San Antonio North Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 63 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (13 vs median 8.0)
- High staff turnover (53%)
- High RN turnover (58%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in EDURO HEALTHCARE chain · $60,140 in fines
What this means for your family
This facility offers an exceptionally strong activities program and many staff members are noted for their genuine compassion. However, families should be extremely cautious regarding communication; multiple reviewers report that the facility is nearly impossible to reach by phone, and you should verify staffing levels during night and weekend shifts.
Google Reviews
Google Reviews
63 reviews on Google“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
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Engaging and creative activities programs
- Friendly and welcoming atmosphere
- Effective rehabilitation and therapy services
Concerns
- Difficulty reaching staff via telephone (mentioned by 3 reviewers)
- Inadequate staffing during nights and weekends (mentioned by 2 reviewers)
- Issues with resident hygiene and diaper changes (mentioned by 2 reviewers)
- Facility cleanliness and maintenance (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 66 analyzed
How They Respond to Reviews
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.
Questions for Your Tour
- 1We've heard wonderful things about your creative activity programs; could you tell us more about what a typical day looks like for residents here?
- 2How do you ensure that residents receive consistent, high-quality personal care and hygiene assistance, especially during the night and weekend shifts?
- 3What is your process for communicating important medical updates or daily changes to family members, and how can we best reach your team if we have a quick question?
- 4Could you describe your protocols for handling medical emergencies or urgent care needs during the overnight hours?
- 5We noticed some feedback regarding facility maintenance; what steps are currently being taken to ensure the dining areas and resident rooms are kept clean and well-maintained?
- 6Since some visitors have mentioned the nursing staff is very compassionate, how do you support your team to ensure they have enough time to provide that attentive care to every resident?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
8
measures
7
measures
2
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 needing more daily help over time
Residents vaccinated for pneumonia
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Feb 13, 2026Complaint1
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.
Jan 9, 2026Complaint2
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.
Dec 9, 2025Complaint1
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.
Nov 19, 2025Complaint1
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Jul 31, 2025Routine10
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
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 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.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
May 23, 2025Complaint3
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
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.
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
Fine
Jun 20, 2023
$22,340
Payment Denial
Jun 20, 2023
2-day denial
Ownership & Operations
Who Operates This Facility
Uvalde County Hospital Authority
for profit
TOBIN HILL NURSING AND REHAB CENTER LLC
DEANNA TRUAX
Chain Affiliation
Eduro Healthcare
35 facilities nationwide
Chain avg rating: 2.3/5 · Rank 18 of 21 (Worst)
Ownership & Management
Owners
Uvalde County Hospital Authority
Owner · Organization
Bewsey, Michael
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
63 reviews from families & visitors
Official Website
Visit sanantonionorthhc.com
Medicare data downloads
Original nursing home datasets
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