Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
98
96 employees · 2 contractors · 34 on an average day Morningside at the Meadows
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · San Antonio, TX
ALM Inspection Grade
A-
ALM's inspection grade is 91 / 100, an A- — 10 points above the Texas average for CMS-certified facilities (81/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 91 / 100, an A- — 10 points above the Texas average for CMS-certified facilities (81/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Morningside at the Meadows
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · San Antonio, TX
ALM Inspection Grade
A-
ALM's inspection grade is 91 / 100, an A- — 10 points above the Texas average for CMS-certified facilities (81/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 91 / 100, an A- — 10 points above the Texas average for CMS-certified facilities (81/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Morningside at the Meadows accepts Medicare, Medicaid, and private pay.
Overview of Morningside at the Meadows
Morningside at the Meadows offers nursing home, skilled nursing, assisted living, independent living, and memory care in San Antonio, TX. Nursing home and skilled nursing care provide licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication management. Independent living offers private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering.
Several care levels are available. Morningside at the Meadows may be a good fit for a resident whose needs may grow over time and who may be able to change care levels without leaving the community. The community has 147 beds, and total nurse staffing is 4 hours 25 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident.
Medicare, Medicaid, and private pay are accepted, and Cristyan Loredo serves as the administrator. Morningside at the Meadows is in the Sunshine Estates neighborhood. A Walk Score of 46 places the area in a car-dependent setting, so most errands require a car or a ride; pets are allowed for residents who want to bring a pet when moving in.
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
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 36th out of 233 nursing homes we track in Texas for nurse hours. 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.
4h 25m
This nursing home is ranked 36th out of 233 nursing homes we track in Texas for nurse hours. 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.
4h 25mStandout metric: LPN / LVN is +65% above Texas average
2 of 6 metrics below Texas average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 3 are the facility's own employees; no agency contractors work in this role.
3 staff · 8.6-hour shifts
26m
↓ 2% · TX 27mThis facility: 26m per resident per day, 2% below the Texas average of 27m (among Texas facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 3 are the facility's own employees; no agency contractors work in this role.
3 staff · 8.6-hour shiftsUS average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 17 are the facility's own employees; no agency contractors work in this role.
17 staff · 9.9-hour shifts
1h 35m
↑ 65% · TX 57mThis facility: 1h 35m per resident per day, 65% above the Texas average of 57m (among Texas facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 17 are the facility's own employees; no agency contractors work in this role.
17 staff · 9.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 40 are the facility's own employees; no agency contractors work in this role.
40 staff · 9.7-hour shifts
2h 24m
↑ 16% · TX 2h 4mThis facility: 2h 24m per resident per day, 16% above the Texas average of 2h 4m (among Texas facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 40 are the facility's own employees; no agency contractors work in this role.
40 staff · 9.7-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
3m
↓ 39% · TX 4mThis facility: 3m per resident per day, 39% below the Texas average of 4m (among Texas facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 17m
↑ 41% · TX 3h 3mThis facility: 4h 17m per resident per day, 41% above the Texas average of 3h 3m (among Texas facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
26m
↑ 25% · TX 21mThis facility: 26m per resident per day, 25% above the Texas average of 21m (among Texas facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
98
96 employees · 2 contractors · 34 on an average day
98 total staff / 67 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.46 : 1
≈ 0% · TX 1.47This facility: 1.46 staff per resident, level with the Texas average of 1.47 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
98 staff ÷ 67 residents
See full Texas ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.9 h
↑ 10% · TX 8.1 hThis facility: 8.9 h, 10% above the Texas average of 8.1 h (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
27,447 staff hours this quarter
See full Texas ranking →99% of staff hours were worked by the facility's own employees
Texas average: 94.3% · Contractors this quarter: Medical Director (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
147
Rank #58 / 258Bed count — State benchmarked This nursing home is ranked 58th out of 258 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
147
Rank #58 / 258Bed count — State benchmarked This nursing home is ranked 58th out of 258 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #1 / 147Years in operation — State benchmarked This nursing home is ranked 1st out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #1 / 147Years in operation — State benchmarked This nursing home is ranked 1st out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
55
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #135 / 276Walk Score — State benchmarked This nursing home is ranked 135th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #135 / 276Walk Score — State benchmarked This nursing home is ranked 135th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
