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Nursing HomeMedicaid Investigative

Meridian Care Monte Vista

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

616 W Russell Pl, Midtown · San Antonio, TX 78212106 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 28 Google reviews

5
4
3
2
1
Meridian Care Monte Vista Nursing Home in San Antonio, TX — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (18 vs median 8.0)
  • High staff turnover (57%)
  • High RN turnover (67%)

Bottom 25% in Texas · Critically understaffed (RN) · Above recommended total nurse staffing · $21,645 in fines

Source: Medicare data

What this means for your family

While some families have found the rehab and nursing teams to be compassionate, the facility has a documented history of critical safety failures, including preventable fractures and severe wound neglect. If you choose this facility, you must implement a rigorous daily inspection routine for bedsores and monitor all medication administration closely.

Google Reviews

Google Reviews

28 reviews on Google
Families should exercise extreme caution due to multiple reports of severe medical neglect, including unmanaged bedsores and preventable fractures. While some long-term residents have experienced compassionate care from the nursing and rehab teams, there are recurring, critical allegations regarding patient safety and staff accountability.

Quality Themes

Tap a score for details
Food5.0Staff3.0Clean6.0Activities5.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate rehab and nursing teams
  • Professional administrative staff
  • Clean and well-maintained rooms
  • Engaging activities programs

Concerns

  • Severe medical neglect and wound care failures (mentioned by 2 reviewers)
  • Patient safety issues including falls and fractures (mentioned by 2 reviewers)
  • Poor communication and unprofessional front desk service (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'18(1)2.04.5'21(8)3.83.0'23(2)1.04.5'25(8)3.3'26(3)

Distribution · 28 analyzed

5
19
4
2
3
0
2
1
1
6

How They Respond to Reviews

36%response rate
Good

The owner provides personalized responses by addressing reviewers by name and acknowledging specific details in positive reviews. For negative feedback, they attempt to offer direct contact for resolution and express a commitment to improvement.

Questions for Your Tour

  • 1We've heard wonderful things about your rehab and nursing teams; could you tell us more about how they support residents during their recovery?
  • 2How does the nursing staff manage medication schedules to ensure everything is administered accurately and on time?
  • 3What specific protocols do you have in place to prevent falls and ensure resident safety during the night?
  • 4How do you handle wound care and specialized medical treatments to ensure residents are comfortable and healing?
  • 5We noticed your team is active in responding to feedback; how does the administration typically communicate important updates or changes to families?
  • 6What kind of engaging daily activities or social programs are available to help residents stay connected with one another?

Personalized based on this facility's data


Key Review Excerpts

I can’t say enough about the staff on the second floor; the respiratory team, nurses and CNAs, the rehab team and activities director are amazing, very caring and compassionate providers.

Long-term resident's family · 2025★★★★★

The staff and the cook has served great help and good tasting food , I do come here ar difference times of the day and always the rooms are clean bed is made up with clean sheets and blandet, He is help with kindness.

Long-term resident's family · 2023★★★★★

YOU ARE GOING TO ENCOUNTER UNEXPLAINED BRUISES, FRACTURES, UTI'S AND MUCH MORE . LYING AND COVERING UP BEGINNING WITH JOHN, THE ADMINISTRTOR OF THIS HORRIBLE PLACE

Relative of a past resident · 2023☆☆☆☆
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
51%
Registered nurses for medical care
Total Nursing
4.84hrs
OK
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
TX
2.5%
Bexar
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility14.6%
Worse than Avg
Here
14.6%
US
4.9%
TX
4.0%
Bexar
4.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
19.4%
TX
14.2%
Bexar
16.8%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility10.3%
Worse than Avg
Here
10.3%
US
5.3%
TX
3.2%
Bexar
4.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Bexar
94.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.9%
Mixed vs Avgs
Here
10.9%
US
15.4%
TX
9.4%
Bexar
10.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
79.7%
TX
88.0%
Bexar
83.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.2%
Better than Avg
Here
95.2%
US
81.8%
TX
89.2%
Bexar
80.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
US
1.6%
TX
1.5%
Bexar
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
2penalties
Well above state avg (9.1)
39 complaint-triggered
$21,645 in fines

This facility has a concerning pattern of 64 deficiencies across 13 surveys, with most (41) triggered by family complaints about care issues. Recurring problems include medication management errors, inadequate care planning, and infection control failures. While the facility reports correcting each violation, the persistent complaints and repeated issues in the same areas—particularly medication safety and care planning—suggest ongoing quality concerns that families should carefully evaluate.

Mar 20, 2026Complaint
1
0578Immediate jeopardy · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

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.

Feb 13, 2026Routine
11
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0552Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Nov 25, 2025Complaint
1
0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Aug 19, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 3, 2025Complaint
1
0678Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Jun 20, 2025Complaint
7
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Federal Penalties

Fine

Mar 20, 2026

$14,020

Fine

Aug 3, 2025

$14,069

Ownership & Operations

Who Operates This Facility

Owner / Operator

Rj Meridian Care Alta Vista LLC

Organization Type

for profit

Administrator

JUANITA SANCHEZ

Chain Affiliation

Chain Name

Rj Meridian Care

Chain Size

5 facilities nationwide

Ownership & Management

Owners

Balentine, Jay

Owner

Lozano, Ramiro

Owner

Key personnel

Balentine, JayOfficer / DirectorLozano, RamiroOfficer / DirectorAziz, WesamManagerGlisczinski, KimberlyManagerNienaber, PamelaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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