Meridian Care

    7181 Crestway Dr, San Antonio, TX 78239
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.89·(18)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      3.5
    • Meals

      3.9
    • Amenities

      5.0
    • Value

      3.9

    Pros

    • Compassionate, respectful caregiving staff
    • Knowledgeable nursing leadership
    • Attentive and helpful nursing team
    • Clean, well-maintained facility and common areas
    • Dedicated therapy services and therapy spaces
    • Supportive social-work and transition assistance
    • Welcoming dining and communal areas
    • Clear family communication and clinical explanations

    Cons

    • Inconsistent staffing and coverage
    • Delays in attending to resident needs
    • Incontinence-care and hygiene management gaps
    • Equipment and supply readiness issues
    • Variability in administrative communication and escalation
    • Inconsistent therapy scheduling and coordination
    • Occasional concerns about staff conduct and communication tone
    • Dimly lit resident rooms and intermittent odor concerns

    Summary of reviews

    The reviews reflect a facility with clear strengths in hands-on caregiving, clinical leadership, and environmental upkeep alongside recurring operational concerns. Many families describe compassionate, respectful staff interactions, helpful nurses, and named clinical leaders who provide reassurance and clear explanations. Social-work support and assistance with transitions were singled out as helpful, and the facility’s therapy spaces and dining areas are noted as functional elements that contribute to a smooth rehabilitation experience for some residents.

    Care quality appears mixed. Several accounts praise thorough clinical care and attentive nursing, contributing to family peace of mind. At the same time, there are recurring descriptions of delayed responses and gaps in routine personal-care tasks. These concerns cluster around responsiveness during busy periods and around incontinence-care and hygiene management; reviewers indicate these are situational rather than universal, but they are significant when they occur. There are also isolated reports suggesting equipment and supply-readiness problems (for example, oxygen and mobility-aid readiness), which point to lapses in clinical logistics rather than systematic clinical incompetence.

    Staffing and staff behavior present a dual picture. Many frontline caregivers are characterized as compassionate and courteous, and several reviewers named individual staff members and leaders positively. However, other comments indicate inconsistent staffing levels, overlapping or rushed therapy sessions, and delays of several minutes to longer in staff response times. A small number of accounts raise concerns about the tone or conduct of specific staff members; these are described as needing escalation in the narratives and indicate variability in staff performance and supervision.

    Facilities and amenities are generally viewed positively: common areas are clean and the building is described as well maintained. The therapy room and dining room are appreciated components of the rehabilitation experience. Minor facility concerns include reports of dimly lit resident rooms and occasional odor concerns in some areas. Sanitation concerns are raised in a few accounts and appear linked to episodic staffing or supply issues rather than persistent facility-wide conditions.

    Management and administration receive mixed feedback. Several families commend strong nursing leadership and attentive management presence, while other families describe difficulties with administrative communication and escalation — for example, delays in notifying family members about issues or reluctance to escalate concerns. The social-work staff is repeatedly identified as a helpful resource, even in cases where administrative communication was criticized.

    Notable patterns: positive experiences tend to highlight compassionate direct-care staff, clear clinical explanations, and functional therapy and dining spaces. Negative patterns center on operational reliability — inconsistent staffing, response delays, coordination of therapy sessions, occasional sanitation or equipment-readiness lapses, and variable administrative follow-through. Prospective residents and families may wish to meet unit leadership, ask about staffing ratios and response protocols, observe a shift change, and clarify escalation and equipment-check policies to assess how consistent the positive elements are at the time of placement.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Meridian Care is located at 7181 Crestway Dr, San Antonio, TX, 78239.

    About Meridian Care

    Meridian Care sits at 7181 Crestway Rd, in the Windcrest area of San Antonio, pretty close to downtown River Walk and the airport, and right near hospitals, doctors, and other support services, which is handy for families coming by or appointments. The facility has a skilled nursing and rehabilitation focus, with both long-term and short-term residents, and people get their own personalized plans that help with daily needs like bathing, dressing, and getting around. Folks who need more help can find things like ventilator and respiratory care, an Elite Transitional Care Unit, pulmonary rehab, and specialized wound care. There's a brand new in-house dialysis center, which means residents don't have to leave for treatments and can stay comfortable in familiar surroundings. Meridian Care handles pediatric care too and accepts Medicare, Medicaid, and private pay. The community provides therapies like speech language pathology, nutritional therapy, respiratory services, non-ambulatory care, and help with transfers. There's medication management and 12 to 16 hour skilled nursing care each day, plus a 24-hour call system for emergencies. For entertainment and relaxation, residents have use of activity rooms, a movie theater, a library, a fitness center, a spa/sauna, arts and game rooms, garden and walking paths, plus several community activities and music programs for all to join. Rooms include private bathrooms, air conditioning, kitchenettes, cable TV, phones, and Wi-Fi. Meal services use restaurant-style dining with a professional chef, including options for special diets for allergies or diabetes. Meridian Care offers family support, community-sponsored activities, help with move-in, and laundry and housekeeping services. Transportation and parking are for residents, but there's no parking for visitors. The staff works with residents, their families, and healthcare teams to keep adjusting individual care plans to suit changing needs, aiming to keep everyone as healthy and engaged as possible.

    People often ask...

    Meridian Care offers skilled nursing.

    There are 6 photos of Meridian Care on Mirador.

    The full address for this community is 7181 Crestway Dr, San Antonio, TX 78239.

    No, Meridian Care does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000Rs6aYAAR
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity120 residents
    LicenseeFRIO HOSPITAL DISTRICT
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    4

    Reports

    20

    Citations

    0

    Complaints

    1

    Years

    26 Sept 2026Inspection
    Found violations for failing to provide records requested by the resident or their legal representative within 24 hours and for not giving the legal representative the same rights as the resident.
    • —Health Visit
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    11 Sept 2026Inspection
    Found deficiencies in food handling, hygiene, infection control, MDS data submission, medication storage, and PASRR coordination. The findings indicate multiple areas where resident safety and regulatory compliance were not maintained.
    • —Health Visit
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    • —Health Visit
    09 Sept 2026Life Safety
    Found deficiencies for outside areas not kept neat and clean and for walls and ceilings not easily cleaned or kept neat.
    • —Life Safety Code
    • —Life Safety Code
    17 Jul 2025Life Safety
    Identified multiple life-safety deficiencies across fire protection, electrical, ventilation, and smoking-control areas, including extinguishers hung improperly, generator testing times undocumented, sprinkler system maintenance and inspection issues, ashtrays not noncombustible, lack of emergency lighting when power fails, inadequate fresh air for dry foods, and missing extinguishers near doors in hazardous rooms.
    • —Life Safety Code
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    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Meridian Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Meridian Care directly. There is no cost for this service. We are compensated by the community you select.

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