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Nursing HomeMedicaid Investigative

The Healthcare Center at Patriot Heights

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

5000 Fawn Meadows, Northwest Side · San Antonio, TX 7824074 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 136 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (56%)

Below average in Texas · Below recommended RN staffing · Above average staffing · Below chain average · $35,829 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for rehabilitation due to its highly-rated therapy team and recent facility upgrades. However, families must remain vigilant regarding medication administration and ensure that call lights are being answered promptly, as these have been significant points of failure in recent years.

Google Reviews

Google Reviews

136 reviews on Google
Families considering this facility will find a highly praised rehabilitation and nursing team, with many reviewers highlighting the professional therapy and attentive nursing staff. While many recent reviews celebrate a beautiful, clean, and renovated environment, there are serious, recurring allegations regarding medication errors, pest issues, and inconsistent responsiveness to call lights.

Quality Themes

Tap a score for details
Food8.0Staff7.0Clean6.0Activities9.0Meds1.0MemoryN/AComms4.0ValueN/A

Strengths

  • Exceptional rehabilitation and physical therapy services
  • Friendly and attentive nursing and CNA staff
  • Clean and well-maintained/renov-ated facilities
  • Secure environment with gated entry
  • Welcoming and personalized atmosphere

Concerns

  • Inconsistent responsiveness to call lights and patient needs (mentioned by 3 reviewers)
  • Issues with cleanliness including pests and odors (mentioned by 2 reviewers)
  • Medication management errors (mentioned by 2 reviewers)
  • Staffing shortages or lack of communication from management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(5)'19(5)'21(1)'23(9)'25(44)'26(10)

Distribution · 138 analyzed

5
108
4
9
3
1
2
0
1
20
17 reviews posted between Nov 4, 2024Nov 9, 2024 · 17 were 5-star

How They Respond to Reviews

30%response rate
Good

The owner provides highly personalized responses to 5-star reviews, often addressing specific staff members or departments mentioned. For negative reviews, the owner uses a professional, non-defensive tone that invites direct communication to resolve issues.

Questions for Your Tour

  • 1We've heard wonderful things about the physical therapy and rehab services here; could you tell us more about how the therapists work with residents?
  • 2How does the nursing team ensure that medication is administered accurately and on schedule every day?
  • 3With the facility being so well-maintained and renovated, what specific steps does the housekeeping team take to ensure a clean and fresh environment for the residents?
  • 4How does the staff manage call lights and ensure that residents' needs are addressed promptly, especially during busy shifts?
  • 5What is the process for communicating important updates or changes in a resident's care from management to the family?
  • 6What kind of daily activities or social events are planned to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The staff is excellent and the property is exceptionally well maintained.

Rehab patient · 2025★★★★★

The first thing that struck me was the security. You can’t get in without going thru a security gate. Once we entered the building we were stopped & had to sign in before going further. The staff is very welcoming.

Long-term resident's family · 2025★★★★★

The therapy department is great. The food is so good and the activities held in the facility are amazing for the environment and residents.

Rehab patient · 2024★★★★★
Source: 136 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
49%
Registered nurses for medical care
Total Nursing
3.38hrs
83%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
60%
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 · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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 on antipsychotic medication

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
15.4%
TX
9.4%
Bexar
10.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
14.4%
TX
16.1%
Bexar
16.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
15.3%
TX
14.9%
Bexar
14.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
TX
96.9%
Bexar
94.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
19.4%
TX
14.2%
Bexar
16.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
81.8%
TX
89.2%
Bexar
80.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.7%
Better than Avg
Here
89.7%
US
79.7%
TX
88.0%
Bexar
84.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bexar
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
2penalties
Well below state avg (9.1)
11 complaint-triggered
$35,829 in fines

Families have filed 11 complaints triggering inspections, with serious concerns about resident safety, medication management, and proper care treatment appearing repeatedly across surveys. The facility has faced issues with protecting residents from abuse and neglect, ensuring accurate medication administration, maintaining proper resident assessments, and following infection control protocols. While all identified deficiencies show correction dates, the pattern of ongoing complaints suggests persistent quality concerns families should investigate thoroughly before placement.

Oct 31, 2025Complaint
1
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

Sep 5, 2025Routine
5
0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jul 16, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jul 31, 2024Routine
7
0761Potential for harm · PatternCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0842Potential for harm · IsolatedCorrected

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.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Feb 15, 2024Complaint
1
0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Jan 25, 2024Complaint
3
0580Immediate jeopardy · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Federal Penalties

Fine

Oct 31, 2025

$14,901

Fine

Dec 23, 2023

$12,904

Ownership & Operations

Who Operates This Facility

Owner / Operator

Green Mountain Healthcare LLC

Organization Type

for profit

Administrator

MARIO GORDISH

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 66 of 84

Ownership & Management

Key personnel

Ashton, AndrewW-2 Managing EmployeeNiccum, KevinOfficer / DirectorAshton, AndrewOfficer / DirectorBurnam, SoonOfficer / DirectorFitch, CraigOfficer / 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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