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Patriot Heights Health Care Center, San Antonio, Texas

25
Citations from health inspectionsTexas average: 28 a home
3
Residents harmed or put in dangerTexas average: 2.3 a home
$28,033
Fines from the federal governmentTexas average: $44,141 a home
2 out of 5
Overall rating in starsTexas average: 2.7

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

11 inspection visits produced 25 citations. Residents were in immediate danger in three findings. Federal fines came to $28,033 (two fines).

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating
2 out of 5
Rating for health inspections
2 out of 5
Rating for staffing
1 out of 5
Rating for quality of care
5 out of 5
Nurse time for each resident
3.46 hours each dayThe Texas average is 3.39 hours
Time from registered nurses
0.38 hours each dayThe Texas average is 0.43 hours
Nursing staff who left during one year
50%against the Texas average of 55.3%
Beds that are certified
74
Ownership
Corporation (for profit)
Chain
The Ensign Group, with 344 homes
Street address
5000 Fawn Meadow, San Antonio, Texas 78240
County
Bexar

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Two citations dated May 6, 2026

  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Oct. 31, 2025

  • F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.

Two citations dated Sept. 5, 2025

  • F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents.
  • F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.

One citation dated July 16, 2025

  • F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Six citations dated July 31, 2024

  • F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
  • F813 Policy on Food Brought by Visitors: risk of harm, no one found hurt, one or a few residents.
  • F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
  • F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
  • F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
  • F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.

One citation dated Feb. 15, 2024

  • F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Jan. 25, 2024

  • F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F626 Right to Return After Hospital Stay: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F580 Telling the Family About a Change: immediate danger to residents, one or a few residents, found on a complaint visit.

One citation dated Dec. 23, 2023

  • F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Oct. 5, 2023

  • F757 Unnecessary Drugs: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
  • F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Sept. 20, 2023

  • F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
  • F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Four citations dated May 26, 2023

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
  • F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
  • F640 Send Assessment Data to State on Time: minimal risk to residents, a pattern, several residents.
  • F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

DatePenaltyAmount
Oct. 31, 2025Fine$15,129
Dec. 23, 2023Fine$12,904

Ownership and Management of the Home

  • The direct owner is Keystone Care LLC.
  • Owns a share through another company: The Ensign Group Inc..

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 455969. Other homes in San Antonio.