For profit - Individual · 87 certified beds · CMS number 675205

The Atrium Rehabilitation Center, San Antonio, TX

CMS records 28 health deficiencies at The Atrium Rehabilitation Center in San Antonio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 9, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists 1 fine totaling $9,600 in the last three years.

Inspections and deficiencies

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

Most recent cycle (6 deficiencies)

Standard inspection Jul 9, 2026. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.

Jul 9, 2026 · Standard inspection

5 deficiencies, highest E

F912 · Minimum bedroom size

Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 10, 2026

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 10, 2026

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 Jul 10, 2026

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 Jul 10, 2026

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 10, 2026

Apr 17, 2026 · Complaint inspection

1 deficiency, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 19, 2026
Previous cycle: 10 deficiencies (standard inspection May 30, 2025)

Standard inspection May 30, 2025. CMS counts 10 health deficiencies and 8 fire safety deficiencies in this cycle.

May 30, 2025 · Standard inspection

6 deficiencies, highest E

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 May 31, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 31, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 31, 2025

F684 · Quality of care

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

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 31, 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 Jun 18, 2025

F628 · Discharge paperwork, notices, and bed-hold information

Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 31, 2025

Jan 24, 2025 · Complaint inspection

4 deficiencies, highest E

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 11, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 12, 2025

F602 · Protecting residents' money and belongings

Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Past non-compliance (fixed before the inspection), Jun 2, 2024

F585 · Grievances and how they are handled

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 10, 2025
Earlier cycle: 12 deficiencies (standard inspection Apr 5, 2024)

Standard inspection Apr 5, 2024. CMS counts 12 health deficiencies and 1 fire safety deficiency in this cycle.

Apr 19, 2024 · Complaint 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 Apr 20, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 20, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 20, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 20, 2024

Apr 5, 2024 · Standard inspection

5 deficiencies, highest D

F912 · Minimum bedroom size

Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2024

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2024

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 Apr 6, 2024

F622 · Permitted reasons for transfer or discharge

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2024

Mar 13, 2024 · Complaint inspection

3 deficiencies, highest D

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 Mar 14, 2024

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
Past non-compliance (fixed before the inspection), Dec 4, 2023

F659 · Care by qualified staff per plan

Requirement cited (CMS): Provide care by qualified persons according to each resident's written plan of care.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 14, 2024

Tags cited in more than one inspection

10 tags cited on more than one inspection date at The Atrium Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan2Jan 24, 2025; Apr 19, 2024
F657 Care plan timing and team review2Jul 9, 2026; Jan 24, 2025
F684 Quality of care2Jul 9, 2026; May 30, 2025
F689 Accident prevention and supervision2Apr 5, 2024; Mar 13, 2024 (PNC)
F755 Pharmacy services and a consultant pharmacist2Jul 9, 2026; Mar 13, 2024
F761 Drug labeling and secure storage2Apr 19, 2024; Apr 5, 2024
F812 Food safety and sanitation2Jul 9, 2026; May 30, 2025
F842 Complete, confidential medical records2Apr 17, 2026; May 30, 2025
F880 Infection prevention and control program2May 30, 2025; Apr 19, 2024
F912 Minimum bedroom size2Jul 9, 2026; Apr 5, 2024

Fines and payment denials

DateTypeAmount / length
Mar 13, 2024Fine$9,600

Staffing and CMS ratings

Total nurse staff hours per resident per day
4.31 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.39 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
4.27 h
Nursing staff turnover
64.0% (Texas median 52.1%)
Administrators who left
not reported
CMS overall rating
4 of 5
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5

CMS figures for The Atrium Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
7602 Louis Pasteur St., San Antonio, TX 78229
Phone
(210) 614-9974
County
Bexar
Accepts
Medicare and Medicaid
Ownership
For profit - Individual
Chain (CMS)
Paramount Healthcare
Certified beds
87
Average residents per day
32.7
In Medicare/Medicaid since
Oct 27, 1993
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 are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
  • Who sits on the care planning team, and how are family members invited? (F657, 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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