All states › Texas › San Antonio › Patriot Heights Health Care Center
5000 Fawn Meadow San Antonio, TX 78240 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 455969 · See this home on Medicare Care Compare
Is Patriot Heights Health Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Patriot Heights Health Care Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.80 hours per resident per day at Patriot Heights Health Care Center, above the Texas median of 3.30 (US median: 3.72). About 0.57 of those hours are from registered nurses. On weekends it falls to 3.22 hours, 15% below its all-week average. Ask how weekends are staffed. 52.1% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Patriot Heights Health Care Center: Medicare and Medicaid
Patriot Heights Health Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 5, 2025 and found 2 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 26 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 26 citations at Patriot Heights Health Care Center across 11 inspection dates, 14 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 31, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (7) and quality of life and care (6). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, October 31, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 12, 2026 · 3 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
May 6, 2026 · 2 citations · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
October 31, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
September 5, 2025 · 2 citations
DEnsure each resident receives an accurate assessment.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
July 16, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
July 31, 2024 · 6 citations
EEnsure 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.
DEnsure each resident receives an accurate assessment.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that residents are free from significant medication errors.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
February 15, 2024 · 1 citation · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
January 25, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
December 23, 2023 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 5, 2023 · 2 citations · includes complaint inspection
EEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 26, 2023 · 4 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide and implement an infection prevention and control program.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Questions to ask on a tour of Patriot Heights Health Care Center
- Inspectors cited the home at the immediate-jeopardy level on October 31, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 31, 2025. How are staff trained, and how are concerns reported?
- There were 2 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $28,033 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 31, 2025 | Fine | $15,129 |
| Dec 23, 2023 | Fine | $12,904 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
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Location
Hospitals near Patriot Heights Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.1 mi
- 0.3 mi
- 1.0 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.