The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
The Atrium Rehabilitation Center
San Antonio, TX · Medicare-certified · 87 beds
In good standing
For-profitChain member
Data as of September 1, 2026
4 of 5 overall
The Atrium Rehabilitation Center in San Antonio has a 4-star overall rating, with 4 stars for health inspections and quality measures but 2 stars for staffing. Reported nurse staffing is 4.31 hours per resident day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.309 hrs/resident/day
Quality measures
Last inspection: July 9, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.309.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.40
- Nurse aides
- 2.53
- Weekend nursing
- 4.27
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—40.4%—
Residents with a fall causing major injury
7.4%4%Improving
Residents with pressure ulcers (bedsores)
2.1%3.8%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.8%4.8%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—13.6%—
Residents whose ability to walk got worse
—10.2%—
Long-stay residents on antianxiety or sleep medication
39.1%9.5%Improving
Short-stay residents newly given an antipsychotic
10%4%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.6%12.2%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.9%—
Long-stay residents given the pneumonia vaccine
81.5%100%Improving
Short-stay residents given the seasonal flu vaccine
—48.4%—
Short-stay residents given the pneumonia vaccine
69.4%100%Improving
What the inspectors found
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,600 in total fines.
- $9,600
Federal fine
Mar 13, 2024
Operator & ownership
Recent ownership change · Apr 1, 2023
Now operated by Hamilton County Hospital District, previously The Fredericksburg Care CO., LP.
- Ownership
- For profit - Individual
- Chain
- Part of PARAMOUNT HEALTHCARE · 8 homes · 3.1 stars avg
- Occupancy
- 32.7 residents on an average day (38% of 87 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.