Skilled nursing facility · CMS certification number 455969

PATRIOT HEIGHTS HEALTH CARE CENTER

SAN ANTONIO, Texas · Medicare and Medicaid · 74 certified beds in Care Compare

Download PATRIOT HEIGHTS HEALTH CARE CENTER’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $28,033.00 · Payment denials: 0. The most recent penalty on file: October 31, 2025, Fine, $15,129. Every penalty on file ↓

PATRIOT HEIGHTS HEALTH CARE CENTER: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on May 23, 2025.
Net patient revenue fell from $7.2M in fiscal year 2023 to $6.6M in fiscal year 2024.
Its result from service to patients: $521K (2022), $150K (2023), $175K (2024).
Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
Its net patient revenue of $6.6M ranks 343rd of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a gain on service to patients.

PATRIOT HEIGHTS HEALTH CARE CENTER: Medicare cost reports

Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-10	2024 · report 1424637	2023 · report 1392192	2022 · report 1364209	2021 · report 1332318	2020 · report 1300797	2019 · report 1265840	2018 · report 1238521	2017 · report 1209897	2016 · report 1169620	2015 · report 1138620	2014 · report 1104682	2013 · report 1075026	2012 · report 1043467	2011 · report 1016455
Processed by CMS	May 23, 2025	August 14, 2024	September 9, 2023	September 16, 2022	September 22, 2021	September 9, 2020	July 26, 2019	August 21, 2018	July 18, 2017	July 28, 2016	July 25, 2015	August 5, 2014	July 24, 2013	October 26, 2012
Total patient revenue	$7,976,247	$9,249,384	$9,334,254	$7,151,160	$5,604,324	$13,590,084	$13,615,232	$12,475,312	$6,335,773	$6,672,442	$11,833,881	$12,555,904	$10,791,569	$10,675,089
Contractual allowances and discounts	$1,407,034	$2,072,762	$1,813,453	$506,779	$665,353	$1,987,601	$1,963,495	$1,942,323	−$3,281,982	$1,845,378	$1,263,430	$1,016,246	$298,532	$291,108
Net patient revenue	$6,569,213	$7,176,622	$7,520,801	$6,644,381	$4,938,971	$11,602,483	$11,651,737	$10,532,989	$9,617,755	$4,827,064	$10,570,451	$11,539,658	$10,493,037	$10,383,981
Total operating expenses	$6,394,052	$7,026,172	$6,999,493	$6,311,301	$5,545,641	$15,465,248	$12,850,149	$11,484,173	$11,513,571	$11,557,809	$11,130,518	$10,797,339	$10,006,202	$9,790,514
Net income from service to patients	$175,161	$150,450	$521,308	$333,080	−$606,670	−$3,862,765	−$1,198,412	−$951,184	−$1,895,816	−$6,730,745	−$560,067	$742,319	$486,835	$593,467
Total other income	$3,650	$3,079	$998	$4,261	$2,904	$28,387	$44,919	$110,840	$441,744	$6,059,829	$295,712	$37,008	$32,573	$301,243
Net income after other income	$178,811	$153,529	$522,306	$337,341	−$603,766	−$3,834,378	−$1,153,493	−$840,344	−$1,454,072	−$670,916	−$264,355	$779,327	$519,408	$894,710
Net income	$177,346	$153,529	$522,306	$337,341	−$603,766	−$3,834,378	−$1,153,493	−$840,344	−$1,454,072	−$670,916	−$264,355	$779,327	$519,408	$894,709
Total facility beds, all components	70	68	59	59	59	74	74	74	74	74	74	74	74	74
Bed days available, all components	25,620	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicare (Title XVIII) patient days	1,308	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid (Title XIX) patient days	6,241	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer patient days	9,473	—	—	—	—	—	—	—	—	—	—	—	—	—
Total patient days, all components	17,022	19,454	19,729	17,240	13,018	17,329	18,234	18,536	14,271	16,841	16,146	21,009	18,480	18,165
Medicare discharges	43	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid discharges	18	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer discharges	265	—	—	—	—	—	—	—	—	—	—	—	—	—
Total discharges, all components	326	335	394	254	251	460	434	380	306	408	291	352	351	333
Average length of stay, Medicare, in days	30.42	40.43	33.24	37.36	27.09	22.61	25.84	24.08	21.44	29.12	32.59	35.28	37.28	34.35
Average length of stay, Medicaid, in days	346.72	528.92	399.86	240.69	563.67	—	—	—	—	—	—	—	—	299.17
Average length of stay, all patients, in days	52.21	58.07	50.07	67.87	51.86	37.67	42.01	48.78	46.64	41.28	55.48	59.68	52.65	54.55

