Normandy Terrace Nursing & Rehabilitation Center
Normandy Terrace Nursing & Rehabilitation Center in San Antonio, TX — inspection on February 23, 2026.
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
During an interview on 02/23/2026 at 04:00 p.m., the DON stated she had always been taught that call lights were to be in reach of the residents.
The DON stated the expectation was for call lights to be in reach of the residents.
She stated the impact of a call light out of reach was that it could result in the residents' needs not being addressed in a timely manner.
She stated at shift change or start of shift, the nurses were expected to check the more critical residents, and the CNAs, should have been completing a walkthrough on all their assigned residents, which would include checking the location of the call lights.
The DON stated the facility did not have a policy on call lights.
During an interview on 02/23/2026 at 04:27 p.m., the ADMIN stated his expectation was for the call lights to be within reach of the residents. He stated that even if a resident was comatose, the call light should still be within reach. He stated the impact on a resident of a call light having been out of reach was that they resident might not be able to have timely assistance.
Record review of the facility's policy, Fall Policy, undated, reflected: Preventing falls requires an interdisciplinary program that focuses on modifying the extrinsic factors, correcting intrinsic factors, and educating the resident and family.Environmental .- Position call bells within reach.
675823 02/23/2026
Normandy Terrace Nursing & Rehabilitation Center 841 Rice Rd San Antonio, TX 78220
During an interview on 02/23/2026 at 04:27 p.m., the ADMIN stated that if Resident #4 was assessed to be capable of self-medicating, he should still have been care planned for that task.
He stated his expectation was for a mention of self-medication to be the resident's care plan.
The ADMIN stated that he would defer to the clinical staff to theorize on the impact a medication could have if left at a resident's bedside.
Record review of the facility's policy, Medication Administration and General Guidelines, dated 2025, reflected: PolicyMedications are administered as prescribed, in accordance with State Regulations using good nursing principles and practices and only by persons legally authorized to do so.Procedure1.
Medications are prepared, administered, and recorded only by licensed nursing, medical, pharmacy, or other personnel authorized by state laws and regulations to administer medications.4.
Residents are allowed to self-administer medications when specifically authorized by the attending physician and in accordance with policy and procedure for self-administration of medications.Checklist for completing proper steps in the administration of medications .- Observes the resident take the medications.
Record review of the facility's policy, Self-Administration of Medications by Residents Policy, undated, reflected: Each resident who desires to self-administer medication is permitted to do so if the facility's interdisciplinary team and/or facility policy allows or has determined that the practice would be safe for the resident and other residents of the facility.Procedure1.
Each resident is offered the opportunity to self-administer his or her medications during the routine assessment by the facilities interdisciplinary team.2. If the resident desires to self-administer medications an assessment is conducted by the interdisciplinary team of the resident's cognitive, physical, and visual ability to carry out this responsibility.3.
The interdisciplinary team determines the residents' ability to self-administer medications by means of completing the Self Administration of Medication assessment in PCC.4.
The results of the interdisciplinary team assessment are recorded.8.The resident requests each dose from the medication nurse, who provides the medication to the resident in the unopened package for the resident to self-administer.
The nurse then records such self-administration on the MAR in the manner described above.