The Atrium Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 13 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- High staff turnover (69%)
- High RN turnover (67%)
Below average in Texas · Below recommended RN staffing · Above average staffing · $13,930 in fines
What this means for your family
This facility is an excellent choice if you are looking for a small, intimate, and home-like setting rather than a large institution. However, you should verify the current management's responsiveness to your inquiries, as there have been past complaints regarding communication failures.
Google Reviews
Google Reviews
13 reviews on Google“Families often praise this facility for its cozy, home-like atmosphere and a staff that treats residents like family. However, there is a significant concern regarding management's communication and responsiveness, with one reviewer reporting unprofessional behavior from leadership.”
Quality Themes
Tap a score for detailsStrengths
- Home-like, cozy atmosphere
- Compassionate and warm staff
- High level of owner involvement
- Intimate, small-scale environment
Concerns
- Poor management communication and responsiveness
Rating Trends
Tap a year to see what changed
Distribution · 27 analyzed
How They Respond to Reviews
The owner provides personalized, warm responses to positive reviews, often referencing specific residents or staff members. For negative reviews, the owner attempts to address the specific incident with a professional apology and factual clarification.
Questions for Your Tour
- 1It’s wonderful to see how involved the owners are with the facility; how often can we expect to see the ownership team interacting with the residents?
- 2Since the center has such a cozy, small-scale atmosphere, how do you ensure each resident's specific daily routine and personal preferences are honored?
- 3We want to make sure communication is seamless between the staff and our family; what is the best way for us to stay updated on any changes in our loved one's care?
- 4With the intimate size of the facility, how do you manage staffing levels during overnight hours or weekends to ensure everyone is well-attended to?
- 5In the event of a sudden medical change or an emergency after hours, what is the specific protocol for notifying the family and coordinating care?
- 6What kind of daily activities or social outings do you organize to help residents stay engaged within this home-like environment?
Personalized based on this facility's data
Key Review Excerpts
“Carol Anne’s is cozy and homey and remind [sic]... This place is definitely different than most nursing homes where the place smells like urine and everyone has a huge communal area.”
“The entire staff is warm and compassionate, and truly made our mother feel like she was at home. The activities keep the residents engaged.”
“It's a small intimate environment where everyone is treated like family!!! There is a high level of owner involvement in the daily operations which you will not get at a large facility”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
2
measures
11
measures
3
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering 14 deficiencies, signaling ongoing concerns about care quality and resident treatment. The facility repeatedly struggles with medication management, care planning, and infection control across multiple surveys. While most issues show planned correction dates, the recurring pattern of deficiencies in core care areas, combined with persistent family complaints about resident rights and safety, suggests systemic challenges that families should carefully consider.
May 30, 2025Routine14
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jan 24, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Apr 19, 2024Complaint4
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 5, 2024Routine6
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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 drugs.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 13, 2024Complaint3
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 6, 2023Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Federal Penalties
Fine
Mar 13, 2024
$9,600
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
THE FREDERICKSBURG COMPANY LP
DEBBIE WAMPLER
Chain Affiliation
Paramount Healthcare
8 facilities nationwide
Chain avg rating: 2.3/5 · Rank 5 of 8
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
13 reviews from families & visitors
Official Website
Visit carolannshome.com
Medicare data downloads
Original nursing home datasets
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