profit
Medicare CCN: 675823
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 3 of 5
Certified beds: 320
Average residents per day: 110
Ownership: For-profit, limited Liability company
Legal business name: West Wharton County Hospital District
Chain: Creative Solutions in Healthcare (149 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Mar 16, 2000
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 675823. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 25, 2025. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 6, 2023 to Jul 2, 2026): 45 from complaint inspections, 6 at the “actual harm” level or higher, including 6 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

Inspection	Citation	Severity
Jul 2, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	E Potential for more than minimal harm, pattern
May 21, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	E Potential for more than minimal harm, pattern
May 21, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	E Potential for more than minimal harm, pattern
May 21, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	E Potential for more than minimal harm, pattern
Apr 24, 2026	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2026	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Mar 20, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Mar 20, 2026	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Mar 20, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Feb 23, 2026	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Feb 23, 2026	Reasonably accommodate the needs and preferences of each resident. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern
Jan 16, 2026	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 50. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $287,359 in the last three years.

Aug 18, 2025	Fine: $16,149
Apr 25, 2025	Fine: $10,604
Aug 13, 2024	Fine: $207,019
May 31, 2024	Fine: $44,605
Apr 18, 2024	Fine: $8,982

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.01 hours
Registered nurse (RN) time per resident per day: 0.52 hours
Nurse aide time per resident per day: 1.85 hours
Total nurse staffing on weekends: 2.46 hours
Nursing staff turnover (yearly): 96%
RN turnover (yearly): 93%
Administrators who left in the past year: 2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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