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Nursing HomeMedicaid Investigative

The Atrium Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

7602 Louis Pasteur St., Northwest Side · San Antonio, TX 7822987 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 13 Google reviews

5
4
3
2
1
The Atrium Rehabilitation Center Nursing Home in San Antonio, TX — Street View
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5/ 10
high Risk

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

Source: Medicare data

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 details
FoodN/AStaff8.0Clean5.0Activities5.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • 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

234'15(3)'17(3)'19(3)'22(1)'24(3)

Distribution · 27 analyzed

5
23
4
0
3
1
2
0
1
3

How They Respond to Reviews

100%response rate
Good

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.

Long-term resident's family · 2024★★★★★

The entire staff is warm and compassionate, and truly made our mother feel like she was at home. The activities keep the residents engaged.

Long-term resident's family · 2019★★★★★

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

Prospective resident's family · 2016★★★★★
Source: 13 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
46%
Registered nurses for medical care
Total Nursing
3.91hrs
95%
All nurses + aides combined
Staff Turnover
70%
Lower is better (< 30% = good)
RN Turnover
71%
Lower is better (< 30% = good)

Both 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

Medicare Rating
1/ 5
Better Than Avg

2

measures

Worse Than Avg

11

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility41.4%
Worse than Avg
Here
41.4%
US
15.4%
TX
9.4%
Bexar
9.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.8%
Worse than Avg
Here
31.8%
US
19.5%
TX
18.4%
Bexar
21.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility83.5%
Worse than Avg
Here
83.5%
US
93.4%
TX
96.9%
Bexar
94.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.1%
Worse than Avg
Here
27.1%
US
14.4%
TX
16.1%
Bexar
15.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
TX
2.5%
Bexar
2.0%

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

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
19.4%
TX
14.2%
Bexar
16.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility48.4%
Worse than Avg
Here
48.4%
US
79.7%
TX
88.0%
Bexar
85.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility72.1%
Worse than Avg
Here
72.1%
US
81.8%
TX
89.2%
Bexar
81.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.4%
Worse than Avg
Here
5.4%
US
1.6%
TX
1.5%
Bexar
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Near state avg (9.1)
13 complaint-triggered
$13,930 in fines

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, 2025Routine
14
0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0842Potential for harm · PatternCorrected

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.

0032Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minimal · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jan 24, 2025Complaint
4
0602Potential for harm · PatternResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0657Potential for harm · PatternCorrected

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.

0585Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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, 2024Complaint
4
0656Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

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.

0761Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 5, 2024Routine
6
0622Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

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.

0912Potential for harm · IsolatedCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0521Minimal · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Mar 13, 2024Complaint
3
0659Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Provide care by qualified persons according to each resident's written plan of care.

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755Potential for harm · IsolatedCorrected

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, 2023Complaint
2
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0577Minimal · WidespreadCorrected

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

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

THE FREDERICKSBURG COMPANY LP

Administrator

DEBBIE WAMPLER

Chain Affiliation

Chain Name

Paramount Healthcare

Chain Size

8 facilities nationwide

Chain avg rating: 2.3/5 · Rank 5 of 8

Ownership & Management

Key personnel

Fredericksburg Properties of Texas, Lp5% or Greater Mortgage InterestGolden, Lauren5% or Greater Mortgage InterestGolden, Shawn5% or Greater Mortgage InterestPrince, Danny5% or Greater Mortgage InterestHooper, GradyOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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