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Nursing HomeMedicaid Investigative

Morningside Manor

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

602 Babcock Rd, Inner West Side · San Antonio, TX 78201147 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 48 Google reviews

5
4
3
2
1

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3/ 10
moderate Risk

Quality Concerns Identified

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

  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (9 vs median 8.0)
  • High RN turnover (57%)

Above average in Texas · Critically understaffed (RN) · Low staff turnover (stable workforce) · No penalties on record

Source: Medicare data

What this means for your family

While some families find a sense of 'family' here, the recent trend of reviews is alarming, specifically regarding life-threatening medical neglect and understaffing. If you choose this facility, you must have a dedicated family advocate present to monitor medication, hygiene, and vital symptom changes.

Google Reviews

Google Reviews

48 reviews on Google
Families should exercise extreme caution due to multiple reports of severe medical neglect, including failure to monitor breathing, development of pressure sores, and ignored fall alerts. While some long-term residents have experienced a warm, family-like atmosphere, recent reviews frequently highlight critical issues with understaffing and unprofessional behavior.

Quality Themes

Tap a score for details
Food5.0Staff2.0Clean4.0ActivitiesN/AMeds1.0MemoryN/AComms2.0Value1.0

Strengths

  • Warm and welcoming atmosphere for some long-term residents
  • Spacious, apartment-style living options
  • Friendly and caring staff members in certain departments

Concerns

  • Severe medical neglect and failure to monitor vital symptoms (mentioned by 3 reviewers)
  • Inadequate staffing levels and slow response to call lights (mentioned by 3 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 2 reviewers)
  • Issues with hygiene and basic care like bathing (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'12(2)'15(1)'18(5)'21(3)'24(4)'26(7)

Distribution · 50 analyzed

5
36
4
3
3
2
2
1
1
8

How They Respond to Reviews

7%response rate
Generic

The owner uses a templated approach for negative reviews, primarily focusing on stating that the feedback has been passed to the executive director. While they address reviewers by name, they rarely offer specific solutions or direct engagement with the unique details of the complaints.

Questions for Your Tour

  • 1We've heard such lovely things about the warm and welcoming atmosphere here; what kind of social activities or group outings do you organize to keep residents engaged?
  • 2With the apartment-style living options available, how do you help new residents transition into their new space and feel at home?
  • 3How does the nursing team monitor vital signs and ensure that medical changes are caught and addressed immediately?
  • 4What specific steps are being taken to ensure that call lights are answered promptly and that staff are available when a resident needs assistance?
  • 5How do you ensure consistent communication between the care team and family members regarding daily updates or changes in health?
  • 6Could you walk us through your protocols for medication management and how you ensure accuracy during shift changes?

Personalized based on this facility's data


Key Review Excerpts

My husband has been at Morningside Manor for 4 years now. This has been such a blessing to have found this home. From the staff to the nurses to the home cooked meals to the rooms.... I cannot say enough good things.

Long-term resident's spouse · 2020★★★★★

This facility almost killed me on day 4 of rehab. They were not paying attention to my symptoms. I had no dementia, but was having similar effects of it and it was ignored and blamed upon tiredness and ativan.

Rehab patient · 2018☆☆☆☆

She was supposed to get medication she desperately needed, and we kept waiting. They called the dr. We called the nurses. We put a call in to the dr that was supposed to call us back in “20 minutes” (still waiting).

Family member of resident · 2018☆☆☆☆
Source: 48 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
42%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
20%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

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 with depression symptoms

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
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 on antipsychotic medication

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
15.4%
TX
9.4%
Bexar
10.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.7%
Worse than Avg
Here
22.7%
US
19.4%
TX
14.2%
Bexar
16.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
14.4%
TX
16.1%
Bexar
16.1%
💉

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 vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Bexar
98.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
81.8%
TX
89.2%
Bexar
80.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.6%
Mixed vs Avgs
Here
85.6%
US
79.7%
TX
88.0%
Bexar
84.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
TX
1.5%
Bexar
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (9.1)
1 complaint-triggered

Morningside Manor has 35 deficiencies across three surveys, with one family complaint about medical records management. The facility shows recurring problems with resident rights protections, medication management, and fire safety systems that persist across all three inspections. While all deficiencies have correction dates, the pattern of repeated issues in core care areas suggests ongoing challenges with maintaining consistent standards.

Aug 7, 2025Routine
16
0211Immediate jeopardy · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0553Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0693Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

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.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Jun 30, 2024Routine
10
0580Immediate jeopardy · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0656Potential for harm · PatternCorrected

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.

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0842Potential for harm · IsolatedCorrected

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.

Apr 21, 2023Routine
8
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0343Potential for harm · PatternCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Apr 21, 2023Complaint
1
0842Potential for harm · IsolatedCorrected

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guadalupe County Hospital Board

Organization Type

for profit

Management Company

MORNINGSIDE MINISTRIES

Administrator

CRISTYAN LOREDO

Ownership & Management

Owners

Guadalupe County Hospital Board

Owner · Organization

100%

Key personnel

Bryan, ScottManaging Control - Governing BodyDrought, JessicaManaging Control - Governing BodyForgione, DanaManaging Control - Governing BodyGarza, EdwardManaging Control - Governing BodyHackett, GregManaging 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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