Patriot Heights Health Care Center
5000 Fawn Meadow · San Antonio, TX · 78240 · 2106966005
74 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results have improved across recent cycles.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 2 · $27,805 |
Inspection citations (23 in the current record)
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Immediate jeopardy · J October 31, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 5, 2025
Ensure each resident receives an accurate assessment.
Corrected September 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 5, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 8, 2025 · Environmental
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Potential for harm · D July 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2024
Ensure each resident receives an accurate assessment.
Corrected August 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 1, 2024 · Quality of Life and Care
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Potential for harm · D July 31, 2024
Ensure that residents are free from significant medication errors.
Corrected August 1, 2024 · Pharmacy Service
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Potential for harm · E July 31, 2024
Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected August 1, 2024 · Pharmacy Service
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Potential for harm · D July 31, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected August 1, 2024 · Nutrition and Dietary
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Potential for harm · D July 31, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 19, 2024 · Quality of Life and Care
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Immediate jeopardy · J January 25, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 30, 2023 · Resident Rights
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Immediate jeopardy · J January 25, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 30, 2023 · Quality of Life and Care
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Potential for harm · D January 25, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected February 20, 2024 · Resident Rights
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Potential for harm · D December 23, 2023 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 5, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 19, 2023 · Pharmacy Service
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Potential for harm · E October 5, 2023 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 19, 2023 · Pharmacy Service
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Potential for harm · D September 20, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 4, 2023 · Resident Rights
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Potential for harm · D September 20, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 4, 2023 · Quality of Life and Care
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Potential for harm · D May 26, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 9, 2023 · Resident Rights
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Potential for harm · D May 26, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 9, 2023 · Quality of Life and Care
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Potential for harm · D May 26, 2023
Provide and implement an infection prevention and control program.
Corrected June 9, 2023 · Infection Control
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No harm found · B May 26, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected June 9, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 31, 2025 | Fine | $14,901 |
| December 23, 2023 | Fine | $12,904 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455969 · certified since November 15, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.