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Nursing HomeMedicaid Investigative

Northeast Rehabilitation and Healthcare Center

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

603 Corinne Drive, Terrell Heights · San Antonio, TX 78218120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 16 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (20 vs median 8.0)
  • High staff turnover (53%)
  • High RN turnover (62%)

Below average in Texas · Below recommended RN staffing · Above average staffing · Below chain average · $21,645 in fines

Source: Medicare data

What this means for your family

This facility is highly regarded for its warm, family-like atmosphere and attentive nursing staff. However, please note that many reviews refer to 'Trinity Care Assisted Living,' so you should verify if this is the same entity or a different location before touring.

Google Reviews

Google Reviews

16 reviews on Google
Reviewers consistently praise the facility for its compassionate, family-oriented staff and its clean, welcoming environment. While the feedback is overwhelmingly positive regarding the quality of care and management, several reviews specifically reference 'Trinity Care Assisted Living' rather than the facility name in the header.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean10.0Activities9.0MedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Compassionate and attentive staff
  • Clean and well-maintained environment
  • Professional and knowledgeable management
  • Welcoming and warm atmosphere

Rating Trends

Tap a year to see what changed

2345.02024(2)5.02025(30)

Distribution · 32 analyzed

5
32
4
0
3
0
2
0
1
0
22 reviews posted between May 1, 2025May 2, 2025 · 22 were 5-star

How They Respond to Reviews

94%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard such wonderful things about how warm and welcoming the atmosphere is here; what are some of the favorite social activities or group events that residents participate in during the week?
  • 2Since we want to ensure our loved one is always well-supported, how do you ensure there is enough staff available to provide attentive care during the overnight hours?
  • 3We noticed the management team is very responsive and professional when communicating with families; how do you typically keep families updated on a resident's daily health and well-being?
  • 4With the recent health inspections, what specific steps has the facility taken to address past deficiencies and improve the overall care environment?
  • 5How does the nursing team handle sudden medical changes or emergencies that might occur in the middle of the night?
  • 6The facility looks incredibly clean and well-maintained; how often are the resident rooms and common areas deep-cleaned to ensure a comfortable environment?

Personalized based on this facility's data


Key Review Excerpts

The facility is lovely inside and out! I love how attentive and caring the staff were. They made sure to answer any and all of my questions.

Family member · 2025★★★★★

The level of care our loved one receives is outstanding — attentive without being overbearing, and always respectful.

Long-term resident's family · 2025★★★★★

Trinity Care Assisted Living Facility has been a true blessing for our family. From the moment we first met the staff, we felt a genuine sense of care and professionalism.

Family member · 2025★★★★★
Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.62hrs
83%
Registered nurses for medical care
Total Nursing
3.50hrs
85%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
44%
Lower is better (< 30% = good)

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
4/ 5
Better Than Avg

13

measures

Worse Than Avg

1

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
19.5%
TX
18.4%
Bexar
22.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
14.4%
TX
16.1%
Bexar
16.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.8%
Mixed vs Avgs
Here
2.8%
US
12.1%
TX
2.5%
Bexar
1.9%

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

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.6%
Worse than Avg
Here
89.6%
US
95.5%
TX
98.0%
Bexar
98.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.3%
TX
14.9%
Bexar
14.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
15.4%
TX
9.4%
Bexar
10.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.7%
Better than Avg
Here
92.7%
US
81.8%
TX
89.2%
Bexar
81.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility83.3%
Mixed vs Avgs
Here
83.3%
US
79.7%
TX
88.0%
Bexar
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bexar
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
1penalties
Well above state avg (9.1)
40 complaint-triggered
$21,645 in fines

This facility has a concerning pattern with 38 of 50 deficiencies triggered by family complaints, including a recent uncorrected abuse reporting violation. Recurring problems span resident assessment and care planning, medication management, and infection control, with many issues persisting across multiple surveys over three years. While most deficiencies show correction dates, the repeated nature of complaints suggests ongoing care quality concerns that families should investigate thoroughly before placement.

Mar 19, 2026Complaint
3
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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.

Jan 16, 2026Complaint
1
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.

Oct 17, 2025Complaint
2
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

Aug 21, 2025Complaint
4
0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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.

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.

Mar 21, 2025Routine
4
0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Mar 21, 2025Complaint
11
0761Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Federal Penalties

Fine

Oct 17, 2025

$21,645

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guadalupe County Hospital Board

Organization Type

for profit

Management Company

SALADO CREEK SENIOR CARE, INC

Administrator

JAMES DAVIS

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 65 of 84

Ownership & Management

Owners

Guadalupe County Hospital Board

Owner · Organization

100%

Key personnel

Brady, HeatherW-2 Managing EmployeeGann, KodyOfficer / DirectorSalado Creek Senior Care INC.ManagerBrady, HeatherManagerBurnam, SoonManager
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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