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-96	2010 · report 414956	2009 · report 383350	2008 · report 353852	2007 · report 322175	2006 · report 296457	2005 · report 266703	2004 · report 240023	2003 · report 204454	2002 · report 204604	2001 · report 168048	2000 · report 95882	1999 · report 95880	1998 · report 95879	1997 · report 95877	1996 · report 95876
Period began	January 1, 2010	January 1, 2009	January 1, 2008	January 1, 2007	January 1, 2006	April 6, 2005	January 1, 2004	January 1, 2003	January 1, 2002	January 1, 2001	January 1, 2000	January 1, 1999	January 1, 1998	January 1, 1997	January 1, 1996
Period ended	December 31, 2010	December 31, 2009	December 31, 2008	December 31, 2007	December 31, 2006	December 31, 2005	December 31, 2004	December 31, 2003	December 31, 2002	December 31, 2001	December 31, 2000	December 31, 1999	December 31, 1998	December 31, 1997	December 31, 1996
Days, where not a full year	—	—	—	—	—	269	—	—	—	—	—	—	—	—	—
Report status	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled with audit	as submitted	settled	as submitted
Processed by CMS	August 9, 2011	July 27, 2010	August 5, 2009	July 30, 2008	November 16, 2007	November 17, 2006	December 23, 2005	January 20, 2005	January 20, 2005	January 30, 2004	December 19, 2001	January 16, 2001	November 15, 1999	March 18, 1999	June 9, 1997
Net patient revenue	$10,394,999	$9,723,203	$9,076,042	$8,574,384	$7,909,575	$5,209,270	$7,026,269	$6,942,291	$6,446,037	$6,019,510	$5,523,354	$5,388,102	$5,901,022	$5,422,063	$4,961,981
Total operating expenses	$11,035,223	$9,160,756	$10,728,405	$8,018,281	$7,773,209	$6,173,966	$6,458,002	$6,831,098	$6,607,538	$6,332,617	$6,070,580	$5,577,161	$5,968,399	$5,412,712	$5,077,713
Net income from service to patients	−$640,224	$562,447	−$1,652,363	$556,103	$136,366	−$964,696	$568,267	$111,193	−$161,501	−$313,107	−$547,226	−$189,059	−$67,377	$9,351	−$115,732
Total other income	$177,413	$123,226	$65,020	$58,220	$18,962	$51,660	$117,303	$94,097	$69,975	$104,090	$256,429	$246,966	$89,031	—	—
Total other expenses	$2	$1	—	$3,541	—	—	$63,259	$73,063	−$3,919	$211,119	−$2,703	$106	—	—	—
Net income	−$462,813	$685,672	−$1,587,343	$610,782	$155,328	−$913,036	$622,311	$132,227	−$87,607	−$420,136	−$288,094	$57,801	$21,654	$9,351	−$115,732
Total facility beds, all components	74	74	72	72	72	72	72	72	62	62	68	62	62	86	86
Total patient days, all components	18,768	18,625	18,959	19,438	21,109	13,881	19,321	21,725	19,578	18,446	17,348	21,460	21,642	20,582	21,869
Total discharges, all components	365	338	135	182	225	102	102	153	208	444	172	154	150	137	156
Average length of stay, Medicare, in days	19.28	21.63	40.33	31.79	37.9	33.19	47.49	29.13	17.46	10.22	22.92	34.07	36.81	33.9	30.62
Average length of stay, Medicaid, in days	104.07	131	395.4	—	—	—	512.75	—	—	—	—	—	—	—	—
Average length of stay, all patients, in days	51.42	55.1	140.44	106.8	93.82	136.09	189.42	141.99	94.13	41.55	100.86	139.35	144.28	150.23	140.19

