Patriot Heights Health Care Center

Name: Patriot Heights Health Care Center
Address: 5000 FAWN MEADOW, San Antonio, TX, 78240, US
Telephone: 2106966005

5000 Fawn Meadow, San Antonio, TX 78240 · Bexar County · 74 certified beds · avg 57 residents/day · certified since Nov 15, 1991

Abuse citation flag (CMS)

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5

Health inspection rating (on-site)

Serious findings on record

$28,033

Fines, last 3 years

3.26

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Oct 31, 2025 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

▲ Immediate jeopardy, one-off · Jan 25, 2024 · F-0580 · triggered by a complaint

The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.

Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.

Corrected: Nov 30, 2023 (Past Non-Compliance)

▲ Immediate jeopardy, one-off · Jan 25, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Corrected: Nov 30, 2023 (Past Non-Compliance)

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 6, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 6, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Oct 31, 2025	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 5, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 5, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jul 16, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 31, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Jan 25, 2024	▲ J · Immediate jeopardy, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jan 25, 2024	▲ J · Immediate jeopardy, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 25, 2024	D · Potential for harm, one-off	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint
Dec 23, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Oct 5, 2023	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Oct 5, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Sep 20, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Sep 20, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 26, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 26, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 26, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 26, 2023	B · Minimal risk, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2023	9	0	E
2024	10	2	J ▲
2025	4	1	J ▲
2026	2	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $28,033.

Date	Type	Amount / length
Oct 31, 2025	Fine	$15,129
Dec 23, 2023	Fine	$12,904

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.26	3.46	3.95	bottom 45% in Texas; bottom 24% in the U.S.
Registered Nurse hours	0.36	0.44	0.69	bottom 44% in Texas; bottom 17% in the U.S.
Weekend total nurse staffing	2.78	3.04	3.50	bottom 37% in Texas; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.33	0.34	0.48	top 39% in Texas; bottom 38% in the U.S.
Total nursing staff turnover (%)	50.0	55.3	45.8	top 44% in Texas; bottom 38% in the U.S.
RN turnover (%)	71.4	54.6	42.9	bottom 28% in Texas; bottom 11% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.46, RN 0.38, weekend 2.95. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Keystone Care LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	10/02/2019
The Ensign Group INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/30/2006
Ashton, Andrew	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/08/2025
Brewer, Devin	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/06/2024
Brewer, Devin	Individual	Operational/Managerial Control	NOT APPLICABLE	09/06/2024
Brewer, Devin	Individual	ADP of the SNF	NOT APPLICABLE	09/06/2024
Burnam, Soon	Individual	Operational/Managerial Control	NOT APPLICABLE	10/02/2019
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2020
Fawn Meadows Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Keetch, Chad	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/08/2025
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/08/2025
Standard Bearer Healthcare Op, LP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Vu, Vu	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/04/2022
Vu, Vu	Individual	Operational/Managerial Control	NOT APPLICABLE	05/04/2022
Vu, Vu	Individual	ADP of the SNF	NOT APPLICABLE	05/04/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
The Heights on Huebner	0.6 mi	San Antonio, TX	★★★★☆	4/5
Remington Transitional Care of San Antonio	0.9 mi	San Antonio, TX	★★★★☆	3/5
Wurzbach Nursing and Rehabilitation	1.0 mi	San Antonio, TX	★★☆☆☆	2/5
Ignite Medical Resort San Antonio, LLC	1.3 mi	San Antonio, TX	★★★☆☆	2/5
Sorrento	1.3 mi	San Antonio, TX	★★☆☆☆	2/5
Mesa Vista Inn Health Center	1.5 mi	San Antonio, TX	★☆☆☆☆	2/5
Avir at San Knoll	1.5 mi	San Antonio, TX	★☆☆☆☆	1/5
Huebner Creek Health & Rehabilitation Center	1.5 mi	San Antonio, TX	★☆☆☆☆	2/5
The Heights at Medical Center	1.6 mi	San Antonio, TX	★☆☆☆☆	2/5
The Atrium Rehabilitation Center	1.7 mi	San Antonio, TX	★★★★☆	4/5
Oak Park Nursing and Rehabilitation Center	2.0 mi	San Antonio, TX	★★☆☆☆	2/5
The Lev at San Antonio	2.5 mi	San Antonio, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in San Antonio →

Facility data as of CMS processing date 2026-08-01. CCN 455969.

The Care File

Visit checklist — Patriot Heights Health Care Center

5000 Fawn Meadow, San Antonio, TX 78240 · 2106966005

Health inspection rating 2/5 · CMS overall 2/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $28,033

Most serious findings on record:

▲ Oct 31, 2025 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Jan 25, 2024 (F-0580, Immediate jeopardy, one-off): The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
▲ Jan 25, 2024 (F-0684, Immediate jeopardy, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455969 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)