Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 69 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 51% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 20 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families often praise the facility for its compassionate nursing staff and engaging activities programs, particularly noting the kindness of the activities director. However, significant concerns exist regarding communication difficulties, specifically the inability to reach staff by phone, and serious allegations of inadequate nighttime staffing and hygiene neglect.
Quality Themes
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Concerns
Rating Trends
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Distribution · 72 analyzed
The owner provides personalized, warm responses to positive reviews, often mentioning specific staff members or details from the text. For negative reviews, they use a consistent template that invites further discussion via a specific phone number.
Personalized based on this facility's data
Key Review Excerpts
“The staff, nurses and therapists were so sweet and caring, my mom only took a day to be comfortable and happy. My mom stayed for two weeks and had the best care.”
“The nurses are very sweet and attentive and my mom really enjoyed the food they served her very clean I picked her up she was in high spirits and I’m just so appreciative thank you !!!”
“As others have stated, nobody can be reached by phone here, unless you need to pay the bill. Please do not leave your loved one here. It is a horrible place, particularly at night and on the weekends when the staffing is questionable.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
7
measures
1
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents who fell and were seriously hurt
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility has a concerning pattern of family complaints, with 43 of 73 deficiencies triggered by resident or family reports of problems. The most recurring issues involve maintaining clean and safe environments, medication management, and protecting resident rights and privacy. While all deficiencies show correction dates, the high volume of complaints suggests ongoing care quality concerns that families should investigate thoroughly before placement.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
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.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Federal Penalties
Fine
May 28, 2024
$17,268
Fine
Jul 26, 2023
$10,266
Fine
Jul 26, 2023
$10,266
Payment Denial
Jul 26, 2023
38-day denial
Uvalde County Hospital Authority
for profit
TOBIN HILL NURSING AND REHAB CENTER LLC
DEANNA TRUAX
Eduro Healthcare
35 facilities nationwide
Chain avg rating: 2.3/5 · Rank 18 of 21 (Lowest rating)
Owners
Bewsey, Michael
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
69 reviews from families & visitors
Official Website
Visit sanantonionorthhc.com
Medicare data downloads
Original nursing home datasets
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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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