Normandy Terrace Nursing & Rehabilitation Center
Normandy Terrace Nursing & Rehabilitation Center in San Antonio, TX — inspection on November 25, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/25/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Normandy Terrace Nursing & Rehabilitation Center
841 Rice Rd San Antonio, TX 78220
SUMMARY STATEMENT OF DEFICIENCIES
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.
Facility ID: