Total health inspections
3
Texas average 7.4
Last Health inspection on Aug 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Morningside at the Meadows
Nursing Home · San Antonio, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Morningside at the Meadows
Nursing Home · San Antonio, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Morningside at the Meadows accepts Medicare, Medicaid, and private pay.
Located in San Antonio, Texas, Morningside at The Meadows stands as a distinguished continuing care senior living community devoted to meeting the diverse needs of older adults. Providing an array of independent living options, Morningside at The Meadows creates an environment where seniors can relish the comforts of home without the burdens of maintenance. Whether one seeks independent living, assisted living, long-term care, or transitional care, Morningside at The Meadows provides a welcoming and enriching environment for seniors to embrace as their home.
Conveniently situated on Babcock Road, The Meadows radiates warmth, friendliness, and relaxation, seamlessly blending with the essence of senior living. Residents find elegant living spaces within the four-story Atrium Apartments, including studios and one- or two-bedroom residences. Accessible amenities encompass a state-of-the-art theater room, a modern gym, and delightful cuisine served at the Meadowlark Restaurant. The community is embraced by acres of scenic grounds, fostering a tranquil atmosphere. The outdoor experience is enhanced by picturesque gardens and well-maintained lawns, offering a serene setting.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 122nd out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 122nd out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 35m per day
Rank #122 / 289Nurse hours — State benchmarkedThis home is ranked 122nd out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
-5%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 17m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
49.8%
Rank #244 / 297Occupancy rate — State benchmarkedThis home is ranked 244th out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
98 days
Occupancy rate
49.8%
Rank #244 / 297Occupancy rate — State benchmarkedThis home is ranked 244th out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
98 days
147-bed community Rank #35 / 300Bed count — State benchmarkedThis home is ranked 35th out of 300 homes in Texas. Shows this facility's certified or reported bed count compared to other Texas SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
54 years in operation Rank #1 / 163Years in operation — State benchmarkedThis home is ranked 1st out of 163 homes in Texas. Shows how long this facility has been in operation compared to other Texas SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 46 / 100 Rank #144 / 300Walk Score — State benchmarkedThis home is ranked 144th out of 300 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Facility TypeNursing
IssuanceJanuary 4, 2023
ExpirationJanuary 4, 2026
CountyBexar
License Number149119
Year Opened9/1/1971
Services
Morningside at the Meadows is administrated by Cristyan Loredo.
Management CompanyMORNINGSIDE MINISTRIES
OwnerGUADALUPE COUNTY HOSPITAL BOARD
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicare
92 units
Medicaid and Medicare
55 units
Total beds
147 units
Staffing
Key information about the people who lead and staff this community.
ContactOwner Manager, Owner/Manager
Administrator Email[email protected]
Health Inspection History
Inspections
Total health citations
24
Rank #172 / 292Health citations — State benchmarkedThis home is ranked 172nd out of 292 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 292 TX SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 25.9
Citations per inspection
8
Rank #292 / 292Citations per inspection — State benchmarkedThis home is ranked 292nd out of 292 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 292 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 24 citations resulted from standard inspections; and 1 of 24 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
In line with Texas averageTexas average: 2
Serious Health citations
0
100% better than Texas averageTexas average: 0.4
Citations history (last 3 years)
Infection Control moderate citation
Aug 07, 2025
Corrected
Nutrition moderate citation
Aug 07, 2025
Corrected
Pharmacy moderate citation
Aug 07, 2025
Corrected
Pharmacy moderate citation
Aug 07, 2025
Corrected
Staffing Data
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
Total staff
123
Employees
121
Contractors
2
Staff to resident ratio
1.58:1
5% better than Texas average
Avg staff/day
37
Average shift
9 hours
11% better than Texas average
Total staff hours (quarter)
30,333
Nursing staff breakdown
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Contractor staffing
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
0.9%
286 contractor hours this quarter
Occupational Therapy Aide: 1
Medical Director: 1
Staff by category
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 40 | 0 | 40 | 12,313 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 23 | 0 | 23 | 8,383 | 91 | 100% | 9.9 |
| Registered Nurse | 7 | 0 | 7 | 1,158 | 82 | 90% | 9.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,034 | 87 | 96% | 11.2 |
| Administrator | 2 | 0 | 2 | 928 | 64 | 70% | 8 |
| Speech Language Pathologist | 9 | 0 | 9 | 865 | 81 | 89% | 6.6 |
| RN Director of Nursing | 2 | 0 | 2 | 712 | 64 | 70% | 8 |
| Physical Therapy Aide | 8 | 0 | 8 | 703 | 79 | 87% | 5.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 578 | 49 | 54% | 11.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 499 | 58 | 64% | 8.6 |
