The Atrium Rehabilitation Center
7602 Louis Pasteur St., San Antonio, TX 78229 · Bexar County · 87 certified beds · avg 33 residents/day · certified since Oct 27, 1993
Part of chain: PARAMOUNT HEALTHCARE (8 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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.
All citations in the current public record (28)
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 |
|---|---|---|
| Jul 9, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 9, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 9, 2026 | 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. |
| Jul 9, 2026 | 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. |
| Jul 9, 2026 | D · Potential for harm, one-off | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Apr 17, 2026 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| May 30, 2025 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| May 30, 2025 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 30, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 30, 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. |
| May 30, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 30, 2025 | 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. |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jan 24, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Apr 19, 2024 | 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 |
| Apr 19, 2024 | 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. · from a complaint |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Apr 5, 2024 | 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. |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 5, 2024 | 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. |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive. · from a complaint |
| Mar 13, 2024 | 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 |
| Mar 13, 2024 | 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 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 12 | 0 | D |
| 2025 | 10 | 0 | E |
| 2026 | 6 | 0 | E |
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)
1 fine totaling $9,600.
| Date | Type | Amount / length |
|---|---|---|
| Mar 13, 2024 | Fine | $9,600 |
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) | 4.19 | 3.46 | 3.95 | top 11% in Texas; top 32% in the U.S. |
| Registered Nurse hours | 0.38 | 0.44 | 0.69 | bottom 47% in Texas; bottom 19% in the U.S. |
| Weekend total nurse staffing | 4.15 | 3.04 | 3.50 | top 6% in Texas; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.34 | 0.48 | top 45% in Texas; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 64.0 | 55.3 | 45.8 | bottom 26% in Texas; bottom 11% in the U.S. |
| RN turnover (%) | 62.5 | 54.6 | 42.9 | bottom 38% in Texas; bottom 19% 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 4.31, RN 0.39, weekend 4.27. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| DKP Investments, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Fredericksburg Properties of Texas, LP | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2023 |
| Fredericksburg Properties of Texas, LP | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Golden, Lauren | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2023 |
| Golden, Lauren | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Golden, Shawn | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2023 |
| Golden, Shawn | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Gupta, Preeti | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Gupta, Preeti | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Hooper, Grady | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2023 |
| Loredo-Gonzalez, Cristyan | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Loredo-Gonzalez, Cristyan | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Prince, Danny | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2023 |
| Prince, Danny | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Prince, Danny | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| SLM Investments LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| The Fredericksburg Care Co., LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| The Fredericksburg Care Co., LP | Organization | ADP of the SNF | NOT APPLICABLE | 04/22/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can I see the actual room my family member would live in before we decide?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 | Flags |
|---|---|---|---|---|---|
| Oak Park Nursing and Rehabilitation Center | 0.5 mi | San Antonio, TX | ★★☆☆☆ | 2/5 | |
| Wurzbach Nursing and Rehabilitation | 0.7 mi | San Antonio, TX | ★★☆☆☆ | 2/5 | |
| The Heights at Medical Center | 1.0 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| The Lev at San Antonio | 1.2 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| Sorrento | 1.2 mi | San Antonio, TX | ★★☆☆☆ | 2/5 | |
| Remington Transitional Care of San Antonio | 1.4 mi | San Antonio, TX | ★★★★☆ | 3/5 | |
| Patriot Heights Health Care Center | 1.7 mi | San Antonio, TX | ★★☆☆☆ | 2/5 | abuse |
| Mesa Vista Inn Health Center | 1.8 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| Avir at San Knoll | 1.8 mi | San Antonio, TX | ★☆☆☆☆ | 1/5 | |
| Ignite Medical Resort San Antonio, LLC | 2.0 mi | San Antonio, TX | ★★★☆☆ | 2/5 | |
| Huebner Creek Health & Rehabilitation Center | 2.2 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| The Heights on Huebner | 2.3 mi | San Antonio, TX | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675205.