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Nursing HomeMedicaid Investigative

Normandy Terrace Nursing & Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

841 Rice Road, Eastern Triangle · San Antonio, TX 78220320 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 77 Google reviews

5
4
3
2
1

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (20 vs median 8.0)

Bottom 25% in Texas · Below recommended RN staffing · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $296,055 in fines · Abuse citation

Source: Medicare data

What this means for your family

The facility's admissions and administrative team are exceptionally helpful and welcoming, which can make the transition much easier for families. However, you must investigate the validity of recent reports regarding pest infestations and ensure there is a rigorous protocol for notifying families of medical incidents or falls.

Google Reviews

Google Reviews

77 reviews on Google
Families should note that recent reviews highly praise the admissions process and the kindness of the administrative team, particularly Detrail Neal. However, there are serious, recurring allegations regarding pest infestations (rats and bed bugs) and critical lapses in medical communication and fall monitoring.

Quality Themes

Tap a score for details
Food6.0Staff5.0Clean4.0ActivitiesN/AMeds2.0Memory3.0Comms3.0ValueN/A

Strengths

  • Welcoming and professional admissions staff
  • Clean and recently updated facilities
  • Compassionate nursing and CNA staff
  • Improved food quality in recent months

Concerns

  • Pest infestations (rats, bed bugs, raccoons) (mentioned by 2 reviewers)
  • Failure to notify families of medical emergencies or falls (mentioned by 2 reviewers)
  • Staffing shortages in memory care/lockdown units (mentioned by 2 reviewers)
  • Unprofessional or rude behavior from management/business office (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(4)'18(3)'21(2)'23(12)'25(28)'26(4)

Distribution · 80 analyzed

5
45
4
6
3
2
2
6
1
21
11 reviews posted between Jul 3, 2025Jul 5, 2025 · 11 were 5-star

How They Respond to Reviews

18%response rate
Generic

The owner uses highly repetitive, templated responses that follow a nearly identical structure for every review. While they acknowledge the reviewer by name, they fail to address any of the specific, serious allegations (such as pests, staff behavior, or medical negligence) in the text of the response.

Questions for Your Tour

  • 1We've heard great things about how welcoming the admissions team is; could you walk us through how you introduce new residents to the community?
  • 2With the recent updates to the facility, what specific improvements have been made to the resident rooms and common areas?
  • 3What is your process for ensuring families are notified immediately if a resident has a fall or a medical emergency?
  • 4How do you manage medication administration to ensure everything is handled accurately and safely for every resident?
  • 5We've noticed some positive comments about the food lately; could you tell us more about the current meal programs and how much variety there is?
  • 6What specific staffing measures are in place for the memory care unit to ensure residents have consistent care throughout the day?

Personalized based on this facility's data


Key Review Excerpts

The admissions coordinator Detrail Neal was very helpful and caring and Very professional she also made sure things went smoothly within the process.

Prospective resident's family · 2025★★★★★

Don't bring your family members here, my grandfather unfortunately suffered a severe stroke and the nurses failed to notify my family and I UNTIL 5 HOURS AFTER!!!!

Long-term resident's family · 2023☆☆☆☆

Do Not send your loved ones here! This place is rats infested! Rats are everywhere in the kitchen and food kitchen staff had to put cameras in dining area / kitchen to catch rats.

Long-term resident's family · 2025☆☆☆☆
Source: 77 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
66%
Registered nurses for medical care
Total Nursing
2.81hrs
69%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
14.4%
TX
16.1%
Bexar
16.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.2%
Worse than Avg
Here
26.2%
US
15.3%
TX
14.9%
Bexar
14.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
TX
2.5%
Bexar
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
15.4%
TX
9.4%
Bexar
10.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.7%
Better than Avg
Here
14.7%
US
19.5%
TX
18.4%
Bexar
21.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.1%
Mixed vs Avgs
Here
19.1%
US
19.4%
TX
14.2%
Bexar
17.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Bexar
84.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility80.4%
Worse than Avg
Here
80.4%
US
81.8%
TX
89.2%
Bexar
81.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
TX
1.5%
Bexar
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

23deficiencies
5penalties
Well above state avg (9.1)
42 complaint-triggered
$296,055 in fines

This facility shows concerning patterns with 34 complaint-triggered deficiencies out of 64 total, indicating families have repeatedly filed reports about care issues. The most recurring problems involve resident rights violations (privacy, dignity, communication), safety hazards and accident prevention, and infection control lapses. Abuse and neglect reporting deficiencies appeared multiple times, including recent incidents in 2024-2025, suggesting ongoing serious care concerns that families should investigate thoroughly before considering placement.

Mar 20, 2026Complaint
3
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Feb 23, 2026Complaint
2
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Jan 16, 2026Complaint
3
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Nov 25, 2025Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Aug 18, 2025Complaint
2
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Aug 15, 2025Complaint
1
0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Federal Penalties

Fine

Aug 18, 2025

$24,845

Fine

Apr 25, 2025

$10,604

Fine

Aug 13, 2024

$207,019

Fine

May 31, 2024

$44,605

Fine

Apr 18, 2024

$8,982

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

SAN ANTONIO V ENTERPRISES, LLC

Administrator

DUNCAN SCZEPANIK

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 143 of 148 (Worst)

Ownership & Management

Key personnel

Bowers, SeanManaging Control - Governing BodyCisneros, AlfredManaging Control - Governing BodyCobb, TravisManaging Control - Governing BodyCooper, StephenManaging Control - Governing BodyHardin, SherrieManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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