Occupancy rate
34%
In line with Texas averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in San Antonio
CMS overall rating
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.
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.
San Antonio North Nursing and Rehab
Nursing Home in San Antonio
CMS overall rating
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.
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.
San Antonio North Nursing and Rehab
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
118
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
33.9%
Residents per day
40
Occupancy rate
33.9%
Residents per day
40
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
25% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
33% of new residents, often for short stays.
Typical stay
1 months
Medicaid
43% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$8.5M
Surplus of revenue
$46.3K
Governmental community
Operated by state authorities.
Home revenue
$8.5M
Surplus of revenue
$46.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.5M
118-bed community
A larger shared setting that may offer more common spaces and organized community services.
54 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 87 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Services
About this community
Occupancy
In line with Texas averageOccupied beds
40 / 118
Average residents
75 per day
Facility TypeNursing
StatusActive
IssuanceFebruary 28, 2025
ExpirationFebruary 28, 2028
CountyBEXAR
License Number144848
Year Opened9/1/1971
San Antonio North Nursing and Rehab is administrated by Deanna Truax.
Management CompanyTOBIN HILL NURSING AND REHAB CENTER LLC
OwnerUVALDE COUNTY HOSPITAL AUTHORITY
Ownership TypeLimited Liability Company (LLC)
Medicare
2 units
Medicaid and Medicare
116 units
Total beds
118 units
Staffing
Key information about the people who lead and staff this community.
Administrator Email
[email protected]
Inspection History
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.
20 visits/inspections
8 visits/inspections triggered by complaints
10 routine inspections
Results
20 with issues
0 without issues
Show Inspection Reports
Latest inspection
Date
December 9, 2025
Other63 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Health Inspection History
Inspections
Total health inspections
18
Texas average 7.4
Last Health inspection on Jul 2025
Total health citations
52
Texas average 25.9
Citations per inspection
2.89
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
5
5
150% worse than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
5 critical citations
0 serious citations
44 moderate citations
3 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 31, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 31, 2025
Corrected
Nutrition minor citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 31, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 31, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 31, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 31, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 31, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 31, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around San Antonio The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Blue Skies of Texas East
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 (Valley High North)
80
68.3%
+8%
6.51
+79%
2
31
3.1
2
46
47
Air Force Village Inc
$15.2M
$4.6M
30%
676041
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)
132
61.1%
-4%
3.05
-16%
4
52
2.9
5
103
87
Tobin Hill Nursing And Rehab Center Llc
$8.1M
$0.0M
0%
455817
Brookdale Hamilton Wolfe
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
32
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
Desert Sands Assisted Living LLC
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
42
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
Discovery Village Stone Oak
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
125
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
Places of interest near San Antonio North Nursing and Rehab
1.2 miles from city center — 0.2 miles to nearest hospital (Methodist Hospital Metropolitan)
Calculate Travel Distance to San Antonio North Nursing and Rehab
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
93
Employees
93
Contractors
0
Staff to resident ratio
0.89:1
41% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
40
Average shift
8.5 hours
5% better than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
31,068
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 29 | 0 | 29 | 10,411 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 13 | 0 | 13 | 5,142 | 91 | 100% | 9.5 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,585 | 90 | 99% | 9 |
| Registered Nurse | 8 | 0 | 8 | 2,569 | 91 | 100% | 8.4 |
| Physical Therapy Aide | 11 | 0 | 11 | 2,553 | 77 | 85% | 6.8 |
| RN Director of Nursing | 4 | 0 | 4 | 1,775 | 64 | 70% | 8 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,330 | 80 | 88% | 7.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,074 | 91 | 100% | 7.2 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 736 | 82 | 90% | 5.8 |
| Nurse Aide in Training | 3 | 0 | 3 | 695 | 68 | 75% | 8.7 |
| Qualified Social Worker | 3 | 0 | 3 | 588 | 63 | 69% | 7.5 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 129 | 15 | 16% | 8.6 |
29 Certified Nursing Assistant
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
6 Medication Aide/Technician
% of Days
99%
8 Registered Nurse
% of Days
100%
11 Physical Therapy Aide
% of Days
85%
4 RN Director of Nursing
% of Days
70%
5 Speech Language Pathologist
% of Days
88%
3 Other Dietary Services Staff
% of Days
100%
4 Respiratory Therapy Technician
% of Days
90%
3 Nurse Aide in Training
% of Days
75%
3 Qualified Social Worker
% of Days
69%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Mental Health Service Worker
% of Days
63%
1 Qualified Activities Professional
% of Days
16%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
105 residents
Residents by payment source
Medicare
5 residents (4.8%)
Medicaid
97 residents (92.4%)
Private pay or other
3 residents (2.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.0
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
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.4%
Percent of long-stay residents whose need for help with daily activities has increased
22.4%
39% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.3%
Percent of long-stay residents whose ability to move independently worsened
19.3%
19% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.1%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
92% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.4%
Percent of long-stay high risk residents with pressure ulcers
1.4%
68% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
6% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.3%
Percent of long-stay residents who lose too much weight
3.3%
5% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.6%
Percent of long-stay residents who have depressive symptoms
1.6%
46% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.6%
Percent of long-stay residents who received an antipsychotic medication
0.6%
93% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.55
Number of hospitalizations per 1,000 long-stay resident days.
1.55
27% better than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.20
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.20
6% worse than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.0%
15% worse than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
53% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.2%
10% worse than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.4%
17% worse than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
16.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.4%
37% worse than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
113% worse than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
31.8%
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.
Penalties and fines
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)
Total fines amount
$60K
25% lower than Texas averageTexas average: $80K
Number of fines
4
61% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
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
Fines amount comparison
Fines amount comparison
This facility
$60K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
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.
May 28, 2024
$17K
Civil Money Penalty
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
$10K
Civil Money Penalty
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
$10K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 26, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 26, 2023
38 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for San Antonio North Nursing and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
61.1%
↑ 5.6pp vs 2023
Net Income
N/A
Total Payroll
$4.2M
↑ ~$796.8K vs 2023
Profit Margin
0.0%
↓ 0.6pp vs 2023
Loading trend charts...
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