The Healthcare Center At Patriot Heights
5000 FAWN MEADOWS, San Antonio, TX, 78240
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 74 · avg 52 residents/day
- Total nursing staff turnover
- 56% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $35,829 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 307608
- Service type
- Medicare/medicaid
- Licensed capacity
- 74 beds
- Bed type breakdown
- 31 Medicare-only · 43 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- November 2, 2000
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Green Mountain Healthcare Llc (FOR-PROFIT CORPORATION)
- Administrator
- Mario Gordish
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (6 on record)
- Andrew Ashton
Operational/managerial Control · since 2020
- Craig Fitch
Corporate Officer · since 2019
- Kevin Niccum
Corporate Director · since 2019
- Keystone Care Llc
5% or Greater Direct Ownership Interest · 100% · since 2019
- Soon Burnam
Corporate Officer · since 2019
- The Ensign Group Inc
5% or Greater Indirect Ownership Interest · 100% · since 2006
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 23)
- J0600·Oct 31, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0921·Sep 5, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0641·Sep 5, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0609·Jul 16, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0842·Jul 31, 2024
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.
- D0813·Jul 31, 2024
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0761·Jul 31, 2024
Pharmacy Service Deficiencies
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.
- D0760·Jul 31, 2024
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal penalties
By year
- 20251 fine · $23K
- 20231 fine · $13K
Most recent events
- Oct 31, 2025Fine · $23K
- Dec 23, 2023Fine · $13K
Largest single fine on record: $23K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Sep 5, 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 Healthcare Center at Patriot Heights is a 74-bed nursing home in San Antonio (Bexar County), licensed to Green Mountain Healthcare LLC and affiliated with The Ensign Group. CMS rates it 2 stars overall. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and the 1-star staffing rating is the lowest CMS assigns. Quality-of-care outcome measures rate 5 stars. The facility is operating at roughly 71% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 209 minutes of nursing care per day, about 32 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — on average more dependent or medically complex — so those 209 minutes stretch thinner than the raw number suggests. RN coverage runs about 29 minutes per resident per day, against 37 minutes at a 4-star-staffing facility in the state.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is a formal federal finding, not an allegation; it means an investigation concluded that harm occurred.
Two CMS fines totaling $35,829 have been issued. The state median fine total for facilities that receive any fine is $20,699; this facility's total runs above that. About 30% of Texas nursing homes have received no fines at all.
The facility is running at roughly 71% of its 74 licensed beds — about 52 residents on an average day. When occupancy runs this low alongside other distress signals, it can reflect referral patterns in the local market or difficulty attracting new admissions.
One administrator has turned over in the past year — above what a stable facility typically sees, though not at the level of repeated churn. Leadership transitions affect how consistently care policies are carried out day to day.
Quality-of-care outcome measures — which track things like pressure wounds, falls, and pain management for long-stay residents — rate 5 stars, the top tier. Short-stay outcomes rate 4 stars.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse finding and current safeguards
CMS has a substantiated abuse or neglect finding here within the past 36 months — ask what happened, what changed, and how staff are now trained and monitored.
Staffing levels on nights and weekends
Weekend nursing hours run about 169 minutes per resident per day — ask how many nurses and aides are on each shift Saturday and Sunday specifically.
Administrator tenure and continuity
The facility had an administrator change in the past year — ask how long the current administrator has been in the role and who oversees daily operations.
Why beds are running at 71% occupancy
The facility averages about 52 residents in 74 licensed beds — ask whether that reflects a deliberate staffing cap or difficulty with referrals.
How outcomes stay high despite staffing
Outcome measures rate 5 stars while staffing rates 1 star — ask specifically how care plans are reviewed and who is accountable when a resident's condition changes.
Resident Council access and meeting schedule
A Resident Council meets here; ask when it last met, who attends from management, and how residents can raise concerns between meetings.
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.