Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Northeast Rehabilitation and Healthcare Center

San Antonio, TX · 120 certified beds · Last Life Safety survey March 21, 2025

CMS Certification Number 455754 · first certified June 1988

Ownership

Operated by THE ENSIGN GROUP · Government - Hospital district

  • Ownership changed March 1, 2022 (change of ownership)from SALADO CREEK SENIOR CARE INC.
7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within TX

7 citations — more than 44% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to June 2026), and past the point by which nine in ten TX facilities have been surveyed. This facility’s last Life Safety survey was March 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0926 Have policies on smoking.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility7TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-1222024-0242025-03
Citations at each Life Safety survey
Survey dateCitations
December 9, 20221
February 16, 20242
March 21, 20254

Most-cited tags

Most-cited tags at this facility
K-05112K-03531K-03441K-03211K-02111K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0511Have properly installed electrical wiring and gas equipment.22025-03-21
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-12-09
K-0344Have an alternate power supply for its alarm system.12024-02-16
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-03-21
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-03-21
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-03-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Services Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Services Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 21, 2025 — 4 citations

Citations issued on March 21, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 1, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 1, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 1, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 1, 2025)

February 16, 2024 — 2 citations

Citations issued on February 16, 2024
TagWhat the surveyor checksStatus
K-0344Have an alternate power supply for its alarm system.Deficient, Provider has date of correction (March 22, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 22, 2024)

December 9, 2022 — 1 citation

Citations issued on December 9, 2022
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 22, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.