Nursing homeActive

Patriot Heights Health Care Center

5000 Fawn Meadow, San Antonio, TX 78240210696600574 certified beds · 57 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
25
1213
Penalties · 3 yrs
$28,033
2 fines
Last survey
2026-05-06
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-06Complaint020CMS-2567 (Care Compare)
2025-10-31Complaint001CMS-2567 (Care Compare)
2025-09-05Standard020CMS-2567 (Care Compare)
2025-07-16Complaint010CMS-2567 (Care Compare)
2024-07-31Standard060CMS-2567 (Care Compare)
2024-02-15Complaint010CMS-2567 (Care Compare)
2024-01-25Infection control012CMS-2567 (Care Compare)
2023-12-23Complaint010CMS-2567 (Care Compare)
2023-10-05Complaint020CMS-2567 (Care Compare)
2023-09-20Complaint020CMS-2567 (Care Compare)
2023-05-26Standard130CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-06Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-07Record 455969-20260506-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-07Record 455969-20260506-F761
2025-10-31Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 455969-20251031-F600
2025-09-05Standard survey · 2 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 455969-20250905-F641
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 455969-20250905-F921
2025-07-16Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-17Record 455969-20250716-F609
2024-07-31Standard survey · 6 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-01Record 455969-20240731-F641
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-01Record 455969-20240731-F695
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-01Record 455969-20240731-F760
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-01Record 455969-20240731-F761
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-01Record 455969-20240731-F813
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-01Record 455969-20240731-F842
2024-02-15Complaint survey · 1 deficiencyOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 455969-20240215-F695
2024-01-25Infection control survey · 3 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity JHarm
Dignity & rights
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-11-30Record 455969-20240125-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-11-30Record 455969-20240125-F684
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-20Record 455969-20240125-F626
2023-12-23Complaint survey · 1 deficiencyOfficial report
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-25Record 455969-20231223-F842
2023-10-05Complaint survey · 2 deficienciesOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-19Record 455969-20231005-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-19Record 455969-20231005-F757
2023-09-20Complaint survey · 2 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-04Record 455969-20230920-F580
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-04Record 455969-20230920-F689
2023-05-26Standard survey · 4 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-09Record 455969-20230526-F550
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-09Record 455969-20230526-F684
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-09Record 455969-20230526-F880
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2023-06-09Record 455969-20230526-F640

Penalties & enforcement

DateActionAmountSource
2025-10-31Civil money penalty$15,129CMS · Penalties
2023-12-23Civil money penalty$12,904CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.38
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.46
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.95
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover50%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover71%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.7%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.2%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.3%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.2%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
12.3%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.7%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
18.2%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Brewer, Devin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burnam, Soon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vu, Vu
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ashton, Andrew
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Brewer, Devin
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Brewer, Devin
Individual
ADP OF THE SNFNOT APPLICABLE
Ensign Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Fawn Meadows Health Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Keetch, Chad
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Keystone Care LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Port, Barry
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Standard Bearer Healthcare Op, LP
Organization
ADP OF THE SNFNOT APPLICABLE
The Ensign Group Inc
Organization
ADP OF THE SNFNOT APPLICABLE
The Ensign Group Inc
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Vu, Vu
Individual
ADP OF THE SNFNOT APPLICABLE
Vu, Vu
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Part of a chain
The Ensign Group342 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Bexar.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
The Heights On Huebner
San Antonio
0.6 mi2026-01-140180
Remington Transitional Care Of San Antonio
San Antonio
0.9 mi2025-12-151180
Wurzbach Nursing And Rehabilitation
San Antonio
1.0 mi2026-07-020463
Sorrento
San Antonio
1.3 mi2026-05-190470
Ignite Medical Resort San Antonio, LLC
San Antonio
1.3 mi2026-04-030300
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01