Nursing HomeInspections

Patriot Heights Health Care Center

Nursing home in San Antonio, TX

Medicare & Medicaid certified3★ overall (CMS)CMS abuse icon

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Public-record details

Address
5000 Fawn Meadow, San Antonio, TX 78240
Phone
(210) 696-6005
Listed under
For-profit
Medicare CCN
455969
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
74
Average residents per day
57
Ownership
For-profit, corporation
Legal business name
Green Mountain Healthcare LLC
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 15, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455969. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Sep 5, 2025. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 26, 2023 to Aug 12, 2026): 14 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Aug 12, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 12, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 12, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 6, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 6, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 31, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
J
Immediate jeopardy, isolated
Sep 5, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Sep 5, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
D
Potential for more than minimal harm, isolated
Jul 16, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 31, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 31, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 31, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 26. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $28,033 in the last three years.

Oct 31, 2025Fine: $15,129
Dec 23, 2023Fine: $12,904

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.80 hours
Registered nurse (RN) time per resident per day
0.57 hours
Nurse aide time per resident per day
2.06 hours
Total nurse staffing on weekends
3.22 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
75%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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