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The Atrium Rehabilitation Center

7602 Louis Pasteur St., San Antonio, TX 78229 · Bexar County · (210) 614-9974

87 certified beds, about 33 residents a day · For profit - Individual · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675205 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 9, 2026, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).

None of its 28 health citations since March 2024 was rated as actual harm or immediate jeopardy.

CMS lists 1 fine totaling $9,600 in the last three years; the largest was $9,600, and the latest is dated March 13, 2024.

Nurses and nurse aides worked 4.31 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

64.0% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Paramount Healthcare, an affiliated group of 8 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 28 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
7E
0F
Potential for minimal harm
0A
0B
0C
July 9, 2026Standard inspection · 5 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety, for 1 of 1 kitchen reviewed for food safety. The facility failed to label foods for safety, which were opened and available for use:X2 5lb. containers of cottage cheese without a date when the product was received, opened, and a date when the food should be thrown out. X2 5lb. containers of sour cream without a date when the product was received, opened, and a date when the food should be thrown out. The facility had personal items on kitchen counters where food was prepared:A personal electronic vape (battery-operated device that heats a liquid to create an aerosol, which is then inhaled into the lungs. Used as an alternative to smoking). A personal drink tumbler. [...]
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's comprehensive care plan was reviewed and revised after each assessment for 1 of 8 residents (Resident #6) reviewed for care planning. The facility failed to ensure Resident #6's comprehensive care plan was revised to include planning and interventions for a fluid restriction ordered by the resident's physician. This failure could lead to residents not receiving intended care and decreased quality of life.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices, for 1 of 8 Residents (Resident #26) reviewed for admission with a right foot fracture. Resident #26 was admitted to long term care without orders and care plans for a right foot fracture. These failures could place residents at risk for a decline in health status without physicians' orders and planned care.
  4. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate administering of drugs, to meet the needs of each resident, for 1 of 4 residents (Resident #16) reviewed for medication administration. The facility failed to ensure Resident #16 received the ordered dosage of her antidepressant medication. This failure could lead to residents not receiving the intended therapeutic effects of prescribed medications.
  5. D
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide rooms that measured at least 80 square feet per resident in multiple resident bedrooms for 2 of 39 rooms (rooms [ROOM NUMBERS]) reviewed for physical environment. The facility failed to ensure residents were not admitted into double occupancy rooms [ROOM NUMBERS] measuring less than 80 square feet per resident while having unoccupied rooms available. This failure could lead to decreased quality of life of residents.
April 17, 2026Complaint inspection · 1 citation
  1. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 19, 2026
    Inspectors wroteBased on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 1 of 4 residents (Resident #1) reviewed for medical records accuracy, in that: The facility failed to ensure Resident #1's medical record was free of medication administration time entry errors on 3/12/2026, 3/13/2026, 3/16/2026, 3/17/2026 and 3/31/2026 as documented on the MAR by LVNs A, C, D, and F. This failure could place residents at risk for an inaccurate clinical picture and errors in care and treatment.
May 30, 2025Standard inspection · 6 citations
  1. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on record reviews and interviews the facility failed to send a copy of the residents' discharge notice, prior to discharge, to the representative of the Office of the State Long-Term Care (LTC) Ombudsman of the residents' transfer or discharge and the reasons for the move, for 4 of 8 residents (Residents #24, #25, #30, and #35) reviewed for notifying the LTC Ombudsman of the residents' discharge. 1. Resident #30 was discharged to the hospital on 3/29/2025 without a notice to the LTC state ombudsman. 2. Resident #35 was discharged on 4/15/2025 without a notice to the LTC state ombudsman. 3. Resident #25 was issued a 30-day notice on 5/8/2025 of an intended discharge on [DATE], without a notice to the LTC state ombudsman. 4. Resident #24 was issued a 30-day notice on 5/14/2025 of an intended discharge on [DATE], without a notice to the LTC state ombudsman. [...]
  2. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure that residents received treatments and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices, for 1 of 8 residents (Resident #11) reviewed for professional standards with medication administration. On 5/25/2025 and 5/26/2025 Medication Aides B and C did not administer Resident #11's alprazolam (a medication which reduces brain sensitivity to stimulation, which has a calming effect) medications 4 out of a possible 5 opportunities. Medication Aides B and C did not report the missed medication administrations to the nursing leadership. These failures could place residents at risk for harm by adverse reactions to sudden cessation of the medication which could include seizures and thoughts of suicide.
