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Complaint Investigation

Normandy Terrace Nursing & Rehabilitation Center

Inspection Date: November 25, 2025
Total Violations 2
Facility ID 675823
Location San Antonio, TX
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Inspection Findings

F-Tag F0583

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0583 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

rights and that not doing so might lead the residents to feel that strangers were looking at them or feel devalued. Record review of the facility's policy, titled Resident Rights, undated, revealed: The resident has a right to a dignified existence. A facility must treat each resident with respect and dignity.The resident has a right to personal privacy.Personal privacy includes accommodations, medical treatment. Record review of

the facility's validation checklist, titled Wound Care, dated 2022, revealed: .Upheld dignity principles for entry, permission to proceed, and privacy.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/25/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Normandy Terrace Nursing & Rehabilitation Center

841 Rice Rd San Antonio, TX 78220

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

resident's room, wash their hands, sanitize the surface they used to place supplies, set up supplies, perform hand hygiene, apply gloves, remove dressing, remove gloves, sanitize hands, apply new gloves, clean the wound, apply treatment, remove gloves, and wash hands. The DON said staff were expected to perform hand hygiene any time they had contact with a resident, before donning gloves, after removing gloves, and before leaving the residents' rooms. The DON said hands should be washed for at least 30 seconds, or Happy Birthday twice. The DON further stated it was important for staff to wash their hands for

the recommended amount of time to kill any bacteria/microbes that might be on the hands and avoid cross contamination. The DON said she expected staff to remove PPE and don clean PPE between residents due to possible cross contamination, putting the residents at risk for infection. The DON said PPE should be removed before exiting the resident rooms to avoid bringing possible infections out of the room and putting residents at risk for infection. The DON further stated that used gowns should not be placed on any surfaces once removed because they were contaminated. The DON said it was everyone's responsibility to ensure infection control practices were followed to prevent infection. The DON further stated as the IP, she was responsible for ensuring staff followed infection control policies/procedures. The DON further stated

she was responsible for ensuring nurses provided care according to professional standards. Record review of the facility's validation checklist, titled Wound Care, dated 2022, revealed: .Cleaned bedside table as needed.Maintained supplies as sterile/clean as indicated, avoiding contamination.Cleansed wound thoroughly with prescribed cleansing agent, taking care to not contaminate other skin surfaces or other surfaces of the wound.Discarded disposable items and gloves into appropriate receptacles. Cleaned bedside stand. Record review of the facility's policy, titled Wound Care, updated 3/2024, revealed: .The following is a list of some situations that require hand hygiene.Before and after changing a dressing .Upon and after coming in contact with a resident's intact skin.After removing gloves.Recommended techniques for washing hands with soap and water include.rubbing hands together vigorously for at least 20 seconds.

Record review of CDC webpage at https://www.cdc.gov/clean-hands/about/index.html, dated 2/16/24, reflected: .Germs can spread from person to person or from surfaces to people when you.Touch surfaces or objects that have germs on them.Key times to wash hands Before and after treating a cut or wound.Scrub your hands for at least 20 seconds.you can use an alcohol-based hand sanitizer. Record review of CDC Infection Control webpage at chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.cdc.gov/infection-control/media/pdfs/Strive-PPE101-508

The Basics of Standard Precautions, undated, reflected: Remove gown and perform hand hygiene before leaving the patient's environment.Do not wear the same gown between patients.A gown should not be worn

in hallways or corridors, or between patients, as pathogens can be transferred on the gown from one patient to another.

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📋 Inspection Summary

Normandy Terrace Nursing & Rehabilitation Center in San Antonio, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in San Antonio, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Normandy Terrace Nursing & Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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