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Nursing HomeMedicaid Investigative

Mesa Vista Inn Health Center

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

5756 North Knoll Drive, Northwest Side · San Antonio, TX 78240144 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 95 Google reviews

5
4
3
2
1
Mesa Vista Inn Health Center 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 (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (17 vs median 8.0)
  • High staff turnover (54%)
  • High RN turnover (67%)

Below average in Texas · Critically understaffed (RN) · Below chain average · $8,160 in fines

Source: Medicare data

What this means for your family

This facility offers a beautiful environment and highly skilled nurses in the memory care unit, which can be a great asset for recovery. However, families must be extremely vigilant regarding hygiene, call light response times, and the security of personal belongings, as multiple recent reports indicate significant lapses in basic care and oversight.

Google Reviews

Google Reviews

95 reviews on Google
Families considering Mesa Vista Inn Health Center will find a deeply polarized environment. While many long-term residents' families praise the compassionate memory care nurses and the beautiful, clean facility, there are frequent and serious allegations regarding neglect, including failure to assist with hygiene, medication errors, and unresponsive call lights. Recent reviews suggest significant volatility in care quality and management communication.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean6.0Activities4.0Meds2.0Memory6.0Comms2.0ValueN/A

Strengths

  • Compassionate memory care nursing staff
  • Clean and aesthetically pleasing facility
  • Professional rehabilitation/PT services
  • Welcoming admissions and administrative staff

Concerns

  • Understaffing leading to neglect of hygiene and call lights (mentioned by 5 reviewers)
  • Poor communication from management and administration (mentioned by 4 reviewers)
  • Loss or theft of resident personal property (mentioned by 3 reviewers)
  • Inconsistency in care quality between shifts (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.1'19(35)5.04.0'21(13)4.03.9'23(14)4.44.0'25(15)2.8'26(8)

Distribution · 99 analyzed

5
70
4
3
3
3
2
1
1
22
18 reviews posted between May 4, 2019May 4, 2019 · average 3.3

How They Respond to Reviews

23%response rate
Generic

The owner uses highly repetitive, templated responses that follow a nearly identical structure for almost every negative review. While they address reviewers by name, they fail to acknowledge the specific details or unique grievances mentioned in the reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your memory care nursing staff; how do you ensure that level of care remains consistent across all shifts?
  • 2With the facility being so clean and aesthetically pleasing, what kind of daily activities or social events do you have planned to keep residents engaged?
  • 3How does the administration ensure that communication remains clear and frequent with families regarding a resident's daily needs?
  • 4What specific protocols are in place to ensure medication management is handled accurately and that call lights are answered promptly?
  • 5How do you manage the security of residents' personal belongings to prevent any loss or misplaced items?
  • 6In the event of a medical emergency after hours, what is the process for contacting the physician and notifying the family?

Personalized based on this facility's data


Key Review Excerpts

The nurses and staff of the memory care unit where my brother is at are complete professionals with the kindest hearts.

Memory care family member · 2025★★★★

My mother improved vastly in the time she was there and is improving even more at the next short term stay with more focus on PT this time

Rehab patient's family · 2025★★★★★

They rarely change her diapers, and someone takes her to shower about once a week. She was sick recently, very slow moving and slurring her words. She was like that most of the day and no one seemed to care.

Long-term resident's family · 2025☆☆☆☆
Source: 95 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
27%
Registered nurses for medical care
Total Nursing
2.67hrs
65%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
19.5%
TX
18.4%
Bexar
22.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.0%
Mixed vs Avgs
Here
3.0%
US
12.1%
TX
2.5%
Bexar
1.9%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
15.4%
TX
9.4%
Bexar
10.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
TX
96.9%
Bexar
94.0%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility8.5%
Worse than Avg
Here
8.5%
US
3.2%
TX
3.3%
Bexar
3.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.7%
Mixed vs Avgs
Here
18.7%
US
19.4%
TX
14.2%
Bexar
16.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Bexar
83.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.2%
Better than Avg
Here
92.2%
US
81.8%
TX
89.2%
Bexar
81.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility8.2%
Worse than Avg
Here
8.2%
US
1.6%
TX
1.5%
Bexar
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
1penalties
Above state avg (9.1)
17 complaint-triggered
$8,160 in fines

Families have filed 17 complaints triggering federal inspections, revealing persistent problems with infection control, care planning, and accident prevention. Issues span from 2022 to 2025, with recurring deficiencies in infection prevention programs appearing across multiple surveys and complaint investigations. While the facility corrects violations when cited, the pattern of repeated problems in core care areas suggests ongoing quality concerns families should carefully consider.

Dec 23, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 3, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Nov 24, 2025Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Aug 29, 2025Complaint
1
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.

Jun 1, 2025Complaint
2
0711Potential for harm · WidespreadCorrected

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.

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.

Mar 30, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Dec 20, 2024

$8,160

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

SAN ANTONIO III ENTERPRISES, LLC

Administrator

MARISSA RUIZ-CERROS

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 90 of 148

Ownership & Management

Owners

West Wharton County Hospital District

Owner · Organization

100%

Key personnel

Bowers, SeanManaging Control - Governing BodyCisneros, AlfredManaging Control - Governing BodyCobb, TravisManaging Control - Governing BodyCooper, StephenManaging Control - Governing BodyHardin, SherrieManaging Control - Governing Body
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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