  3. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on interviews and record reviews the facility failed to maintain medical records on each resident that were complete, accurately documented, readily accessible, and were systematically organized, for 2 of 8 residents (Resident #3 and #8) reviewed for consents for accurate medical records. 1. Resident #3 was prescribed and received the antipsychotic medication risperidone for schizophrenia without evidence in his medical record of the state consent form 3713. 2. Resident #8 was prescribed and received the antipsychotic medication aripiprazole for depression without evidence in her medical record of the state consent form 3713. These failures could place residents at risk for inaccurate and unorganized medical records.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased on interview and record review, the facility failed to conduct an accurate comprehensive assessment of each resident's functional capacity including the resident's needs, strengths, goals, life history and preferences for 2 of 8 Residents (Residents #9, #13) reviewed for assessments. Resident #9 and Resident #13's Quarterly MDS Assessments did not reflect their significant weight loss. This failure could place residents at risk for not receiving the care and services as needed.
  5. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for 1 of 1 facility reviewed for food service safety. The facility failed to maintain the cleanliness of the facility ice maker. This failure could place residents who receive food and/or snacks from the facility at risk for food borne illness.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2025
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure standard and transmission-based precautions which included hand hygiene procedures, were followed by staff involved in direct resident contact, to prevent spread of infections, for 1 of 8 residents (Resident #8) reviewed for transmission-based precautions. On 5/29/2025 LVN A provided a wound care bandage change for Resident #8 and did not change gloves and continued with soiled gloves when he removed Resident #8's dirty bandage, cleaned the wound, applied wound care treatment medication, and applied a clean bandage. This failure could place residents at risk for infections.
January 24, 2025Complaint inspection · 4 citations
  1. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure residents had the right to be free from misappropriation of resident property for 1 of 7 residents (Resident #4) reviewed for controlled narcotic medications. Resident #4 was hospitalized from [DATE] to 6/2/2024 and upon admission to the facility, on 6/2/2025, the facility recognized they failed to secure and thereby lost, Resident #4's, 41 pills of hydrocodone acetaminophen 10mg/325mg. This failure could place residents at risk for harm by losing control of their medications.
  2. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2025
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to develop, within 7 days after completion of the comprehensive assessment, a care plan and invited, to the extent practicable, the participation of the resident and the resident's representative(s) with an explanation in the resident's medical record if the participation of the resident and their resident representative was determined not practicable for the development of the resident's care plan and reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments for 2 of 6 (#1, #5) residents reviewed for revised care plans. 1. Resident #1's care plan dated 9/27/2024 was not updated because the CP had current revision dates but did not coincide with the MDS dates. 2. [...]
  3. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure the resident has the right to voice grievances to the facility or other agency or entity that hears grievances without discrimination or reprisal and without fear of discrimination or reprisal. Such grievances include those with respect to care and treatment which has been furnished as well as that which has not been furnished, the behavior of staff and of other residents, and other concerns regarding their LTC facility stay. The resident has the right to do, and the facility must make prompt efforts to resolve grievances for 1 of 3 (# 2) residents in that: Resident #2's family had a grievance that was not resolved by the ADM from 12/11/202 to current (43) days. ADM did not call family back to discuss the resolve. [...]
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 12, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure the development and comprehensive-centered care plan for each resident, consistent with the resident rights, that measurable objectives and timeframes to meet a residents medical, nursing, and mental and psychological needs that are identified in the comprehensive assessment. The comprehensive care plan must describe the following -The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being as required under and the resident's goals for admission and desired outcomes for 2 of 3 (#2, #3) residents in that: 1. Resident #2's care plan dated 6/30/2024 was not updated with a manual wheelchair and that the resident had lower extremity impairment. 2. Resident #3 care plan dated 4/10/24 was not updated with several e-signatures or completed. [...]
April 19, 2024Complaint inspection · 4 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services as outlined by the comprehensive care plan that meet professional standards of quality for 1 of 5 residents (Resident #1) reviewed for (insert type of care plan you were reviewing) in that: The facility failed to ensure Resident #1's care plan addressed his contractures. This failure could place residents at risk for not receiving the care and services to meet their needs.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure incontinent care was provided in accordance with appropriate treatment and service practices to prevent urinary tract infections and to restore continence to the extent possible for 1 of 5 residents (Resident #2) reviewed for incontinent care and catheter care, in that: The facility failed to ensure Resident #2's urinary catheter tubing was secured. This failure could place residents at risk for infection, pain, and skin break down due to improper care practices. [...]
