Facility profile Texas

Laurel Ridge Treatment Center RTC

Now known as Laurel Ridge Treatment Center

Formerly The Brown Schools at Laurel Ridge

Also known as Laurel Ridge Treatment Center Child & Adolescent RTC

Open San Antonio, Texas

Laurel Ridge Treatment Center RTC is a residential treatment center in San Antonio, Texas, operated by Universal Health Services (UHS). It has operated since 1987.

About Laurel Ridge Treatment Center RTC

The Brown Schools, Inc. sold Laurel Ridge Treatment Center (196 licensed beds) to Psychiatric Solutions, Inc. in April 2003, one of six inpatient facilities it sold together for $63.0 million.source Universal Health Services completed its acquisition of Psychiatric Solutions, Inc., and with it Laurel Ridge, in November 2010.source It was run by Psychiatric Solutions, Inc.source

Its address was 17720 Corporate Woods Dr, San Antonio, TX 78259.source

Deaths on record

The memorial

Serious violations

What state inspectors found and confirmed here, in their own words. Each finding was picked out of the inspection reports and checked by our team before it was listed.

Sexual abuse Inspected Oct 28, 2024

Allegations involving inappropriate sexual comments made by a staff member were not reported timely to Licensing.

From the TX inspection report. Risk level: Medium High

Sexual abuse Inspected Mar 18, 2021

Staff were aware of allegations made by child in care regarding alleged inappropriate touching from a staff member.

From the TX inspection report. Risk level: Medium High

Restraint or seclusion causing injury Inspected Nov 27, 2024

Child in care was injured during an unnecessary restraint when excessive physical force was used.

From the TX inspection report. Risk level: High

Suicide attempt Inspected Dec 26, 2025

Subsequently, a child in care used the ribbon to attempt to hang themselves.

From the TX inspection report. Risk level: Medium High

Medical neglect Inspected Feb 26, 2026

During an investigation it was determined on multiple occasions nurses on staff administered the incorrect medication dosage giving a child in care a whole pill instead of the half pill the prescription label instructed to.

From the TX inspection report. Risk level: Medium High

Medical neglect Inspected Feb 26, 2026

On the first occasion, the children received the incorrect medication for two days; on the second occasion, the children received the incorrect medication on one day.

From the TX inspection report. Risk level: Medium High

Medical neglect Inspected Jan 21, 2026

A child sustained a hand fracture and was not provided medical care until 5 days later.

From the TX inspection report. Risk level: High

Hospitalisation Inspected Dec 27, 2025

Requests/submitted consults from nursing staff were declined leading to the child having to be sent to the ER.

From the TX inspection report. Risk level: High

Incidents on record

  1. August 18, 1997 Death

    On August 18, 1997 a 16-year-old girl died during a violent face-down restraint and Thorazine injection with eight staff watching; staff could not find emergency ventilation equipment.source

  2. February 6, 2000 Death

    On February 6, 2000 a 9-year-old boy, one month into his stay, died after being restrained face down; the death was attributed to a heart attack resulting from the restraint.source 1, source 2

  3. April 9, 2006 Death

    On April 9, 2006 a 16-year-old sent from Alaska died by suicide; a Texas Department of Family and Protective Services investigation found Laurel Ridge failed to check on him every 15 minutes as its policy required.source

  4. Reported December 2025 Abuse

    Survivors report verbal and physical abuse, excessive seclusion, violent restraints, overmedication and deceptive marketing at Laurel Ridge.source

News coverage

Licensing and inspections

Licensed as
Laurel Ridge Treatment Center
License category
General Residential Operation
Licensed capacity
42
License expires
2003-04-01
Licensing action
Full Permit
Phone on file
(210) 491-9400
Licensed address
17720 Corporate Woods Dr, San Antonio, TX 78259

81 inspection reports on file; the serious findings in them are listed above. Search all Texas reports

The newest 25 reports, by date: 25 findings in 25 reports
  1. Mar 22, 2026 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
    1 finding

    • Risk level: Medium High : 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair

      During an after hours inspection a wall was observed to be peeling, sheet rock was damaged and the base board was cut due to a bed being removed.

