Northgate Health And Rehabilitation Center has received an F grade based on CMS data, with a score of 21/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this San Antonio facility should carefully review its inspection history and quality metrics.
With 2.81 total nurse hours per resident per day, Northgate Health And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 47 deficiencies at Northgate Health And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.81 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.19 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.19 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.43 | 2.4 | Below Average |
| Weekend Total Nursing | 2.50 | 3.8 | Below Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Dec 17, 2025 · Resident Rights Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dDec 17, 2025 · Resident Rights Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Dec 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDec 17, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 17, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.1% | 4.5% | Better |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 12.4% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 25.9% | 14.0% | Worse |
| Excessive weight loss | 4.9% | 7.5% | Better |
| New/worsened incontinence | 9.2% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $39,165
How This Grade Was Calculated
This facility's grade of F is based on a score of 21 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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