  3. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all drugs and biologicals were stored in accordance with currently accepted professional principles in locked compartments and permit only authorized personnel to have access to the keys for 1 of 5 residents (Resident #2) reviewed for storage of drugs, in that: The facility failed to ensure Resident #2's nystatin powder [a medication for fungus] was secured. This failure could place residents at risk of medication misuse and diversion.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 residents (Resident #4) reviewed for infection control in that: During Resident #4's wound care, ADON failed to perform hand hygiene appropriately. This failure could affect residents and place them at risk for infection.
April 5, 2024Standard inspection · 5 citations
  1. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure when the facility transfers or discharges a resident under any of the circumstances, the facility must ensure that the transfer or discharge is documented in the resident's medical record and appropriate information is communicated to the receiving health care institution or provider for 1 of 3 (Resident #35) residents reviewed in that: Resident #35 was discharged on 2/28/2024 and did not have a discharge summary report in the chart. This could affect all residents that had been discharged and could result in an inappropriate discharge.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident environment remains as free of accident hazards for 1 of 8 (#2) residents reviewed in that: Resident #2 had at bedside with no nurse supervision the following items: Insulin needles x 7, Pen needles x 9, Alcohol wipes, and a test strip container. This could affect all residents and could result in harm.
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the medication error rate was not 5 percent (%) or greater. The facility had a medication error rate of 35.71%, based on 10 errors of 28 opportunities, which involved five of six residents (Residents #19, #13, #29, #2, and #17) and two of two staff (LVN B, and MA C) reviewed for medication administration, in that; The facility failed to ensure: 1.a. LVN B failed to administer Resident #13's: eye drops a. Benzonatate, a cough suppressant, at the prescribed time. b. Buspirone, an antianxiety agent, at the prescribed time. c.b. Olopatadine 0.2%, an antihistamine to treat itching and redness in the eye due to allergies. 2.2. MA C failed to administer Resident #29's Refresh liquid gel 1% eye drops, an eye lubricant to treat dry eye, at the prescribed time. 3.3. [...]
  4. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys for 1 of 3 medication carts (the Treatment Cart) reviewed for medication storage, in that. The facility failed to ensure the Treatment Cart was locked when it was left unattended in the common area of the 300-hallway. This deficient practice could place residents at risk of medication misuse or drug diversion.
  5. D
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    F912 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 6, 2024
    Inspectors wroteBased on observation and interview, the facility failed to provide a minimum of 80 square feet per resident in 32 of 39 resident rooms (Rooms 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 202, 203, 204, 205, 206, 208, 209, 210, 211, 302, 304, 307, 308, 309, 310, 311, 312, 313, 314, 317, and 319) reviewed in that: This deficient practice could result in inadequate space to provide care and resident dissatisfaction with the environment.
March 13, 2024Complaint inspection · 3 citations
  1. D
    Provide care by qualified persons according to each resident's written plan of care.
    F659 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on observations, interview and record review, the facility failed to ensure the services provided or arranged by the facility, as outlined by the comprehensive care plan, were provided by qualified persons in accordance with each resident's written plan of care for 1 of 9 residents (Resident #7) reviewed for services by qualifiied personnel. The facility did not ensure RN B's license was not expired when care was provided to residents which included Resident #7. This failure could place all residents at risk for not receiving appropriate care and treatment as outlined in their comprehensive care plan. Findings Included: [...]
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interviews, and record reviews the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and that each resident received adequate supervision and assistance devices to prevent accidents for 1 of 1 (Resident #6) residents reviewed for accidents. Resident #6 eloped from the facility on 03/07/24 after a visitor opened the front door, pushed Resident #6 in her wheelchair out of the facility and another individual pushed Resident #6 across the street to Hospital C where she was found several hours later. This non-compliance was identified as past non-compliance IJ. The non-compliance began on 3/07/2024 and removed on 3/07/2024. The facility had corrected the noncompliance before survey began. This failure could place residents at risk for harm due to risk of elopement.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 14, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services to meet the needs of each resident for one (300 Hall medication cart) of two medication carts reviewed for labeling and storage. The facility failed to ensure Thiamin B1 (a vitamin) vial that was expired was removed from the 300-hall cart. This failure placed residents at risk of receiving medications and vitamins that were ineffective due to having expired vitamins on the cart.

