Northgate Health and Rehabilitation Center
5757 N Knoll · San Antonio, TX · 78240 · 2106998535
120 certified beds For profit - Limited Liability company Chain: Summit Ltc
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $27,710 |
Inspection citations (50 in the current record)
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Potential for harm · D April 24, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D April 24, 2026 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · E April 24, 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 April 27, 2026 · Resident Rights
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Potential for harm · E April 24, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · E April 24, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 8, 2026 · Nutrition and Dietary
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Potential for harm · D April 24, 2026 · found via complaint
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Corrected May 1, 2026 · Nutrition and Dietary
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Potential for harm · E April 24, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 27, 2026 · Nutrition and Dietary
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Potential for harm · D March 7, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 9, 2026 · Quality of Life and Care
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Potential for harm · D March 7, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 10, 2026 · Infection Control
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No harm found · C March 7, 2026 · found via complaint
Post nurse staffing information every day.
Corrected March 10, 2026 · Nursing and Physician Services
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Potential for harm · D December 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 19, 2025 · Resident Rights
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Potential for harm · D December 18, 2025 · 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 December 19, 2025 · Resident Rights
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Potential for harm · D December 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 18, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · D December 18, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 19, 2025 · Pharmacy Service
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Potential for harm · D December 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 19, 2025 · Infection Control
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Potential for harm · E December 2, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected December 3, 2025 · Quality of Life and Care
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Potential for harm · D December 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 3, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 5, 2025 · Resident Rights
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Potential for harm · D November 25, 2025 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected December 3, 2025 · Resident Rights
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Potential for harm · D November 25, 2025 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected November 26, 2025 · Resident Rights
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Potential for harm · D November 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 1, 2025 · Quality of Life and Care
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Potential for harm · D November 25, 2025 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected December 5, 2025 · Nutrition and Dietary
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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 26, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 14, 2024 | Fine | $27,710 |
| April 14, 2024 | Payment Denial | 3 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455804 · certified since April 26, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.