Normandy Terrace Nursing & Rehabilitation Center
841 RICE ROAD, San Antonio, TX, 78220
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 320 · avg 101 residents/day
- Total nursing staff turnover
- 35.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 42.9% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $296,055 total
State licensing & capacity
- License number
- 311301
- Service type
- Medicare/medicaid
- Licensed capacity
- 320 beds
- Bed type breakdown
- 124 Medicare-only · 196 Medicaid/Medicare
- Current license effective
- February 1, 2026
- Current license expires
- February 1, 2029
- Initial license date
- June 18, 1976
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- San Antonio V Enterprises, Llc
- Administrator
- Duncan Sczepanik
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (18 on record)
- San Antonio v Enterprises Llc
Adp of The Snf · since 2025
- Duncan Sczepanik
Operational/managerial Control · since 2025
- Ravikanth Reddy r Yalamuri
Operational/managerial Control · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
February 2023 (3 years ago) · acquired from Normandy Terrace Healthcare And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 39)
- D0627·Jan 16, 2026Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D0602·Jan 16, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0584·Jan 16, 2026Complaint
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.
- E0880·Nov 25, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0583·Nov 25, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- J0689·Aug 18, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0609·Aug 18, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- C0732·Aug 15, 2025Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Federal penalties
By year
- 20252 fines · $35K
- 20243 fines · $261K
Most recent events
- Aug 18, 2025Fine · $25K
- Apr 25, 2025Fine · $11K
- Aug 13, 2024Fine · $207K
- May 31, 2024Fine · $45K
- Apr 18, 2024Fine · $8,982
Largest single fine on record: $207K.
Fire-safety citations
25 Life-Safety-Code citations on file. Most recent: Jul 25, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Normandy Terrace Nursing & Rehabilitation Center is a 320-bed nursing home in San Antonio (Bexar County) accepting Medicare and Medicaid. CMS rates it 1 star overall, with 1-star health inspection and 2-star quality-measure ratings. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and five fines totaling $296,055 have been issued. The facility is currently operating at roughly 31% of its licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — a midpoint score, placing this facility among about 19% of Texas nursing homes at this tier. Each resident receives approximately 179 minutes of nursing care per day, roughly 62 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — on average sicker, or less mobile — so the same staffing hours stretch thinner than the raw minutes suggest.
About 4 in 10 nursing staff left in the past year — below the Texas 25th-percentile cutoff, meaning turnover is better than roughly three-quarters of nursing homes in the state. Three administrators have turned over in the past year, a level of leadership instability that affects care coordination and staff direction.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This finding appears on the CMS Care Compare record and is separate from inspection deficiencies.
Five CMS fines totaling $296,055 have been issued. The Texas median for fines among facilities that receive any is $20,699; this total is roughly 14 times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at approximately 31% of its 320 licensed beds — about 100 residents on average per day. This occupancy level, paired with the abuse finding, elevated fines, and high administrator turnover, represents a specific combination of signals in this record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse finding and current safeguards
CMS has a substantiated abuse or neglect finding here within the past 36 months — ask specifically what incident triggered it and what policies changed afterward.
Three administrators in one year
Three administrators have left in the past 12 months — ask who is currently in that role, how long they have been in place, and who provides day-to-day oversight.
Nearly $300,000 in CMS fines
Five fines totaling $296,055 have been assessed — ask which deficiencies generated those fines and what corrections were made and verified.
Why so few residents
The facility has about 100 residents in 320 licensed beds — ask what is driving the low census and whether it affects staffing levels or available services.
Staffing on nights and weekends
Reported weekend nursing hours are 2.5 hours per resident per day, below the already-modest weekday figure — ask how many nurses and aides are on overnight and weekend shifts.
Management company's role
The licensed owner is a hospital district, but day-to-day management is listed under San Antonio V Enterprises, LLC — ask which entity sets staffing budgets and handles regulatory compliance.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.