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

PATRIOT HEIGHTS HEALTH CARE CENTER: nurse staffing hours by quarter →

Who owns PATRIOT HEIGHTS HEALTH CARE CENTER, as filed with CMS

Care Compare

ADP OF THE SNF: BREWER, DEVIN (individual), since 09/06/2024; ENSIGN SERVICES INC (organization), since 01/01/2020; FAWN MEADOWS HEALTH HOLDINGS LLC (organization), since 01/01/2022; STANDARD BEARER HEALTHCARE OP, LP (organization), since 01/01/2022; THE ENSIGN GROUP INC (organization), since 01/01/2022; VU, VU (individual), since 05/04/2022
DIRECT OWNERSHIP INTEREST: KEYSTONE CARE LLC (organization), since 10/02/2019
INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), since 01/30/2006
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: ASHTON, ANDREW (individual), since 09/08/2025; KEETCH, CHAD (individual), since 09/08/2025; PORT, BARRY (individual), since 09/08/2025
MANAGING CONTROL - GOVERNING BODY: BREWER, DEVIN (individual), since 09/06/2024; VU, VU (individual), since 05/04/2022
OPERATIONAL/MANAGERIAL CONTROL: BREWER, DEVIN (individual), since 09/06/2024; BURNAM, SOON (individual), since 10/02/2019; VU, VU (individual), since 05/04/2022

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of GREEN MOUNTAIN HEALTHCARE LLC (enrollment ID O20200107001612).

ADP OF THE SNF: DEVIN BREWER (individual), since 09/06/2024; ENSIGN SERVICES INC (organization), since 01/01/2020; FAWN MEADOWS HEALTH HOLDINGS LLC (organization), since 01/01/2022; STANDARD BEARER HEALTHCARE OP, LP (organization), since 01/01/2022; THE ENSIGN GROUP INC (organization), since 01/01/2022; VU NGUYEN VU (individual), since 05/04/2022
DIRECT OWNERSHIP INTEREST: KEYSTONE CARE LLC (organization), 100.00%, since 10/02/2019
INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 01/30/2006
MANAGING CONTROL - GOVERNING BODY: DEVIN BREWER (individual), since 09/06/2024; VU NGUYEN VU (individual), since 05/04/2022
OPERATIONAL/MANAGERIAL CONTROL: DEVIN BREWER (individual), since 09/06/2024; SOON BURNAM (individual), since 10/02/2019; VU NGUYEN VU (individual), since 05/04/2022

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: Paused by CMS: DEVIN BREWER; VU NGUYEN VU; DEVIN BREWER; VU NGUYEN VU; DEVIN BREWER; SOON BURNAM; VU NGUYEN VU.

Private equity company, real estate investment trust and holding company: No: ENSIGN SERVICES INC; FAWN MEADOWS HEALTH HOLDINGS LLC; STANDARD BEARER HEALTHCARE OP, LP; THE ENSIGN GROUP INC; KEYSTONE CARE LLC; THE ENSIGN GROUP INC.

Changes in ownership

May 1, 2026, enrollment ownership file; no longer listed: SOON BURNAM (CORPORATE OFFICER); CRAIG FITCH (CORPORATE OFFICER); THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); ANDREW ASHTON (OPERATIONAL/MANAGERIAL CONTROL); ANDREW ASHTON (W-2 MANAGING EMPLOYEE); ANDREW ASHTON (CORPORATE OFFICER); KEVIN NICCUM (CORPORATE DIRECTOR); KEYSTONE CARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since October 2, 2019; STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF), associated since January 1, 2022; ENSIGN SERVICES INC (ADP OF THE SNF), associated since January 1, 2020; THE ENSIGN GROUP INC (INDIRECT OWNERSHIP INTEREST), associated since January 30, 2006; THE ENSIGN GROUP INC (ADP OF THE SNF), associated since January 1, 2022; DEVIN BREWER (ADP OF THE SNF), associated since September 6, 2024; DEVIN BREWER (MANAGING CONTROL - GOVERNING BODY), associated since September 6, 2024; DEVIN BREWER (OPERATIONAL/MANAGERIAL CONTROL), associated since September 6, 2024; FAWN MEADOWS HEALTH HOLDINGS LLC (ADP OF THE SNF), associated since January 1, 2022; KEYSTONE CARE LLC (DIRECT OWNERSHIP INTEREST), associated since October 2, 2019; VU NGUYEN VU (ADP OF THE SNF), associated since May 4, 2022; VU NGUYEN VU (MANAGING CONTROL - GOVERNING BODY), associated since May 4, 2022; VU NGUYEN VU (OPERATIONAL/MANAGERIAL CONTROL), associated since May 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv

