Mesa Vista Inn Health Center
5756 NORTH KNOLL DRIVE, San Antonio, TX, 78240
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 144 · avg 117 residents/day
- Total nursing staff turnover
- 54.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,160 total
State licensing & capacity
- License number
- 311589
- Service type
- Medicare/medicaid
- Licensed capacity
- 144 beds
- Bed type breakdown
- 31 Medicare-only · 113 Medicaid/Medicare
- Current license effective
- July 1, 2023
- Current license expires
- July 1, 2026
- Initial license date
- December 31, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- San Antonio Iii Enterprises, Llc
- Administrator
- Marissa Ruiz-Cerros
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (18 on record)
- San Antonio Iii Enterprises, Llc
Adp of The Snf · since 2025
- in Seok Park
Adp of The Snf · since 2025
- Rita Adams
Operational/managerial Control · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
July 2023 (2 years ago) · acquired from Mesa Vista Inn Health Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 38)
- D0880·Dec 23, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0609·Dec 3, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0880·Nov 24, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0557·Nov 24, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D0656·Aug 29, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0711·Jun 1, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- D0656·Jun 1, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0880·Mar 30, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20241 fine · $8,160
Most recent events
- Dec 20, 2024Fine · $8,160
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Jan 31, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Mesa Vista Inn Health Center is a 144-bed nursing home in San Antonio (Bexar County) accepting Medicare and Medicaid residents. CMS rates it 2 stars overall — staffing earns 1 star, the lowest tier, while quality measures rate 4 stars. The facility is managed by San Antonio III Enterprises, LLC under a hospital district license, and is part of the Creative Solutions in Healthcare chain.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest possible, shared by about 38% of Texas nursing homes. Each resident receives roughly 159 minutes of total nursing care per day, about 82 minutes less than at a 4-star-staffing facility in Texas. RN coverage averages only 14 minutes per resident per day; a 4-star facility in Texas provides around 37. Residents here tend to need more hands-on care than at a typical facility — less mobile or medically complex on average — so those already limited hours stretch thinner than the raw numbers suggest.
One administrator has turned over in the past year. This sits above zero but below the pattern seen at facilities with persistent leadership instability; the current administrator of record is Marissa Ruiz-Cerros.
CMS recorded one fine totaling $8,160 in the period covered by this data. About 30% of Texas nursing homes have no fines at all; the state median for facilities that do have fines is $20,699, so this facility's total falls well below that midpoint.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average 2.31 hours per resident per day — lower than the weekday figure; ask how many nurses and aides are scheduled on a typical Saturday night shift.
RN coverage during your parent's stay
Reported RN hours average 14 minutes per resident per day; ask whether a registered nurse is on-site around the clock or available only during daytime hours.
How the management company affects daily care
The facility is licensed to a hospital district but operated by San Antonio III Enterprises, LLC; ask who makes staffing and care decisions and how concerns are escalated.
Current waitlist and bed availability
With 117 residents in 144 licensed beds, occupancy runs around 81%; ask whether your preferred room type has a current opening or a waitlist.
What prompted the recent fine
CMS recorded one fine of $8,160; ask what deficiency triggered it and what changes were made in response.
Family Council participation options
The facility has a Resident Council but no Family Council; ask how families are notified of care changes and how they can raise concerns formally.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.