The Atrium Rehabilitation Center
7602 Louis Pasteur St · San Antonio, TX · 78229 · 2106149974
87 certified beds For profit - Corporation Chain: Paramount Healthcare
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 4 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 3.78 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | 1 · $9,600 |
Inspection citations (35 in the current record)
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Potential for harm · E April 17, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · E May 30, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 31, 2025 · Resident Rights
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Potential for harm · D May 30, 2025
Ensure each resident receives an accurate assessment.
Corrected June 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 31, 2025 · Quality of Life and Care
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Potential for harm · D May 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 31, 2025 · Nutrition and Dietary
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Potential for harm · E May 30, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2025
Provide and implement an infection prevention and control program.
Corrected May 31, 2025 · Infection Control
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Potential for harm · D January 24, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 10, 2025 · Resident Rights
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Potential for harm · E January 24, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected June 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 24, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 24, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 19, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 19, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 20, 2024 · Quality of Life and Care
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Potential for harm · D April 19, 2024 · found via complaint
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 April 20, 2024 · Pharmacy Service
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Potential for harm · D April 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 20, 2024 · Infection Control
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Potential for harm · D April 5, 2024
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected April 6, 2024 · Resident Rights
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Potential for harm · D April 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 6, 2024 · Quality of Life and Care
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Potential for harm · D April 5, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 6, 2024 · Pharmacy Service
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Potential for harm · D April 5, 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 April 6, 2024 · Pharmacy Service
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Potential for harm · D April 5, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected April 6, 2024 · Environmental
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Potential for harm · D March 13, 2024 · found via complaint
Provide care by qualified persons according to each resident's written plan of care.
Corrected March 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 4, 2023 · Quality of Life and Care
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Potential for harm · D March 13, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 14, 2024 · Pharmacy Service
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Potential for harm · D July 6, 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 July 7, 2023 · Pharmacy Service
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No harm found · C July 6, 2023 · found via complaint
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected July 7, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 13, 2024 | Fine | $9,600 |
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 675205 · certified since October 27, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.