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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Choosing San Antonio North Nursing and Rehab means choosing a place where comfort, care, and community are at the crossroads. For those who need long-term care, the facility offers a wide range of services, including lab and x-ray services, medication management, dining services, assistance with daily activities, social services, dialysis, dental care, podiatry, and more. Every aspect of resident care is meticulously taken care of, ensuring their physical, emotional, and social well-being. From post-operative rehab to specialized care such as cardiac care, stroke recovery, and wound care, residents receive comprehensive and personalized care to support their recovery.
With breathtaking views that inspire healing, San Antonio North Nursing and Rehab boasts state-of-the-art facilities, designed to enhance the recovery journey. The therapy gym is equipped with modern equipment and expert therapists, offering physical, occupational, and speech therapies tailored to each resident’s needs. Located just minutes away from local hospitals, residents have access to quality medical care round the clock.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 231st out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 19m per day | ▼ 27% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 43m per day | ▼ 25% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 30m per day | ▼ 26% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 10m per day | ▼ 28% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ■ Avg State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 14% State avg: 21m per day · National avg: 29m per day |
Lower than the Texas average: 63.5%San Antonio North Nursing and Rehab is administrated by Deanna Truax.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 63 | 6 | This facility has 950% more total citations than a typical Texas nursing home (63 vs. TX avg 6).↑ 950% worse |
|
Citations per year
Average citations per year since 2023.
| 21 | 2 | This facility has 950% more citations per year than a typical Texas nursing home (21 vs. TX avg 2).↑ 950% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 9, 2025, identified a deficiency related to a staff member administering medications without the appropriate medication aide certification. Earlier inspections showed a pattern of deficiencies involving medication management, resident care documentation, and environmental safety issues. Complaint investigations substantiated concerns about resident privacy, unsafe environments, inadequate supervision, and discharge procedures, with some investigations noting Immediate Jeopardy situations that were later resolved. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates ongoing challenges with compliance in several areas, with some corrective actions taken but recurring issues noted over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Jul 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 52 citations resulted from standard inspections; 31 of 52 resulted from complaint investigations; and 8 of 52 came from combined inspections (standard and complaint).
150% worse than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
32% worse than Texas average
5% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
57 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 0 | 39 | 13,021 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 16 | 0 | 16 | 4,926 | 92 | 100% | 9.1 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,991 | 92 | 100% | 10.1 |
| Registered Nurse | 8 | 1 | 9 | 2,927 | 92 | 100% | 9.2 |
| Physical Therapy Aide | 10 | 0 | 10 | 2,540 | 75 | 82% | 7 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,499 | 76 | 83% | 7.5 |
| RN Director of Nursing | 3 | 0 | 3 | 1,401 | 64 | 70% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,101 | 81 | 88% | 8.3 |
| Qualified Social Worker | 2 | 0 | 2 | 898 | 67 | 73% | 7.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 531 | 67 | 73% | 7.7 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 467 | 77 | 84% | 4.6 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Nurse Aide in Training | 2 | 0 | 2 | 226 | 24 | 26% | 8.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 49 | 7 | 8% | 7 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
25% lower than Texas averageTexas average: $80K
61% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
807% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
6 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 28, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 26, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 26, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 26, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
22% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.0
18% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.4%
39% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
19.3%
19% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.1%
In line with Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
92% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.4%
68% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.9%
6% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.3%
5% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
1.6%
46% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
0.6%
93% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.55
27% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.20
6% worse than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.0%
15% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
53% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.2%
10% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.4%
17% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.4%
37% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
113% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
31.8%
41% worse than Texas averageTexas average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
43% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
105Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for San Antonio North Nursing and Rehab based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #207 / 297Payroll — State benchmarkedThis home is ranked 207th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
1.2 miles from city center
Estimated distance in miles from San Antonio's city center to San Antonio North Nursing and Rehab's address, calculated via Google Maps.
— 0.2 miles to nearest hospital (Methodist Hospital Metropolitan)
Add your location
San Antonio North Nursing and Rehab is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| Morningside at the Meadows |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Sunshine Estates) | 147 | 49.8% | -22% | 3.58 | -16% | -1% | $90.3k | 24 | 8.0 | 2 | 83 | A+ | 46 | Guadalupe County Hospital Board | $7.1M | $5.6M | 78.3% | 455523 | ||||
| Wurzbach Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northwest Side) | 140 | 38.6% | -39% | 3.23 | -69% | -11% | $129.9k | 57 | 4.4 | 4 | 54 | C | 75 | E&R Cunningham Investments LP | $8.3M | $3.8M | 46% | 455824 | ||||
| San Antonio North Nursing and Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Tobin Hill) | 118 | 33.9% | -47% | 3.05 | +11% | -16% | $60.1k | 52 | 2.9 | 5 | 40 | - | 87 | Tobin Hill Nursing And Rehab Center LLC | $8.5M | $4.2M | 49.8% | 455817 | ||||
| Elmcroft of Windcrest |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | San Antonio (Northeast Side) | 113 | 61.4% | -3% | 2.41 | -57% | -34% | $81.6k | 64 | 4.0 | 5 | 81 | A+ | 14 | Rj Realty Group LLC | $15.3M | $6.5M | 42.5% | 675171 | ||||
| Heritage Creek | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | San Antonio (Northwest Side) | 52 | 35.1% | -45% | 3.90 | - | - | - | +25% | +7% | $447.8k | 110 | 3.1 | 13 | 79 | A+ | 9 | Heritage Creek Assisted Living Inc | $7.6M | $4.3M | 57.2% | 675112 |
San Antonio North Nursing and Rehab is in the Tobin Hill neighborhood of San Antonio.
The legal owner and operator of San Antonio North Nursing and Rehab is Uvalde County Hospital Authority.
San Antonio North Nursing and Rehab has a walk score of 87. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to TX state health department records, San Antonio North Nursing and Rehab's license number is 144848.
According to TX state health department records, San Antonio North Nursing and Rehab's license expires on February 28, 2028.
San Antonio North Nursing and Rehab's occupancy is 34%.
Deanna Truax is the administrator of San Antonio North Nursing and Rehab.
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