Meridian Care Monte Vista
616 W RUSSELL PL, San Antonio, TX, 78212
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 - Individual
- Certified beds
- 106 · avg 60 residents/day
- Total nursing staff turnover
- 56.9% — higher than most Texas nursing homesTexas 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 · $21,645 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 148869
- Service type
- Medicare/medicaid
- Licensed capacity
- 106 beds
- Bed type breakdown
- 20 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- January 8, 2024
- Current license expires
- January 8, 2027
- Initial license date
- December 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Rj Meridian Care Alta Vista Llc (Limited Liability Company (LLC))
- Administrator
- Juanita Sanchez
Texas HHS licensing registry · as of April 16, 2026
About this community
Meridian Care Monte Vista is a 106-bed nursing home in San Antonio's Bexar County, certified for Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing rating and a 2-star health inspection rating. The facility is operating at roughly 57% of licensed capacity, about 60 residents per day. It has received one CMS fine totaling $21,645.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier among Texas nursing homes, a rating shared by about 38% of facilities in the state. Each resident receives roughly 279 minutes of total nursing care per day, which is 38 minutes short of the 241-minute threshold for a 4-star staffing rating in Texas. Registered nurse time is 21 minutes per resident per day, compared to the 37-minute benchmark for 4-star staffing in Texas. Beyond the raw minutes, residents here require more hands-on care than a typical facility — they are sicker or less mobile on average — so those staff hours stretch thinner than the numbers alone suggest.
One administrator has turned over in the past year — an elevated rate. A change at the top of a nursing home's leadership tends to ripple through care coordination and staff stability.
The facility received one CMS fine totaling $21,645 in the period covered by CMS data. The state median fine across fined Texas nursing homes is $20,699, and about 30% of Texas nursing homes have no fines at all in the same period.
The facility is operating at roughly 57% of its 106 licensed beds — about 60 residents on a typical day. Low occupancy at a nursing home with an otherwise strained regulatory record can reflect reduced referrals from hospitals and discharge planners who track inspection history.
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 run lower than weekday averages — ask how many nurses and aides are on the floor on a Saturday night and how that compares to a weekday.
Administrator transition and continuity
One administrator left in the past year — ask who is currently in the role, how long they have been in place, and whether they plan to stay.
Why occupancy is at 57 percent
The facility is running at roughly half its licensed capacity; ask what is driving the low census and whether any beds are closed or restricted by regulators.
The $21,645 CMS fine
CMS records one fine totaling $21,645 — ask what deficiency triggered it and what specific changes were made in response.
Registered nurse coverage each day
CMS data shows about 21 minutes of registered nurse time per resident per day — ask how many RN hours are scheduled and whether an RN is present on all three shifts.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets, how concerns are documented, and how families can raise issues formally.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.