Nursing home report
San Antonio, TX · Medicare-certified · 106 beds
Meridian Care Monte Vista in San Antonio has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reported 4.74 nurse staffing hours per resident per day, above the 4.1 federal benchmark, and has $28,345 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
4.7449 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7449.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2026 — isolated incident, immediate jeopardy to residents.
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.
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.
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited May 2026 — limited pattern, potential for harm.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2026 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 2 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
A federal fine of $14,020 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 9 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $14,325 was recorded.
A federal fine of $14,069 was recorded.
On record with Medicare: 2 fines · $28,345 in total fines.
Federal fine
Mar 20, 2026
Federal fine
Aug 3, 2025
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.
