Normandy Terrace Nursing & Rehabilitation Center
841 Rice Rd · San Antonio, TX · 78220 · 2106480101
320 certified beds For profit - Limited Liability company Chain: Creative Solutions in Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $242,468 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$242,468 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.81 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 2.48 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 5 · $296,055 |
Inspection citations (46 in the current record)
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Potential for harm · D April 24, 2026 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D April 24, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D March 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 21, 2026 · Quality of Life and Care
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Potential for harm · D March 20, 2026 · found via complaint
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 locked compartments, separately locked, compartments for controlled drugs.
Corrected March 21, 2026 · Pharmacy Service
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Potential for harm · D March 20, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 23, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · D February 23, 2026 · found via complaint
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 locked compartments, separately locked, compartments for controlled drugs.
Corrected March 27, 2026 · Pharmacy Service
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Potential for harm · D January 16, 2026 · found via complaint
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.
Corrected February 2, 2026 · Resident Rights
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Potential for harm · D January 16, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 16, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected February 2, 2026 · Resident Rights
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Potential for harm · D November 25, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 30, 2025 · Resident Rights
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Potential for harm · E November 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 30, 2025 · Infection Control
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Immediate jeopardy · J August 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 16, 2025 · Quality of Life and Care
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Potential for harm · D August 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C August 15, 2025 · found via complaint
Post nurse staffing information every day.
Corrected August 16, 2025 · Nursing and Physician Services
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Potential for harm · E July 25, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 4, 2025 · Resident Rights
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Potential for harm · D July 25, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected August 4, 2025 · Resident Rights
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Potential for harm · D July 25, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected August 4, 2025 · Resident Rights
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Potential for harm · D July 25, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected August 4, 2025 · Nursing and Physician Services
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Potential for harm · D July 25, 2025 · found via complaint
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 locked compartments, separately locked, compartments for controlled drugs.
Corrected August 4, 2025 · Pharmacy Service
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Potential for harm · D July 25, 2025 · found via complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected August 4, 2025 · Nutrition and Dietary
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Potential for harm · D July 25, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 4, 2025 · Infection Control
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No harm found · C July 25, 2025 · found via complaint
Dispose of garbage and refuse properly.
Corrected August 4, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 18, 2025 | Fine | $24,845 |
| April 25, 2025 | Fine | $10,604 |
| August 13, 2024 | Fine | $207,019 |
| May 31, 2024 | Fine | $44,605 |
| April 18, 2024 | Fine | $8,982 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675823 · certified since March 16, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.