Texas › Bexar County › San Antonio
Meridian Care Monte Vista
616 W Russell Pl, San Antonio, TX 78212
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 106 beds, Meridian Care Monte Vista serves San Antonio in Bexar County, Texas and has taken Medicare and Medicaid residents since 1978.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 49 health deficiencies across the three most recent survey cycles (15, 16, 18 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 46.2 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $23K.
Reported nurse staffing is 4.7 hours per resident per day (0.4 RN), above the Texas median of 3.3; nursing staff turnover is 68.4%.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 49 | 38 | 25 | 28.7 |
| Citations per 100 beds | 46.2 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.7 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 68.4% | 50.0% | 52.1% | 45.8% |
| Fines listed | $23,438 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Feb 2026, 6 Nov 2024.
Severity mix: J ×2 D ×27 E ×17 F ×1 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 21 May 2026 |
| 20 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 21 May 2026 |
| 20 Mar 2026 | F0578 | 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. | J | Complaint investigation | Past Non-Compliance |
| 13 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 1 Mar 2026 |
| 13 Feb 2026 | F0761 | 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. | E | Standard survey | 1 Mar 2026 |
| 13 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Mar 2026 |
| 13 Feb 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 1 Mar 2026 |
| 13 Feb 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 1 Mar 2026 |
| 13 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Mar 2026 |
| 13 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 Mar 2026 |
| 13 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Mar 2026 |
| 13 Feb 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 1 Mar 2026 |
| 25 Nov 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 25 Dec 2025 |
| 19 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 Aug 2025 |
| 3 Aug 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 4 Aug 2025 |
| 20 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 21 Jun 2025 |
| 20 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 21 Jun 2025 |
| 20 Jun 2025 | F0761 | 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. | E | Complaint investigation | 21 Jun 2025 |
| 20 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 21 Jun 2025 |
| 20 Jun 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 21 Jun 2025 |
| 20 Jun 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 11 Mar 2025 |
| 20 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 21 Jun 2025 |
| 17 Jan 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 18 Jan 2025 |
| 6 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 Nov 2024 |
| 6 Nov 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 7 Nov 2024 |
| 6 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 7 Nov 2024 |
| 6 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 Nov 2024 |
| 6 Nov 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 7 Nov 2024 |
| 6 Nov 2024 | F0761 | 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. | D | Complaint investigation | 7 Nov 2024 |
| 6 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Nov 2024 |
| 6 Nov 2024 | F0814 | Dispose of garbage and refuse properly. | C | Complaint investigation | 7 Nov 2024 |
| 28 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 May 2024 |
| 28 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 30 May 2024 |
| 22 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 29 Sep 2023 |
| 22 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 29 Sep 2023 |
| 22 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 29 Sep 2023 |
| 22 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 29 Sep 2023 |
| 22 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 25 Sep 2023 |
| 22 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 25 Sep 2023 |
| 22 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 29 Sep 2023 |
| 22 Sep 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 29 Sep 2023 |
| 22 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 29 Sep 2023 |
| 22 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 29 Sep 2023 |
| 22 Sep 2023 | F0761 | 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. | D | Complaint investigation | 29 Sep 2023 |
| 22 Sep 2023 | F0926 | Have policies on smoking. | D | Complaint investigation | 27 Sep 2023 |
| 18 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 19 Sep 2023 |
| 25 Aug 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 28 Aug 2023 |
| 25 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Aug 2023 |
| 25 Aug 2023 | F0814 | Dispose of garbage and refuse properly. | C | Complaint investigation | 7 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Mar 2026 | Fine | $9,113 | |
| 3 Aug 2025 | Fine | $14,325 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 68.4%, RNs 75.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.3% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 14.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has Meridian Care Monte Vista been cited for?
49 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Meridian Care Monte Vista been fined?
Yes. CMS lists fines totalling $23K in the period covered.
How does staffing at Meridian Care Monte Vista compare?
Reported total nurse staffing is 4.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Meridian Care Monte Vista?
Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.
When was Meridian Care Monte Vista last inspected?
The most recent survey or investigation in the CMS record is dated 20 May 2026; the most recent standard health survey was 13 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.