The Atrium Rehabilitation Center
7602 LOUIS PASTEUR DRIVE, San Antonio, TX, 78229
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Paramount Healthcare
- Certified beds
- 87 · avg 36 residents/day
- Total nursing staff turnover
- 68.9% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $13,930 total
State licensing & capacity
- License number
- 311296
- Service type
- Medicare/medicaid
- Licensed capacity
- 87 beds
- Bed type breakdown
- 36 Medicare-only · 51 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- The Fredericksburg Company Lp
- Administrator
- Debbie Wampler
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Paramount Healthcare chain — 8 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (11 on record)
- The Fredericksburg Care Co., lp
Adp of The Snf · since 2025
- Cristyan Loredo-gonzalez
Adp of The Snf · since 2023
- Danny k Prince
Operational/managerial Control · since 2023
- Dkp Investments, Llc
Operational/managerial Control · since 2023
- Fredericksburg Properties of Texas, lp
5% or Greater Mortgage Interest · 100% · since 2023
- Grady Hooper
Corporate Officer · since 2023
+ 5 additional owners on the federal record.
Recent change of ownership
April 2023 (3 years ago) · acquired from The Atrium Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 35)
- D0880·May 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0842·May 30, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0812·May 30, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0684·May 30, 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0641·May 30, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0628·May 30, 2025
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E0657·Jan 24, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0656·Jan 24, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20241 fine · $14K
Most recent events
- Mar 13, 2024Fine · $14K
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: May 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Atrium Rehabilitation Center is an 87-bed Medicare/Medicaid nursing home in San Antonio (Bexar County), licensed since 1971 and managed by The Fredericksburg Company LP under a Hospital District license. CMS rates it 2 stars overall, with a 1-star quality-of-care rating. The facility is running at roughly 41% of licensed capacity — about 36 residents on an average day. Two administrators have left in the past year.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 218 minutes of nursing care per day — roughly 23 minutes less than at a 4-star-staffing facility in Texas. About 32% of Texas nursing homes share this staffing rating.
Roughly 7 in 10 nursing staff left in the past year. Texas's 75th-percentile cutoff for turnover is 60% — this facility's 68.9% rate sits above that line. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
Two administrators have left in the past year. That pace of leadership change affects how consistently policies and care routines get followed through.
The facility has had 1 CMS fine totaling $13,930 since the last inspection cycle. The state median for fines among facilities that receive any is $20,699, and about 30% of Texas nursing homes have none at all.
The facility is operating at roughly 41% of its 87 licensed beds — about 36 residents on an average day. High turnover and high administrative instability are also present in this record; low occupancy alongside those factors can reflect difficulty attracting or retaining residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator tenure
Two administrators have left in the past year — ask who is currently in the role, how long they have been here, and whether they plan to stay.
Staffing levels on nights and weekends
Reported weekend nursing hours run at 3.39 per resident per day — ask how many nurses and aides are on the floor overnight and on weekends specifically.
Why occupancy is so low
Only about 36 of 87 beds are filled on a typical day — ask what is driving that number and how long it has been at this level.
How care continuity is managed
With roughly 7 in 10 nursing staff turning over each year, ask how the facility assigns primary caregivers and what happens to a resident's routine when their caregiver leaves.
Quality measures and care planning
CMS rates quality of care at 1 star — ask what specific outcomes are tracked and how the team reviews and adjusts individual care plans when a resident's condition changes.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how families are informed of what is raised or resolved.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.