Meridian Care Monte Vista

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (210) 735-9233 Send a message Map ↗

Public-record details

Address: 616 W Russell Pl, San Antonio, TX 78212
Phone: (210) 735-9233
Listed under: For-profit
Medicare CCN: 455450
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 2 of 5
Certified beds: 106
Average residents per day: 57
Ownership: For-profit, individual
Legal business name: Rj Meridian Care Alta Vista LLC
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jan 1, 1978
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 455450. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 13, 2026. CMS lists 49 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 25, 2023 to May 20, 2026): 40 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

Inspection	Citation	Severity
May 20, 2026	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern
May 20, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	E Potential for more than minimal harm, pattern
Mar 20, 2026	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… Resident Rights · complaint inspection	J Immediate jeopardy, isolated
Feb 13, 2026	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Feb 13, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Feb 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. Quality of Life and Care	D Potential for more than minimal harm, isolated
Feb 13, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Feb 13, 2026	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service	D Potential for more than minimal harm, isolated
Feb 13, 2026	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights	E Potential for more than minimal harm, pattern
Feb 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… Pharmacy Service	E Potential for more than minimal harm, pattern
Feb 13, 2026	Provide and implement an infection prevention and control program. Infection Control	E Potential for more than minimal harm, pattern
Feb 13, 2026	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 49. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $23,438 in the last three years.

Mar 20, 2026	Fine: $9,113
Aug 3, 2025	Fine: $14,325

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 4.74 hours
Registered nurse (RN) time per resident per day: 0.39 hours
Nurse aide time per resident per day: 2.49 hours
Total nurse staffing on weekends: 4.04 hours
Nursing staff turnover (yearly): 68%
RN turnover (yearly): 75%
Administrators who left in the past year: 2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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