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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.