Home›Texas›Bexar County›NORTHGATE HEALTH AND REHABILITATION CENTER
F
Critical

NORTHGATE HEALTH AND REHABILITATION CENTER

5757 N KNOLL · SAN ANTONIO, TX 78240

2106998535 · For profit - Limited Liability company

120 beds50.6 residents74 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

NORTHGATE HEALTH AND REHABILITATION CENTER receives an overall staffing grade of F (Critical). With 2.8118 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.1853 HPRD, below the recommended 0.75. It is 1.08 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.46% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Had 4 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8118 HPRD — needs 0.67 more hours per resident per day.
⚠️RN staffing (0.1853 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.8118hrs/resident/day▼ 1.08
CMS benchmark: 3.48
RN HPRD
0.1853hrs/resident/day▼ 0.50
Recommended: 0.75
Weekend Drop-off
14.46%
2.9316 weekday → 2.5077 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
4days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.4332hrs/resident/day
Direct care aides
LPN HPRD
1.1934hrs/resident/day
Licensed practical nurses
Consistency
0.3591std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Bexar County Average-0.57 HPRD
3.39
02.81 HPRD
vs. Texas State Average-0.59 HPRD
3.40
02.81 HPRD
vs. National Average-1.08 HPRD
3.90
02.81 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
NORTHGATE HEALTH AND REHABILITATION CENTER ★
SAN ANTONIO · This facility
—
F
2.81180.1853★☆☆☆☆
MESA VISTA INN HEALTH CENTER
SAN ANTONIO
0 mi
F
2.64770.2404★★☆☆☆
WURZBACH NURSING AND REHABILITATION
SAN ANTONIO
1.5 mi
F
3.07370.2342★☆☆☆☆
OAK PARK NURSING AND REHABILITATION CENTER
SAN ANTONIO
1.7 mi
F
3.14460.1328★★☆☆☆
THE LEV AT SAN ANTONIO
SAN ANTONIO
3 mi
D
3.16180.3085★☆☆☆☆
MORNINGSIDE MANOR
SAN ANTONIO
4 mi
D
3.31180.29★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

13
Inspections
47
Total Deficiencies
$39,165
Fines Assessed
Dec 18, 2025Health
7 deficiencies cited
▼
Dec 2, 2025Health
2 deficiencies cited
▼
Nov 25, 2025Health
6 deficiencies cited
▼
Jul 24, 2025Health
5 deficiencies cited
▼
Jun 26, 2025Health
1 deficiency cited
▼
Jun 21, 2025Health
2 deficiencies cited
▼
Jan 23, 2025Health
2 deficiencies cited
▼
Jun 7, 2024Health
5 deficiencies cited
▼
Apr 14, 2024Health
8 deficiencies cited· Includes actual harm
▼
May 11, 2023Health
2 deficiencies cited
▼
May 7, 2023Health
3 deficiencies cited· Includes actual harm
▼
Apr 28, 2023Health
2 deficiencies cited
▼
Mar 9, 2023Health
2 deficiencies cited
▼

Penalty History

Apr 14, 2024Fine
$27,710
Apr 14, 2024Payment Denial
Apr 28, 2023Fine
$11,455
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.