Pam Specialty Hospital of San Antonio Medical Cen
A long-term care hospital in San Antonio, Texas 78240
8902 Floyd Curl Dr., San Antonio, Texas 78240. (210) 690-7000.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 10.8% of its patients went home or back to the community Worse than the national rate
- 1 deficiency cited in the last three years
- 62 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Jul 1, 2026: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
May 15, 2025: complaint inspection1 deficiency
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Leadership Responsibilities
The inspectors’ words, 320 words
“LEADERSHIP RESPONSIBILITIES CFR(s): Standard: Leadership responsibilities (1) The governing body must ensure all of the following: (i) Systems are in place and operational for the tracking of all infection surveillance, prevention, and control, and antibiotic use activities, in order to demonstrate the implementation, success, and sustainability of such activities. This Standard is not met as evidenced by: 26870 Based on record review and interviews, the facility failed to ensure systems were in place and operational for the tracking of all infection surveillance, prevention, and control. Specifically, the facility’s Director of Plant Operations failed to ensure that Housekeeping staff completed a patient room cleaning checklist and turn that checklist in daily per the facility’s policy. The findings include: Record review of the Intake Information TX005378065 stated in part...” On 2/5/2025, the room ICU bed 5 had blood splatter on the wall, residue on the EKG cords and an overall uncleanliness of the hospital room”. Interview on 4/28/25 at 1:15PM with the facility Director of Plant Operation revealed he searched for cleaning logs during that time frame of 2/5/2025 and could not find any cleaning log for ICU 5 confirming that room was terminally cleaned. He further stated the Housekeeping is supposed to turn in the cleaning logs to him after terminally cleaning the hospital room. Record review of the facility policy titled, Terminal Cleaning of Patient Room, under the Index Title: Infection Control, states in part.... It is the policy to have patient rooms be thoroughly cleaned and disinfected when a patient is discharged or transferred out of a room to decrease pathogenic microorganisms and the possibility of transmission of pathogenic organisms. 23. Daily cleaning checklit and procedures for all pateint rooms, bathrooms, corridors, nursing stations, other areas will be maintained in the Department of Environmental Services. 24. Housekeeping staff will complete the patient room cleaning checklist and turn in daily to assure the highest quality standards are maintained and met.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 1, 2026 | Complaint inspection | No deficiencies cited |
| Jul 21, 2025 | Complaint inspection | No deficiencies cited |
| May 15, 2025 | Complaint inspection | 1 deficiency cited |
| Mar 13, 2025 | Complaint inspection | No deficiencies cited |
How do patients fare?
- 10.84% of its patients returned home or to the community: worse than the national rate, as CMS compares it (Oct 1, 2023 to Sep 30, 2025).
- Compared by CMS: potentially preventable readmissions within 30 days after discharge, no different than the national rate (22.76%); catheter urinary tract infections (CAUTI), no different than the national benchmark (standardized infection ratio 0.862); central line bloodstream infections (CLABSI), no different than the national benchmark (standardized infection ratio 1.84); C. diff infections, better than the national benchmark (standardized infection ratio 0.429).
- As CMS gives them: patients with one or more falls with major injury, 0.15%; patients with new or worsened pressure ulcers or injuries, 5.65%; patients successfully weaned from a ventilator, 55.95%; patients at or above an expected ability to care for themselves and move around at discharge, 43.62%; Medicare spending per patient (1 is the national median), 1.14.
CMS, Long-Term Care Hospital - Provider Data. Released Sep 23, 2026. Updated quarterly.
Is it certified?
- Medicare-certified long-term care hospital since Sep 1, 1998.
- Ownership: for profit.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- For profit.
CMS, Long-Term Care Hospital - General Information. Released Sep 23, 2026. Updated quarterly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for these facilities.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- CMS doesn’t publish staffing levels for these facilities.
- 93.94% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Long-Term Care Hospital - Provider Data. Released Sep 23, 2026. Updated quarterly.
Who owns it?
- Pam Cubed Specialty Hospitals LLC owns 100% directly since Sep 30, 2019.
- 5 owners or officers are people: Brittany Misitano (owns 5% or more through other companies, 73.5%); Karick E Stober (corporate officer); Anthony F Misitano (corporate officer); Jennifer Lynn West (managing employee (on the payroll), 0%); Brittany Misitano (corporate officer).
- CMS’s Provider of Services file records 1 change of ownership, the latest on Mar 31, 2013.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Pam Cubed LLC | Owns 5% or more through other companies | 100% | Sep 30, 2019 |
| Pam Cubed Specialty Hospitals LLC | Owns 5% or more directly | 100% | Sep 30, 2019 |
| Wells Fargo Bank, N.A. | Holds 5% or more security interest | Jul 23, 2024 |
How does it compare nearby?
- Of the 4 long-term care hospitals CMS lists in Bexar County, 4 have CMS’s comparison of their discharges to the community with the national rate: 2 no different than the national rate, 2 worse than the national rate.
- CMS rates this one worse than the national rate for returning patients to the community.
CMS, Long-Term Care Hospital - Provider Data. Released Sep 23, 2026. Updated quarterly.
| Place | Discharged to the community |
|---|---|
| Kindred Hospital San Antonio | 14.0 |
| Kindred Hospital- San Antonio Central | 16.3 |
| Pam Specialty Hospital of San Antonio | 11.5 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for inpatient rehabilitation facilities or long-term care hospitals, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Many of these facilities are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for these facilities.
Sources
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Centers for Medicare & Medicaid Services, Long-Term Care Hospital - General Information (azum-44iv).
Released Sep 23, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Long-Term Care Hospital - Provider Data (fp6g-2gsn).
Released Sep 23, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.