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Nursing home report

Meridian Care Monte Vista

San Antonio, TX · Medicare-certified · 106 beds

Needs attention
For-profitChain member
1 of 5 overall

Meridian Care Monte Vista has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reported nurse staffing above the federal benchmark (4.84 vs 4.1 hours per resident per day) and had $28,089 in fines in the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

4.841 hrs/resident/day

Quality measures

Last inspection: March 20, 2026Penalties, last 24 months: $28,089recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.841.

Staffing detail

Registered nurses
0.38
Licensed practical nurses
1.97
Nurse aides
2.49
Weekend nursing
4.02

Hours per resident per day.

Total staff turnover: 67%
Registered nurse turnover: 63%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

12.5%11.5%Improving

Residents with a fall causing major injury

5.3%5.6%No change

Residents with pressure ulcers (bedsores)

13.2%14.3%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

3.9%14.3%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

10%27.6%Worsening

Residents whose ability to walk got worse

13.3%

Long-stay residents on antianxiety or sleep medication

22.6%14%Improving

Short-stay residents newly given an antipsychotic

6.5%5%Improving

Residents with a long-term catheter

3.3%1.4%Improving

Residents with new or worsening incontinence

22.7%20.5%Improving

Residents with depressive symptoms

2.4%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

97.1%

Short-stay residents given the pneumonia vaccine

100%84.4%Worsening

What the inspectors found

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 578 — 42 CFR §483.10 — S/S: J

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited August 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited November 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 921 — 42 CFR §483.90 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal fine of $14,020 was recorded.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $14,069 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $28,089 in total fines.

  • Federal fine

    Mar 20, 2026

    $14,020
  • Federal fine

    Aug 3, 2025

    $14,069

Operator & ownership

Ownership
For profit - Individual
Chain
Part of RJ MERIDIAN CARE · 5 homes · 2.8 stars avg
Occupancy
56.4 residents on an average day (53% of 106 beds)
Resident voice
Resident council
Medicare history
Certified for 48 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.