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Patriot Heights Health Care Center

⌖ San Antonio, TX · Bexar County · Medicare data as of September 2026
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Medicare overall rating 2 of 5 stars
Certified beds74
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Patriot Heights Health Care Center

Patriot Heights Health Care Center is a 74-bed for-profit nursing home in San Antonio, TX. Medicare rates it 2 out of 5 stars overall (below average); the average in Texas is 2.7.

  • Inspections: 5 problems at its last full inspection (Sep 2025), fewer than the Texas average of 9.4. 1 recent citation was for residents being harmed or put in immediate danger.
  • Staffing: nurses and aides spend about 3 hr 27 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 50% of nursing staff left in the past year.
  • Fines: $28,033 in federal fines in the last three years.
  • Stands out: 1.2% of long-term residents had a fall with a major injury, compared with 3.2% nationally.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

Key details

Facility namePatriot Heights Health Care Center
LocationBexar County, Texas
Address5000 Fawn Meadow, San Antonio, TX 78240 · Bexar County
Medicare provider number455969
Ownership typeFor-profit (corporation)
Operating companyThe Ensign Group · 343 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceNovember 15, 1991 (34 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures5 of 5Much above average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

1 strength and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Health citations at last inspection5 (Sep 2025)Texas average: 9.4.
    Strength

About average

  • Nurse staffing per resident3 hr 27 min a dayTexas average: 3 hr 23 min
    About average
  • Nursing staff turnover50% a yearTexas average: 55%
    About average

Things to ask about

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  • Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.
    Ask about this
  • Serious health citations1 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Oct 2025 (about 1 year ago).
    Ask about this
  • Fines and penalties2 fines totaling $28,033Federal penalties from the last three years, most recently in Oct 2025 (about 1 year ago). The national average is $30,972 per home.
    Worth asking about
  • Registered nurse time per resident23 min a dayTexas average: 26 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 5 of 5 (much above average)

  • Newly given antipsychotic drugs0.0%State average: 1.5%
    Better than average

Physical therapist time: about 10 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is more than the state average of 4 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury1.2%State average: 3.3%
    Better than average
  • Pressure sores (bedsores)4.7%State average: 3.8%
    Worse than average
  • Given antipsychotic drugs6.2%State average: 9.6%
    Better than average

Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Texas, Medicaid pays for 66% of resident days at a typical home.

  • 37% Medicaid
  • 8% Medicare
  • 56% Private pay, insurance and other
Beds in use, on average66%Texas typical: 67%
Facility operating cost per resident day$376Texas typical: $270

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

What a stay may cost

  • Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
  • Paying privately: ask the home for its daily rate and what it includes. As a guide, Texas’s Medicaid program uses about $262 a day (about $7,981 a month) as the average cost of nursing home care (September 2025); see the state’s figure.
  • Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Texas →

Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 4 stars in January 2019. It has ranged from 2 to 5 stars and changed 13 times.

Overall rating2★
Health inspections2★
Staffing1★
Quality of care5★
Nurse hours per resident per day3.5
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201943444.4
Jan 202044344.5
Jan 202154454.4
Jan 202224113.5
Jan 202334133.7
Jan 202434133.1
Feb 202523123.5
Feb 202622153.5
Sep 202622153.5

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.