The Atrium Rehabilitation Center in San Antonio has an overall rating of 2 out of 5 stars, with strong health inspection results but very low staffing and quality ratings. Reported nurse staffing is 3.91 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: May 30, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9054.
Staffing detail
Registered nurses
0.34
Licensed practical nurses
1.25
Nurse aides
2.31
Weekend nursing
3.78
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 71%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—41.4%—
Residents with a fall causing major injury
7.1%3.1%Improving
Residents with pressure ulcers (bedsores)
18.9%3.4%Improving
Residents with a urinary tract infection
0%3.3%Worsening
Residents who lost too much weight
9.5%4.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—13.6%—
Long-stay residents on antianxiety or sleep medication
39.1%15.4%Improving
Short-stay residents newly given an antipsychotic
10%4%Improving
Residents with a long-term catheter
3.9%0%Improving
Residents with new or worsening incontinence
33.4%9.6%Improving
Residents with depressive symptoms
5%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.9%—
Long-stay residents given the pneumonia vaccine
53.6%100%Improving
Short-stay residents given the seasonal flu vaccine
—48.4%—
Short-stay residents given the pneumonia vaccine
29%96.4%Improving
What the inspectors found
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 nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to protect residents from the wrongful use of their belongings or money. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — 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 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.
Federal fine
Mar 13, 2024
$9,600
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of PARAMOUNT HEALTHCARE · 8 homes · 2.4 stars avg
Occupancy
33.7 residents on an average day (39% 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.