Normandy Terrace Nursing & Rehabilitation Center: Staffing, Turnover, and Inspection Record
Normandy Terrace Nursing & Rehabilitation Center is a 320-bed for-profit nursing home in San Antonio, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.85 nurse aide hours per resident per day, 7% below the Texas average of 2.00, and 95.8% nursing staff turnover (Texas average 55.3%).
Normandy Terrace Nursing & Rehabilitation Center
841 Rice RoadSan Antonio, TX 78220
Bexar County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Normandy Terrace Nursing & Rehabilitation Center, nurse aides logged 1.85 hours per resident per day, 7% below the Texas average. With about 110 residents a day, that works out to roughly 205 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.85 | 2.00 | 2.32 |
| Licensed practical nurses | 0.63 | 0.95 | 0.86 |
| Registered nurses | 0.52 | 0.43 | 0.69 |
| All nursing staff | 3.01 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.46 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
95.8% of nursing staff at Normandy Terrace Nursing & Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 92.9%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 25, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 29 health deficiencies (Texas average 9.3). CMS lists 5 fines totaling $287,359 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 18, 2025 | Fine | $16,149 |
| Apr 25, 2025 | Fine | $10,604 |
| Aug 13, 2024 | Fine | $207,019 |
| May 31, 2024 | Fine | $44,605 |
| Apr 18, 2024 | Fine | $8,982 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Normandy Terrace Nursing & Rehabilitation Center holds 1 of 5 overall; the Texas average is 2.6.
About Normandy Terrace Nursing & Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Mar 16, 2000
- Councils: resident council
- Area: urban
Nursing homes near Normandy Terrace Nursing & Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Southeast Nursing & Rehabilitation Center San Antonio | 2.4 | 116 | 2.18 | 3.59 | 35.4% | 2 | $10,631 |
| Buena Vida Nursing and Rehab-San Antonio San Antonio · SFF candidate · abuse citation | 2.5 | 222 | 1.63 | 2.93 | — | 1 | $174,889 |
| Pecan Valley Rehabilitation and Healthcare San Antonio | 2.6 | 124 | 1.98 | 3.41 | 45.2% | 4 | None |
| Highland Nursing Center San Antonio · staffing data not validated | 3.4 | 53 | — | — | 42.4% | 1 | None |
| River City Care Center San Antonio · abuse citation | 4.2 | 92 | 1.95 | 3.22 | — | 1 | $18,503 |
| The Rio at Mission Trails San Antonio | 4.5 | 124 | 2.14 | 3.71 | 97.2% | 1 | $153,825 |
| Parklane West Healthcare Center San Antonio | 4.5 | 124 | 2.24 | 3.74 | 63.4% | 1 | None |
| Windsor Mission Oaks San Antonio | 5.4 | 150 | 1.60 | 2.74 | 23.2% | 3 | $10,842 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.