Northgate Health and Rehabilitation Center

    5757 N Knoll, San Antonio, TX 78240
    • Skilled Nursing
    2.9ยท10 reviews

    Attentive staff improved mobility, reassuring

    I placed my mom in this small, skilled facility and I'm very pleased - the staff and administration are attentive and kind, nurses and CNAs provide personal care, pain management and PT/speech therapy really improved her mobility, and meal/swallowing monitoring is handled carefully. The building is clean, friendly, and visiting is usually flexible, so I feel reassured and grateful.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.90ยท(10)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.6
    • Staff

      3.2
    • Meals

      4.0
    • Amenities

      2.7
    • Value

      2.9

    Pros

    • Attentive nursing and CNA care
    • Effective pain-management practices
    • Successful physical therapy with mobility gains
    • Speech therapy and swallowing-focused meal monitoring
    • Friendly, helpful frontline staff
    • Generally clean, orderly rooms and common areas
    • Warm meals and adequate room sizes
    • Small facility size enabling more personalized care
    • Skilled nursing unit availability
    • Flexible visitation policies during infection-control events

    Cons

    • Inconsistent staff performance and reliability
    • Staffing shortages and limited after-hours coverage
    • Delays in responding to call lights and care requests
    • Variable availability of rehabilitation services
    • Sanitation and restroom maintenance concerns
    • Aging facility infrastructure and maintenance gaps
    • Inconsistent room-assignment and occupancy practices
    • Gaps in incident-response procedures and family communication
    • Repetitive menu and limited dining variety
    • Staff conduct and communication tone

    Summary of reviews

    Reviewer feedback for Northgate Health and Rehabilitation Center is mixed, with a clear split between families who describe good clinical outcomes and those who describe operational shortcomings. On the clinical side, several families praised attentive nurses and CNAs, effective pain-management, and successful therapy outcomesโ€”particularly physical therapy that improved mobility and speech/swallowing interventions with meal monitoring. A number of reviewers characterized the small size and the presence of a skilled nursing unit as a benefit that can support more personalized care.

    At the same time, a recurrent theme is variability: staff performance and reliability appear inconsistent across shifts and units. Multiple comments describe staffing shortages, high patient loads for CNAs, and limited after-hours coverage; these patterns are linked to delays in responding to call lights and care requests. Related concerns include variable availability of rehabilitation services and reports that some residents did not receive expected therapy. Families also cited gaps in incident-response processes and communication following events such as falls.

    Facility and environment feedback is also mixed. Many reviewers found rooms and common areas clean, with warm meals and comfortable room sizes, but others raised sanitation and restroom maintenance concerns and noted signs of aging infrastructure. Dining was described as adequate in presentation but repetitive over time. There are also reports of room-assignment changes (for example, private rooms later occupied by additional residents), which suggests capacity or allocation challenges.

    Management and staff conduct drew divergent impressions. Some families praised attentive administration and approachable leadership; others felt management responsiveness was inconsistent. There are also specific concerns about staff conduct and communication tone in particular interactions. Taken together, these comments point to operational variability rather than uniformly poor or uniformly excellent performance.

    For prospective residents and families considering this facility, key areas to assess directly include current staffing ratios (particularly overnight and weekend coverage), therapy program schedules and expected participation, incident-reporting and family-notification procedures, room-type availability and assignment policies, and routine maintenance/sanitation practices. Visiting in person, observing multiple shifts if possible, and asking for recent quality metrics or staffing plans can help clarify whether the facilityโ€™s strengths align with a familyโ€™s care priorities.

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    Medicare Ratings

    1ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Northgate Health and Rehabilitation Center

    Northgate Health and Rehabilitation Center is located at 5757 N Knoll, San Antonio, TX, 78240.

    About Northgate Health and Rehabilitation Center

    Northgate Health and Rehabilitation Center sits at 5757 N Knoll in San Antonio, TX, and serves patients in the State of Oklahoma as well, offering both long-term care and short-term rehabilitation with specialized staff like nurses, CNAs, therapists, a social worker, activities director, consultant pharmacists, and in-house physicians who all look after residents' health and well-being through programs designed for both comfort and recovery. They've got 120 certified beds and provide skilled nursing, hospice care, wound care, restorative nursing, respite care, IV therapy, and many types of therapy such as physical, speech, and occupational sessions using techniques including e-stimulation, ultrasound, diathermy, TENS/PENS, plus rehab-to-home evaluations for those planning to go home after their stay. Folks can participate in wellness programs, daily activities, scheduled outings, church services, and pet therapy, and there's space for family gatherings which can help with emotional health and social connection, and transportation services make it easier for residents to get to medical appointments or dialysis if needed. Meal planning and careful monitoring, even for people who have trouble swallowing, means nutrition is a focus and meals use quality ingredients, while amenities are set up to support both comfort and recovery in an environment with specialized spaces dedicated to long-term or rehabilitative care. There is a high nurse turnover rate sitting at 68.1% and the nurse hours per resident per day is 3.33, which shows a bit about how staffing runs, and the Center has documented 33 total deficiencies in inspection reports, including 3 about infection control, one about pharmacy service related to proper labeling and storage of drugs and biologicals, and one about keeping the environment safe, clean, and homelike; these deficiencies mean the state found some problems with the way standards were kept, but they didn't cause any actual harm-just the potential for it. Northgate is managed by Ssc San Antonio Northgate Operating Company LLC and Uvalde County Hospital Authority, with Summit LTC as its affiliate, and it's run as a for-profit partnership, though there aren't details on the individual owners. Residents can take private tours to see the place and get a sense of its features for themselves, and while the management and staff work to keep things comfortable and compassionate, it's helpful to know about the documented areas where standards need improvement, the high staff turnover, and how the facility continues to offer a wide range of health and rehabilitation services with spaces and programs set up for both care and recovery, along with opportunities for social and emotional enrichment.

    People often ask...

    Northgate Health and Rehabilitation Center offers skilled nursing.

    The full address for this community is 5757 N Knoll, San Antonio, TX 78240.

    No, Northgate Health and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Northgate Health and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Northgate Health and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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