For profit - Corporation · 74 certified beds · CMS number 455969

Patriot Heights Health Care Center, San Antonio, TX

CMS records 25 health deficiencies at Patriot Heights Health Care Center in San Antonio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 5, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 3 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $28,033 in the last three years.

Inspections and deficiencies

CMS findings for Patriot Heights Health Care Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Patriot Heights Health Care Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (5 deficiencies)

Standard inspection Sep 5, 2025. CMS counts 5 health deficiencies and 3 fire safety deficiencies in this cycle.

May 6, 2026 · Complaint inspection

2 deficiencies, highest D

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 7, 2026

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 7, 2026

Oct 31, 2025 · Complaint inspection

1 deficiency, highest J

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection)

Sep 5, 2025 · Standard inspection

2 deficiencies, highest D

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 8, 2025

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 8, 2025
Previous cycle: 7 deficiencies (standard inspection Jul 31, 2024)

Standard inspection Jul 31, 2024. CMS counts 7 health deficiencies and 1 fire safety deficiency in this cycle.

Jul 16, 2025 · Complaint inspection

1 deficiency, highest D

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 17, 2025

Jul 31, 2024 · Standard inspection

6 deficiencies, highest E

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 1, 2024

F813 · Food brought in by visitors

Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 1, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 1, 2024

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 1, 2024

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 1, 2024

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 1, 2024
Earlier cycle: 13 deficiencies (standard inspection May 26, 2023)

Standard inspection May 26, 2023. CMS counts 13 health deficiencies and 1 fire safety deficiency in this cycle.

Feb 15, 2024 · Complaint inspection

1 deficiency, highest D

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 19, 2024

Jan 25, 2024 · Complaint inspection

3 deficiencies, highest J

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Nov 30, 2023
Found in
infection control inspection

F626 · Returning after a hospital stay

Requirement cited (CMS): Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 20, 2024
Found in
infection control inspection

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Nov 30, 2023

Dec 23, 2023 · Complaint inspection

1 deficiency, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 25, 2024

Oct 5, 2023 · Complaint inspection

2 deficiencies, highest E

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 19, 2023

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 19, 2023

Sep 20, 2023 · Complaint inspection

2 deficiencies, highest D

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 4, 2023

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 4, 2023

May 26, 2023 · Standard inspection

4 deficiencies, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 9, 2023

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 9, 2023

F640 · Submitting assessment data on time

Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity
B No actual harm, potential for minimal harm, pattern
Status
Correction date Jun 9, 2023

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 9, 2023

Tags cited in more than one inspection

7 tags cited on more than one inspection date at Patriot Heights Health Care Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F580 Telling residents and families about changes2Jan 25, 2024 (PNC); Sep 20, 2023
F641 Accurate resident assessments2Sep 5, 2025; Jul 31, 2024
F684 Quality of care2Jan 25, 2024 (PNC); May 26, 2023
F689 Accident prevention and supervision2May 6, 2026; Sep 20, 2023
F695 Respiratory and oxygen care2Jul 31, 2024; Feb 15, 2024
F761 Drug labeling and secure storage2May 6, 2026; Jul 31, 2024
F842 Complete, confidential medical records2Jul 31, 2024; Dec 23, 2023

Fines and payment denials

DateTypeAmount / length
Oct 31, 2025Fine$15,129
Dec 23, 2023Fine$12,904

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.46 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.38 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.95 h
Nursing staff turnover
50.0% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
2 of 5
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
5 of 5

CMS figures for Patriot Heights Health Care Center, copied as published; Texas medians are ours.

Facility details

Address
5000 Fawn Meadow, San Antonio, TX 78240
Phone
(210) 696-6005
County
Bexar
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
The Ensign Group
Certified beds
74
Average residents per day
57.3
In Medicare/Medicaid since
Nov 15, 1991
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How quickly is the family called if a resident falls or their condition changes? (F580, cited 2 times)
  • How does the home check that resident assessments match what staff actually observe? (F641, cited 2 times)
  • How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 2 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)

Other nursing homes in San Antonio and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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