Meridian Care of Monte Vista

    616 West Russell Place, San Antonio, TX, 78212
    3.1 · 7 reviews
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Beautiful facility, serious care concerns

    I'm torn: the facility is beautiful, meals are excellent and customizable, rooms are cleaned daily, and a few nurses and the new activity director were caring and helpful. But it's deteriorated recently - persistent urine/unpleasant odors, motel-like upkeep, long call-button response times, short-staffed/overworked unhappy staff with high turnover, and I saw unexplained bruises/fractures and recurrent UTIs along with poor communication and apparent cover-ups by administration. Ownership is investing in fixes, but based on my experience I would not recommend.

    Pricing

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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

    3.14 · 7 reviews

    Overall rating

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

      2.6
    • Staff

      2.3
    • Meals

      5.0
    • Amenities

      3.0
    • Value

      3.1

    Pros

    • Engaging activities led by a new activity director (including lottery)
    • Daily housekeeping/clean rooms
    • Meals enjoyed with customization options
    • Ownership investing in building improvements
    • Friendly and caring nurses/staff reported by some reviewers
    • Nice location near bakery/restaurant
    • Excellent food reported by some families
    • Beautiful facility reported by some reviewers

    Cons

    • Staff overworked, short-handed, and high turnover
    • Long call-button response times
    • Unpleasant urine and other odors reported
    • Poor upkeep; older,
    • Motel-like appearance and need for maintenance
    • Difficulty obtaining accurate information from staff/administration
    • Allegations of unexplained bruises, fractures, UTIs and cover-up
    • Inconsistent quality of care (wide variability between staff/shifts)
    • Often only two nurses on a floor (insufficient staffing)
    • Staff dissatisfaction and reports of staff appearing 'strung out'
    • Several reviewers would not recommend the facility

    Summary review

    Overall sentiment across the reviews for Meridian Care of Monte Vista is mixed and polarized. Multiple reviewers praise certain concrete strengths — engaging activities under a new activity director (including a popular lottery), daily housekeeping and clean rooms, meals that guests enjoy with customization options, and evidence that ownership is investing in building improvements. Several reviewers explicitly describe the staff and nurses as friendly, caring, and helpful, and some call out excellent food and a pleasant nearby neighborhood with a bakery/restaurant. A few reviewers describe the facility as beautiful or note visible improvements that suggest management has begun investing in upgrades.

    At the same time, a number of serious and recurring concerns emerge. Staffing and care quality are the most frequently flagged problems: reviewers report short-handed shifts, only two nurses on a floor at times, high staff turnover, and staff who appear overworked or unhappy. Several reviewers specifically mention long call-button response times and difficulty obtaining accurate information from staff or administration. These operational shortfalls are linked by some families to a recent deterioration in care compared with earlier experiences. The result is described as inconsistent care quality — some shifts and individual caregivers receive high praise, while others prompt complaints and worry.

    Facility upkeep and odor issues are another recurring theme. While ownership investment and renovations are noted, multiple reviewers report poor upkeep in areas of the building and describe a motel-like, older facility that needs maintenance. Unpleasant urine odors and other smells are mentioned by several reviewers, undermining the perception of cleanliness despite reports that rooms are cleaned daily. This contrast suggests that while housekeeping for resident rooms may be consistent, broader environmental maintenance and odor-control remain problems.

    Most concerning are the serious safety and transparency allegations raised by some reviewers: unexplained bruises, fractures, and urinary tract infections (UTIs) are reported, and at least one account alleges lying and cover-up by administration and staff. These are strong red flags for patient safety and organizational transparency and were cited by reviewers who ultimately would not recommend the facility. At the same time, other reviewers explicitly say they have experienced excellent or very caring staff, which points to significant variability in resident outcomes and experiences.

    Management and communication receive mixed marks. A few reviewers say administration is fine and identify particularly helpful nurses who provide good information. Conversely, others describe difficulty obtaining accurate information and accuse staff and leadership of dishonesty or of covering up incidents. Ownership investment in improvements is a positive signal, but it appears not yet to have resolved operational and staffing issues according to several accounts.

    In summary, the reviews depict a facility with notable strengths — engaging activities, pleasant meals with options, daily room housekeeping, and some genuinely caring staff and nurses. However, those positives are offset by persistent and serious concerns about staffing levels, long response times, poor general upkeep and odor, inconsistent care quality, and troubling allegations regarding unexplained injuries and lack of transparency. Prospective families should weigh these mixed signals carefully: visit multiple times, speak with current families and staff, observe different shifts, ask for specifics about staffing ratios, response times, incident reporting and follow-up, and verify what improvements ownership has enacted and how staffing and safety issues are being addressed before making a placement decision.

    Location

    Map showing location of Meridian Care of Monte Vista

    About Meridian Care of Monte Vista

    Meridian Care of Monte Vista is a for-profit nursing and rehabilitation center that runs every day and night without closing, and the place is managed by Mr. Tim Berlanga, who is the Marketing Director, so you know there's someone keeping an eye on how the place runs but you're not going to see BBB accreditation here, although the facility does have a near-perfect recent health inspection record, which says something about the way they care for people. The staff includes registered nurses, doctors, therapy professionals, and a full-time licensed social worker, and there's an Activity Director named Jessica Whitt who makes sure folks have things to do and social programs to keep the mind sharp, and you do get the sense that the place cares about mental wellness along with physical needs, because they have a resident council and a family council, so families can be involved and residents get a voice in their care, which a lot of people seem to appreciate. They're set up for both long-term stays and short-term rehab, providing things like medication management, wound care by a certified nurse, occupational therapy, physical therapy, speech therapy, and even more specialized care like tracheostomy and ventilator support, IV antibiotic therapy and nutrition, ostomy and colostomy care, and a good amount of respiratory therapy, so people with complex needs can get help without having to move somewhere else. If you need hospice care or short stays, they have respite care too, and if someone needs rehab before going home, they do inpatient rehabilitation right there. There's always help available for bathing, dressing, getting around, and other daily things, and each person gets a customized care plan updated to match what they need, with the goal to help them reach their best possible health and happiness. Everyone gets three nutritious meals a day, and if someone needs help taking medicine, managing medical equipment, or just getting to appointments, they'll organize transportation, and they accept Medicare, Medicaid, private pay, and managed care insurance, so there's a few different ways the bills can be handled. The place puts a lot of focus on dignity, respect, and keeping residents active, healthy, and comfortable, and while it's a business, the team tries to give residents choices about daily routines and care options, making sure families stay informed and involved as much as they want, which can help people feel more at home and less anxious about all the decisions that come with nursing home care.

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