45.6/100
Below average
5000 Fawn Meadow, San Antonio, TX 78240
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$28,033 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: September 5, 2025 (11 months ago).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
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...
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
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...
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Part of THE ENSIGN GROUP, which operates 346 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| KEYSTONE CARE LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| THE ENSIGN GROUP INC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| BREWER, DEVIN | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| VU, VU | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| BREWER, DEVIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BURNAM, SOON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| VU, VU | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ASHTON, ANDREW | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O... | — |
| KEETCH, CHAD | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O... | — |
| PORT, BARRY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O... | — |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF | — |
| FAWN MEADOWS HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF | — |
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Patriot Heights Health Care Center holds an ElderGrade of D (45.6 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.46 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 25 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Patriot Heights Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.