Mesa Vista Inn Health Center
5756 N Knoll Dr · San Antonio, TX · 78240 · 2103215200
144 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare Hospital-based
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.67 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 2.39 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $8,160 |
Inspection citations (44 in the current record)
-
Potential for harm · D April 24, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 27, 2026 · Resident Rights
-
Potential for harm · D April 24, 2026
Keep residents' personal and medical records private and confidential.
Corrected April 27, 2026 · Resident Rights
-
Potential for harm · E April 24, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 27, 2026 · Resident Rights
-
Potential for harm · D April 24, 2026
Ensure each resident receives an accurate assessment.
Corrected April 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D April 24, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D April 24, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E April 24, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 27, 2026 · Quality of Life and Care
-
Potential for harm · D April 24, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 27, 2026 · Quality of Life and Care
-
Potential for harm · D April 24, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 27, 2026 · Quality of Life and Care
-
Potential for harm · E April 24, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 27, 2026 · Pharmacy Service
-
Potential for harm · D April 24, 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 April 27, 2026 · Pharmacy Service
-
Potential for harm · E April 24, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 27, 2026 · Nutrition and Dietary
-
Potential for harm · D April 24, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E April 24, 2026
Provide and implement an infection prevention and control program.
Corrected April 27, 2026 · Infection Control
-
No harm found · C April 24, 2026
Post nurse staffing information every day.
Corrected April 27, 2026 · Nursing and Physician Services
-
Potential for harm · D December 23, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 2, 2026 · Infection Control
-
Potential for harm · D December 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 24, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 1, 2025 · Resident Rights
-
Potential for harm · E November 24, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 1, 2025 · Infection Control
-
Potential for harm · D August 29, 2025 · 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 October 13, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 1, 2025 · 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 June 2, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F June 1, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected June 2, 2025 · Nursing and Physician Services
-
Potential for harm · D March 30, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 31, 2025 · Infection Control
-
Potential for harm · D March 22, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 22, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 20, 2024 | Fine | $8,160 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455444 · certified since July 7, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.