  2. Mar 19, 2026 748.3105(b) - Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report
    1 finding

    • Risk level: Medium High : 748.3105(b) - Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report

      The operation completed its annual fire inspection on time; however, the operation did not pass the inspection. The operation must address and correct all identified code violations to achieve compliance. This standard was re-cited due to the fire re-inspection resulting in violations. The operation made corrections following the initial inspection, however, they did not bring the operation into compliance with the respective fire codes.

  3. Mar 18, 2026 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
    1 finding

    • Risk level: Medium High : 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

      During an unannounced monitoring inspection, while assessing the medication for children in care seven out of nine medication counts were found to be incorrect.

  4. Mar 18, 2026 748.3397(a) - Bathing-Bath & shower areas must provide for individual privacy
    1 finding

    • Risk level: Medium : 748.3397(a) - Bathing-Bath & shower areas must provide for individual privacy

      During an unannounced monitoring inspection, a shower curtain was observed to not be in place, it was determined children in care had to shower without a curtain in place.

  5. Mar 4, 2026 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
    1 finding

    • Risk level: High : 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.

      During a follow-up inspection a wall was obsevred to have a water leak as well as the brick around the shower was warped due to the leak. Shower 413 was observed to be clogged and no draining adequately. The operation is blocking off the room with the wall damage caused by the water leak and will not be used until corrections are approved. ************************************ This was re-cited during a separate follow up inspection as the bathroom remains inoperable while repairs are being completed. ************************************* This was re-cited, although the shower is complete and no mold appears to be in the shower. The water pressue is high, causing the water to pool outside of the shower. Two soaked towels were observed on the floor completly wet. The operation is using an extra long shower curtain for the shower, but the water is still escaping causing a slipping hazard

  6. Mar 3, 2026 748.3105(b) - Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report
    1 finding

    • Risk level: Medium High : 748.3105(b) - Fire Inspection-Must comply with local code & all corrections, restrictions, or conditions specified by inspector in fire inspection report

      The operation completed its annual fire inspection on time; however, the operation did not pass the inspection. The operation must address and correct all identified code violations to achieve compliance.

  7. Feb 26, 2026 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
    1 finding

    • Risk level: Medium High : 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders

      During an investigation it was determined on multiple occasions nurses on staff administered the incorrect medication dosage giving a child in care a whole pill instead of the half pill the prescription label instructed to.

  8. Feb 26, 2026 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person
    1 finding

    • Risk level: Medium High : 748.2003(b)(10) - Administration of prescription medication-must not borrow or administer prescription medication to a child that is prescribed to another person

      During an investigation, it was found that on two occasions, a nursing staff mixed up the medications for two children in care. On the first occasion, the children received the incorrect medication for two days; on the second occasion, the children received the incorrect medication on one day. Additionally, on the second occasion, the nursing staff were not aware of the medication error until the children informed them of the error.

  9. Feb 10, 2026 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code §42.0563
    1 finding

    • Risk level: Medium : 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code §42.0563

      Three out of six staff records reviewed were missing the Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations (Form 2912) in their files.

  10. Feb 10, 2026 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
    1 finding

    • Risk level: Medium High : 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children

      During an unannounced monitoring inspection, one staff was observed to be responsible for 12 children for an unknown amount of time. Another staff member eventually joined the unit, however, the unit was still out of ratio as the ratio requirements are 1:5. During the inspection, an additional staff member joined the unit, bringing the unit into compliance with the 1:5 ratio requirements. Of note, the operation was counting two therapists within ratio for this group for a period, however, one therapist did not have the appropriate background check on file and would therefore not count in meeting the ratio requirements.

  11. Feb 10, 2026 745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
    1 finding

    • Risk level: High : 745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

      During an inspection, two therapists were observed to be counted within ratio; however, one therapist did not have a background check on file.

  12. Feb 4, 2026 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
    1 finding

    • Risk level: High : 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.

