Patriot Heights Health Care Center — nursing home in San Antonio, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 74 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 57.1 CMS, MDS-derived
CMS Certification Number: 455969
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 15, 1991
Ownership type: For profit - Corporation
Operator (legal business name): Green Mountain Healthcare LLC
CMS chain: The Ensign Group 347 facilities
Phone: (210) 696-6005
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

14

latest Aug 12, 2026

Citations

31

26 health · 5 fire

Harm or worse

3

3 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J3	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E5	F·
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

2

$28,033

Payment denials

0

Latest

Oct 31, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 455969
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 74
First approved: Nov 15, 1991
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 12, 2026	Health	Health Complaint	3	Potential harm	—	Open →
May 6, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Oct 31, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Sep 5, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Sep 5, 2025	Health	Health Standard	2	Potential harm	—	Open →
Jul 16, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jul 31, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jul 31, 2024	Health	Health Standard	6	Potential harm	—	Open →
Feb 15, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jan 25, 2024	Health	Health Complaint, Infection Control	3	Immediate jeopardy	—	Open →
Dec 23, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Oct 5, 2023	Health	Health Complaint	2	Potential harm	—	Open →
May 26, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
May 26, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Oct 31, 2025	Civil money penalty (fine)	$15,129	—	455969\|Fine\|135792
Dec 23, 2023	Civil money penalty (fine)	$12,904	—	455969\|Fine\|112231

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J3	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E5	F·
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 12, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 12, 2026	Complaint
Aug 12, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 12, 2026	Complaint
Aug 12, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 12, 2026	Complaint
May 6, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 7, 2026	Complaint
May 6, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 7, 2026	Complaint
Oct 31, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Past non-compliance	Complaint
Sep 5, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 17, 2025
Sep 5, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 17, 2025
Sep 5, 2025	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 8, 2025
Sep 5, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 8, 2025
Sep 5, 2025	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 8, 2025
Jul 16, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 17, 2025	Complaint
Jul 31, 2024	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 2, 2024
Jul 31, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 1, 2024
Jul 31, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 1, 2024
Jul 31, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 1, 2024
Jul 31, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Aug 1, 2024
Jul 31, 2024	F-0813	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Aug 1, 2024
Jul 31, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 1, 2024
Feb 15, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 19, 2024	Complaint
Jan 25, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Past non-compliance Nov 30, 2023	Complaint
Jan 25, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Nov 30, 2023	ComplaintInfection control
Jan 25, 2024	F-0626	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 20, 2024	ComplaintInfection control
Dec 23, 2023	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 25, 2024	Complaint
Oct 5, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 19, 2023	Complaint
Oct 5, 2023	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 19, 2023	Complaint
May 26, 2023	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 9, 2023
May 26, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 9, 2023
May 26, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 9, 2023
May 26, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 9, 2023
May 26, 2023	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected Jun 9, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.80

State avg 3.42US avg 3.90

Registered nurse (RN)0.57

State avg 0.44US avg 0.69

Licensed practical nurse1.18

State avg 0.94US avg 0.86

Nurse aide2.06

State avg 2.03US avg 2.35

Weekend total nurse3.22

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.49 (case-mix index 1.53).

Staff turnover

Total nursing staff turnover52.1%

State avg 50.8%US avg 45.3%

Registered nurse turnover75.0%

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 5, 2025
Cycle 1 health score: 48
Total weighted score: 60
Infection-control citations: 2

Operating entity

Green Mountain Healthcare LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

16

Organizations

5

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Keystone Care LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Oct 2, 2019
The Ensign Group Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 30, 2006

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Keystone Care LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Oct 2, 2019
The Ensign Group Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 30, 2006
Andrew Ashton	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 8, 2025
Chad Keetch	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 8, 2025
Barry Port	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 8, 2025
Devin Brewer	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 6, 2024
Vu Vu	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 4, 2022
Devin Brewer	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 6, 2024
Soon Burnam	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 2, 2019
Vu Vu	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 4, 2022
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2020
Fawn Meadows Health Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Standard Bearer Healthcare Op, LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
The Ensign Group Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Devin Brewer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 6, 2024
Vu Vu	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 4, 2022

Same chain in Texas

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	92	May 28, 2026	401 harm	$8,190
Grand Terrace Rehabilitation and Healthcare 812 W. Houston Ave., Mcallen, TX 78501 CCN 455586	93	Jun 17, 2026	16	—
Alta Vista Rehabilitation and Healthcare 510 Paredes Line Rd, Brownsville, TX 78521 CCN 455625	100	May 1, 2026	281 IJ	—
Wellington Rehabilitation and Healthcare 1802 S 31st, Temple, TX 76504 CCN 455637	124	Aug 6, 2026	404 IJ	$32k
Golden Palms Rehabilitation and Retirement 2101 Treasure Hills Boulevard, Harlingen, TX 78550 CCN 455672	60	May 13, 2026	271 IJ1 harm	$16k
Park Village Healthcare and Rehabilitation 207 E Parkerville Rd, Desoto, TX 75115 CCN 455727Abuse icon	150	Aug 25, 2026	636 IJ2 harm2 open	$221k
Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732	162	Jun 17, 2026	691 IJ	$29k
Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745	120	Jan 14, 2026	181 IJ	$8,021

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 5000 Fawn Meadow, San Antonio, TX 78240
ZIP: 78240
County: Bexar County FIPS 48029
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
The Heights on Huebner 10127 Huebner Rd, San Antonio, TX 78240 CCN 676224	0.9 km	120	Jan 14, 2026	31	—
Remington Transitional Care of San Antonio 5423 Hamilton Wolfe Rd, San Antonio, TX 78229 CCN 676216	1.5 km	60	Aug 14, 2026	32	—
Wurzbach Nursing and Rehabilitation 8300 Wurzbach Rd., San Antonio, TX 78229 CCN 455824	1.6 km	140	Aug 6, 2026	653 IJ	$35k
Ignite Medical Resort San Antonio, LLC 6035 Eckhert Rd, San Antonio, TX 78229 CCN 676447	2.1 km	105	Apr 3, 2026	45	—
Sorrento 2739 Babcock, San Antonio, TX 78229 CCN 676378	2.1 km	112	May 19, 2026	57	—
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	2.3 km	144	Jul 2, 2026	531 IJ	$8,160
Avir at San Knoll 5757 N. Knoll, San Antonio, TX 78240 CCN 455804	2.3 km	120	Jul 24, 2026	711 IJ	$28k
Huebner Creek Health & Rehabilitation Center 8306 Huebner Rd, San Antonio, TX 78240 CCN 676136	2.4 km	146	Jun 4, 2026	641 IJ	$14k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455969	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455969	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455969

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction