Meridian Care Monte Vista
616 W Russell Pl · San Antonio, TX · 78212 · 2107359233
106 certified beds For profit - Individual Chain: Rj Meridian Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.84 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 4.02 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 2 · $28,345 |
Inspection citations (48 in the current record)
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Immediate jeopardy · J March 20, 2026 · found via complaint
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.
Past Non-Compliance · Resident Rights
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Potential for harm · E February 13, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 1, 2026 · Resident Rights
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Potential for harm · D February 13, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 1, 2026 · Quality of Life and Care
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Potential for harm · D February 13, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 1, 2026 · Pharmacy Service
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Potential for harm · D February 13, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 1, 2026 · Pharmacy Service
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Potential for harm · E February 13, 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.
Corrected March 1, 2026 · Pharmacy Service
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Potential for harm · E February 13, 2026
Provide and implement an infection prevention and control program.
Corrected March 1, 2026 · Infection Control
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Potential for harm · E February 13, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 1, 2026 · Environmental
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Potential for harm · F November 25, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 25, 2025 · Environmental
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Potential for harm · E August 19, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 20, 2025 · Infection Control
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Immediate jeopardy · J August 3, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D June 20, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 21, 2025 · Resident Rights
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Potential for harm · D June 20, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 20, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 20, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 21, 2025 · Resident Rights
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Potential for harm · E June 20, 2025 · found via complaint
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.
Corrected June 21, 2025 · Pharmacy Service
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Potential for harm · E June 20, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected January 18, 2025 · Pharmacy Service
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Potential for harm · D November 6, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 7, 2024 · Resident Rights
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Potential for harm · D November 6, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 7, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 6, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 7, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected November 7, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 20, 2026 | Fine | $14,020 |
| August 3, 2025 | Fine | $14,325 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455450 · certified since January 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.