      During a follow-up inspection a wall was obsevred to have a water leak as well as the brick around the shower was warped due to the leak. Shower 413 was observed to be clogged and no draining adequately. The operation is blocking off the room with the wall damage caused by the water leak and will not be used until corrections are approved. ************************************ This was re-cited during a separate follow up inspection as the bathroom remains inoperable while repairs are being completed.

  13. Feb 4, 2026 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
    1 finding

    • Risk level: Medium High : 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children

      During an unannounced follow up inspection there were two groups of children requiring a ratio of 1:5 however they were observed at a ratio of 1:7, putting the groups out of ratio.

  14. Jan 30, 2026 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
    1 finding

    • Risk level: Medium High : 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      It was discovered staff were conducting inappropriate text conversations where children's behaviors were discussed and described as gossip. In addition, staff were facilitating contact with former employees who were terminated or resigned from the operation.

  15. Jan 30, 2026 748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies
    1 finding

    • Risk level: Medium : 748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies

      It was determined on site staff did not have any support or assigned person to respond to the heating system failing in one of the units. In addition, no one with a key was available to unlock the thermostat so temperature could be adjusted.

  16. Jan 30, 2026 748.2855(a)(7) - EBI Documentation-Must include the name of the caregiver(s) involved in the EBI and in the circumstances that led to the EBI
    1 finding

    • Risk level: Medium : 748.2855(a)(7) - EBI Documentation-Must include the name of the caregiver(s) involved in the EBI and in the circumstances that led to the EBI

      The provided EBI Report does not include staff members conducting the restraint/containment or the witnesses to the containment.

  17. Jan 30, 2026 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
    1 finding

    • Risk level: High : 748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.

      During the winter storm the heating system was not operating appropriately and there were multiple reports of heating issues in the units, including children's bedrooms. It was a noted a condenser fan motor failed and needed to be replaced. In addition, the thermostats are locked preventing accessibility by staff.

  18. Jan 22, 2026 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
    1 finding

    • Risk level: Medium High : 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

      Operation staff did not exercise prudent judgment when they allowed for two children previously involved in a verbal altercation remain in proximity of each other; this lead to the children engaging in a physical altercation resulting in severe injuries to one of the children in care.

  19. Jan 22, 2026 745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
    1 finding

    • Risk level: High : 745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

      Two direct care staff in ratio during the incident did not have a background check under the RTC.

  20. Jan 22, 2026 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
    1 finding

    • Risk level: Medium : 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records

      A serious incident report completed by the administrator reflected X-ray results for a child when the child never received any X-rays, making the report inaccurate.

  21. Jan 21, 2026 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
    1 finding

    • Risk level: Medium High : 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization

      A child sustained an injury on 2/15/26. The operation sought medical care on 2/20/26 and did not notify CCR within the 24-hour reporting requirement.

  22. Jan 21, 2026 748.303(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.
    1 finding

    • Risk level: Medium High : 748.303(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child.

      A child in care became injured on 1/15/26 and the operation notified the parent on 1/16/26. The operation sought medical treatment for the child on 1/20/26 and did not notify the parent until 1/21/26.

  23. Jan 21, 2026 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
    1 finding

    • Risk level: High : 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain

      A child sustained a hand fracture and was not provided medical care until 5 days later.

  24. Jan 21, 2026 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
    1 finding

    • Risk level: Medium : 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication

      While reviewing a medication log for a child in care, it was noted that there was no name or signature of the staff who administered a medication to a child.

  25. Dec 27, 2025 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)
    1 finding

    • Risk level: Medium : 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)

      Serious Incident Report does not contain all required information related to staff/witnesses. In addition, the phone number provided for one staff member is not correct (different employee), and the other direct care staff member stated she was not present at the operation from December 25-27th.

Connections on the network map

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Ownership

  • Psychiatric Solutions Inc past operator
  • The Brown Schools past operator

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Record updated . Generated from the Kids Over Profits facility database. Suggest a correction