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Meridian Care Monte Vista

616 W Russell Pl, San Antonio, TX 782122107359233Ownership: For profit - IndividualCertified beds: 106Avg. daily residents: 57County: Bexar

The complete public record on Meridian Care Monte Vista, a Medicare & Medicaid–certified nursing home in San Antonio, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Meridian Care Monte Vista holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 68% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $23,438 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.74 total nurse staff hours per resident per day
above the state average (3.39)
0.39 RN hours per resident per day
below the state average (0.43)
4.04 weekend nurse staff hours per resident per day
68.4% total nursing staff turnover
above the state average (55.3)
75.0% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 13, 2026 most recent standard health inspection
15 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
34 health deficiencies in the two prior cycles combined
$23,438 in federal fines across 2 penalties (last 3 years)
below the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

49 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
May 20, 20260580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintE · Potential for more than minimal harm
May 20, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. ComplaintE · Potential for more than minimal harm
March 20, 20260578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental… ComplaintJ · Immediate jeopardy
February 13, 20260552Ensure that residents are fully informed and understand their health status, care and treatments.E · Potential for more than minimal harm
February 13, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
February 13, 20260880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
February 13, 20260921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E · Potential for more than minimal harm
February 13, 20260655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD · Potential for more than minimal harm
February 13, 20260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D · Potential for more than minimal harm
February 13, 20260690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate…D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.