Meridian Care Monte Vista
616 W Russell Pl, San Antonio, TX 78212 · Bexar County
For-profit · 106 certified beds · 54% occupancy · (210) 735-9233
Meridian Care Monte Vista reviews: what the government record shows
The U.S. government (CMS) rates Meridian Care Monte Vista 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 4.74 hrs/resident/day (+45% vs TX median)
- Antipsychotic drug use
- 10.2% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 5.7% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $23,438
- Inspection findings
- 49 cited, 2 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 4.74 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Pressure-ulcer (bedsore) rate of 14.4% is well above the Texas median of 3.3%.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
- ·How often are residents repositioned, and who checks skin daily?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Meridian Care Monte Vista
Is Meridian Care Monte Vista a good nursing home?
Meridian Care Monte Vista in San Antonio, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Meridian Care Monte Vista staffed?
Meridian Care Monte Vista reports 4.74 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Meridian Care Monte Vista been fined or flagged for abuse?
Meridian Care Monte Vista has paid approximately $23,438 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
4.74 nurse hours per resident per day. 45% above the Texas median of 3.27.
Nursing staff turnover: 68.4% · RN turnover: 75%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0578 · Mar 20, 2026Complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
- Immediate jeopardyTag F0678 · Aug 3, 2025ComplaintCorrected Aug 4, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies
- Potential for harmTag F0921 · Nov 25, 2025ComplaintCorrected Dec 25, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0580 · May 20, 2026ComplaintCorrected May 21, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
- Potential for harmTag F0755 · May 20, 2026ComplaintCorrected May 21, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0552 · Feb 13, 2026Corrected Mar 1, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
- Potential for harmTag F0761 · Feb 13, 2026Corrected Mar 1, 2026
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Feb 13, 2026Corrected Mar 1, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0921 · Feb 13, 2026Corrected Mar 1, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0880 · Aug 19, 2025ComplaintCorrected Aug 20, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Showing the 10 most recent and serious of 49 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - individual). It is independently operated, not part of a multi-facility chain.