Fire safety inspections

10 fire safety citations on file: 1 on July 9, 2026, 8 on May 30, 2025, 1 on April 5, 2024.

Every fire safety citation10 citations
  1. E
    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
    K 343 · July 9, 2026 · Corrected (the home has a date of correction)
  2. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 30, 2025 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 30, 2025 · Corrected (the home has a date of correction)
  4. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · May 30, 2025 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 30, 2025 · Corrected (the home has a date of correction)
  6. E
    Provide primary/alternate means for communication.
    E 32 · May 30, 2025 · Corrected (the home has a date of correction)
  7. E
    Have properly located and lighted "Exit" signs.
    K 293 · May 30, 2025 · Corrected (the home has a date of correction)
  8. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 30, 2025 · Corrected (the home has a date of correction)
  9. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 30, 2025 · no revisit needed
  10. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · April 5, 2024 · Waiver

Fines and payment denials

DatePenaltyAmount or length
March 13, 2024Fine $9,600

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)4.313.393.86
Registered nurses0.390.430.69
All nursing staff on weekends4.272.983.42
Nurse aides2.53
Licensed practical nurses1.40
Nursing staff turnover (share who left in a year)64.0%55.3%45.8%
Registered nurse turnover62.5%54.6%42.9%
Administrators who leftnot reported

CMS expects 3.95 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.33 on weekdays and 4.27 on weekends, 1% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.65 in April to June 2025 to 4.31 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.310.394.334.27 4.7%0 of 9033
Oct to Dec 20253.910.343.963.78 2.0%0 of 9234
Jul to Sep 20253.640.443.733.39 3.2%0 of 9236
Apr to Jun 20253.650.493.723.47 2.4%0 of 9135
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
19.115.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.73.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.81.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.214.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.43.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
40.49.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.225.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
23.212.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.72.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.02.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Atrium Rehabilitation Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 14 eligible stays.

Potentially preventable readmissions

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 19 eligible stays.

Infections that led to a hospital stay

8.9% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 27 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 6 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 14 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 14 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: HAMILTON COUNTY HOSPITAL DISTRICT. CMS links this home to Paramount Healthcare, a group of 8 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Fredericksburg Properties of Texas, LP5% or greater mortgage interestOrganization04/01/2023
Golden, Lauren5% or greater mortgage interestIndividual04/01/2023
Golden, Shawn5% or greater mortgage interestIndividual04/01/2023
Prince, Danny5% or greater mortgage interestIndividual04/01/2023
Hooper, GradyCorporate officerIndividual04/01/2023
Dkp Investments, LLCOperational/managerial controlOrganization04/01/2023
Slm Investments LLCOperational/managerial controlOrganization04/01/2023
The Fredericksburg Care Co., LPOperational/managerial controlOrganization04/01/2023
Gupta, PreetiOperational/managerial controlIndividual04/01/2023
Loredo-Gonzalez, CristyanOperational/managerial controlIndividual04/01/2023
Prince, DannyOperational/managerial controlIndividual04/01/2023
Fredericksburg Properties of Texas, LPAdp of the SNFOrganization04/01/2023
The Fredericksburg Care Co., LPAdp of the SNFOrganization04/22/2025
Golden, LaurenAdp of the SNFIndividual04/01/2023
Golden, ShawnAdp of the SNFIndividual04/01/2023
Gupta, PreetiAdp of the SNFIndividual04/01/2023
Loredo-Gonzalez, CristyanAdp of the SNFIndividual04/01/2023
Prince, DannyAdp of the SNFIndividual04/01/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on July 9, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 9, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on July 9, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on May 30, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Atrium Rehabilitation Center's Medicare star rating?
CMS rates The Atrium Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Atrium Rehabilitation Center get at its last inspection?
5 health deficiencies at the standard inspection on July 9, 2026. The Texas average is 9.4.
Has The Atrium Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $9,600 in the last three years.
Does The Atrium Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Atrium Rehabilitation Center?
CMS lists 18 owners and managers, and links the home to Paramount Healthcare. Legal business name: HAMILTON COUNTY HOSPITAL DISTRICT.

Sources

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