| Dietitian | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Nurse Aide in Training | 7 | 0 | 7 | 348 | 39 | 43% | 7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 346 | 56 | 62% | 5.4 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 336 | 55 | 60% | 5.8 |
| Qualified Social Worker | 7 | 0 | 7 | 311 | 68 | 75% | 3.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 256 | 32 | 35% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 199 | 23 | 25% | 8.6 |
| Medical Director | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
40 Certified Nursing Assistant
% of Days
100%
23 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
90%
3 Medication Aide/Technician
% of Days
96%
2 Administrator
% of Days
70%
9 Speech Language Pathologist
% of Days
89%
2 RN Director of Nursing
% of Days
70%
8 Physical Therapy Aide
% of Days
87%
1 Clinical Nurse Specialist
% of Days
54%
1 Mental Health Service Worker
% of Days
70%
1 Other Dietary Services Staff
% of Days
64%
1 Dietitian
% of Days
64%
1 Nurse Practitioner
% of Days
49%
7 Nurse Aide in Training
% of Days
43%
3 Physical Therapy Assistant
% of Days
62%
4 Respiratory Therapy Technician
% of Days
60%
7 Qualified Social Worker
% of Days
75%
1 Occupational Therapy Aide
% of Days
35%
1 Therapeutic Recreation Specialist
% of Days
25%
1 Medical Director
% of Days
3%
Penalties and fines
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$86K Rank #237 / 294Federal fines — State benchmarkedThis home is ranked 237th out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
7% higher than Texas averageTexas average: $80K
Number of fines
2
20% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$86K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2025
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 30, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 30, 2024
$69K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.4
44% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.9
68% worse than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
27.9%
Percent of long-stay residents whose need for help with daily activities has increased
27.9%
73% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.7%
Percent of long-stay residents whose ability to move independently worsened
25.7%
58% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.1%
73% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
40% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.7%
Percent of long-stay high risk residents with pressure ulcers
4.7%
6% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
50% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.9%
Percent of long-stay residents who lose too much weight
1.9%
46% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.3%
Percent of long-stay residents who have depressive symptoms
1.3%
55% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.5%
Percent of long-stay residents who received an antipsychotic medication
6.5%
17% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
10% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
Percent of short-stay residents who newly received an antipsychotic medication
3.0%
105% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.6%
In line with Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
63% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
3 - 4 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78
Medicare
4
5.1% of residents
Medicaid
32
41% of residents
Private pay or other
42
53.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Morningside at the Meadows based on CMS SNF Cost Reports.
Occupancy Rate
49.8%
↑ 7.1pp vs 2022
Net Income
-$2.5M
↓ ~$16.2K vs 2022
Total Payroll
$5.6M
↑ ~$531.7K vs 2022
Profit Margin
-36.0%
↑ 1.2pp vs 2022
Finances and operations
Voluntary non-profit community
Home revenue
$7.1M
Operating deficit
-$2.5M
Voluntary non-profit community
Home revenue
$7.1M Rank #249 / 297Revenue — State benchmarkedThis home is ranked 249th out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$2.5M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #118 / 297Payroll — State benchmarkedThis home is ranked 118th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #118 / 297Payroll — State benchmarkedThis home is ranked 118th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.6M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Morningside at the Meadows
4.8 miles from city center
Estimated distance in miles from San Antonio's city center to Morningside at the Meadows's address, calculated via Google Maps.
— 0.92 miles to nearest hospital (Methodist Hospital Texsan)
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Financial Assistance for
Nursing Home in Texas
Morningside at the Meadows is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about Morningside at the Meadows
What neighborhood is Morningside at the Meadows in?
Morningside at the Meadows is in the Sunshine Estates neighborhood of San Antonio.
Who is the owner of Morningside at the Meadows?
The legal owner and operator of Morningside at the Meadows is Guadalupe County Hospital Board.
Is Morningside at the Meadows in a walkable area?
Morningside at the Meadows has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Morningside at the Meadows?
According to TX state health department records, Morningside at the Meadows's license number is 149119.
When does Morningside at the Meadows's license expire?
According to TX state health department records, Morningside at the Meadows's license expires on January 4, 2026.
Who is the administrator of Morningside at the Meadows?
Cristyan Loredo is the administrator of Morningside at the Meadows.
How many beds does Morningside at the Meadows have?
Morningside at the Meadows has 147 beds.
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