Recent changes on this record

August 12, 2026: A deficiency was cited under tag F 0695, scope and severity D. NH_HealthCitations_Oct2026.csv
August 12, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Oct2026.csv
August 12, 2026: A deficiency was cited under tag F 0641, scope and severity D. NH_HealthCitations_Oct2026.csv

Inspections of PATRIOT HEIGHTS HEALTH CARE CENTER

Cycle 1: health September 5, 2025 (8 deficiencies), fire safety September 5, 2025 (3)
Cycle 2: health July 31, 2024 (7 deficiencies), fire safety July 31, 2024 (1)
Cycle 3: health May 26, 2023 (11 deficiencies), fire safety May 26, 2023 (1)

Deficiencies cited at PATRIOT HEIGHTS HEALTH CARE CENTER

28 deficiencies on file, by tag, newest citation first

every one from a health inspection; 16 cited from a complaint, marked below. Letter after a date: scope and severity grade.

F 0641, resident assessment and care planning: August 12, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 12, 2026); September 5, 2025 (D, Deficient, Provider has date of correction, corrected September 8, 2025); July 31, 2024 (D, Deficient, Provider has date of correction, corrected August 1, 2024).
F 0656, resident assessment and care planning: August 12, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 12, 2026).
F 0695, quality of life and care: August 12, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected September 12, 2026); July 31, 2024 (D, Deficient, Provider has date of correction, corrected August 1, 2024); February 15, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 19, 2024).
F 0689, quality of life and care: May 6, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected June 7, 2026); September 20, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 4, 2023).
F 0761, pharmacy service: May 6, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected June 7, 2026); July 31, 2024 (E, Deficient, Provider has date of correction, corrected August 1, 2024).
F 0600, freedom from abuse, neglect, and exploitation: October 31, 2025 (J, from a complaint, Past Non-Compliance).
F 0921, environmental: September 5, 2025 (D, Deficient, Provider has date of correction, corrected September 8, 2025).
F 0609, freedom from abuse, neglect, and exploitation: July 16, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected July 17, 2025).
F 0760, pharmacy service: July 31, 2024 (D, Deficient, Provider has date of correction, corrected August 1, 2024).
F 0813, nutrition and dietary: July 31, 2024 (D, Deficient, Provider has date of correction, corrected August 1, 2024).
F 0842, resident assessment and care planning: July 31, 2024 (D, Deficient, Provider has date of correction, corrected August 1, 2024); December 23, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected January 25, 2024).
F 0580, resident rights: January 25, 2024 (J, from a complaint, Past Non-Compliance, corrected November 30, 2023); September 20, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 4, 2023).
F 0626, resident rights: January 25, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 20, 2024).
F 0684, quality of life and care: January 25, 2024 (J, from a complaint, Past Non-Compliance, corrected November 30, 2023); May 26, 2023 (D, Deficient, Provider has date of correction, corrected June 9, 2023).
F 0755, pharmacy service: October 5, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected October 19, 2023).
F 0757, pharmacy service: October 5, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected October 19, 2023).
F 0550, resident rights: May 26, 2023 (D, Deficient, Provider has date of correction, corrected June 9, 2023).
F 0640, resident assessment and care planning: May 26, 2023 (B, Deficient, Provider has date of correction, corrected June 9, 2023).
F 0880, infection control: May 26, 2023 (D, Deficient, Provider has date of correction, corrected June 9, 2023).

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
October 31, 2025	Fine	$15,129			135792
December 23, 2023	Fine	$12,904			112231

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

PATRIOT HEIGHTS HEALTH CARE CENTER in Care Compare

Ownership Type: For profit - Corporation
Legal Business Name: GREEN MOUNTAIN HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services: 1991-11-15
Provider Resides in Hospital: N
Continuing Care Retirement Community: N
Urban: Y
County/Parish: Bexar
Telephone Number: 2106966005
Chain Name: THE ENSIGN GROUP
Chain ID: 507
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Average Number of Residents per Day: 57.1
Overall Rating: 3
Health Inspection Rating: 2
QM Rating: 5
Long-Stay QM Rating: 4
Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in SAN ANTONIO

Report a figure on PATRIOT HEIGHTS HEALTH CARE CENTER’s record that differs from its CMS file, quoting 455969.