46
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #168 / 178Occupancy rate — State benchmarked This nursing home is ranked 168th out of 178 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 178. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #168 / 178Occupancy rate — State benchmarked This nursing home is ranked 168th out of 178 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 178. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
44.4%
This home usually has availability
Based on 65.3 residents and 147 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Lower than the Texas average: 72.9%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
129
days
About This Community
Facility TypeNursing
IssuanceJanuary 4, 2023
CountyBexar
License Number149119
Year Opened9/1/1971
Morningside at the Meadows is administered 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
Resident Council
Administrator Emailpatrick.crump@mmliving.org
Pets Allowed
Continuing Care Retirement Community (CCRC)
CMS Health Inspection History
ALM Inspection Grade
91 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
10 points above the Texas average for CMS-certified facilities (81/100)
Category breakdown
Citations
Typical
75 severity-weighted points (26 citations) · 10% lower than the typical CMS-certified TX facility (median: 83)
Enforcement
Strong
$5,000 in fines · 1 enforcement action
Persistence
Strong
3 days to fix issues · much faster than the typical CMS-certified TX facility (median: 15)
Total health inspections
4
↓ 50% · TX 8This facility: 4, 50% below the Texas average of 8 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
26
Rank #137 / 234Health citations — State benchmarked This nursing home is ranked 137th out of 234 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 7% · TX 28This facility: 26, 7% below the Texas average of 28 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
6.5
Rank #231 / 234Citations per inspection — State benchmarked This nursing home is ranked 231st out of 234 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 78% · TX 3.65This facility: 6.5, 78% above the Texas average of 3.65 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
26 of 26 citations corrected
Critical
J–L
0
↓ 100% · TX 1.8This facility: 0, 100% below the Texas average of 1.8 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · TX 0.4This facility: 0, 100% below the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
26
↑ 2% · TX 25.4This facility: 26, 2% above the Texas average of 25.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · TX 0.4This facility: 0, 100% below the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Apr 11, 2026 · 2 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 7 of 26 citations · 7 categories in total
Citations history
Most recent first
Apr 11, 2026
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Aug 07, 2025
9 citations
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Jun 30, 2024
10 citations
Care Planning moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Apr 21, 2023
5 citations
Resident Rights moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 26 citations
Resident Assessment & Care Planning
7 deficiencies (27%)
Resident Rights
6 deficiencies (23%)
Nutrition & Dietary
5 deficiencies (19%)
Pharmacy Services
4 deficiencies (15%)
Quality of Life & Care
2 deficiencies (8%)
Infection Control
1 deficiency (4%)
Abuse, Neglect & Exploitation
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 26 citations resulted from standard inspections; and 2 of 26 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
1 penalty in the past 3 years
Latest: Aug 14, 2025 · $5,000 civil money penalty
Aug 14, 2025 · $5,000 civil money penalty
Total fines
$5,000
↓ 92% · TX $63KThis facility: $5,000, 92% below the Texas average of $63,404. Average among the 798 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #71 / 236Federal fines — State benchmarked This nursing home is ranked 71st out of 236 nursing homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 236 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 52% · TX 2.1This facility: 1, 52% below the Texas average of 2.1. Average among the 798 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
TX avg 0.18Texas average: 0.18. Average among the 798 Texas facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Aug 14, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$5,000
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$5,000Fine amount comparison
This facility
$5,000
Texas average
$63,404
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Texas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
7.3
Score · lower is better
↓ 4% · TX 7.6This facility: 7.3, 4% below the TX average of 7.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
15.0
Score · lower is better
↑ 9% · TX 13.8This facility: 15.0, 9% above the TX average of 13.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 6 better, 3 worse, 2 near TX average
3 short-stay measures: 2 better, 1 near TX average
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
17.4%
↑ 10% · TX 15.8This facility: 17.4, 10% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
17.4%
↑ 10% · TX 15.8This facility: 17.4, 10% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
12.0%
↓ 7% · TX 12.9This facility: 12.0, 7% below the TX average of 12.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
12.0%
↓ 7% · TX 12.9This facility: 12.0, 7% below the TX average of 12.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.5%
↑ 24% · TX 12.5This facility: 15.5, 24% above the TX average of 12.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.5%
↑ 24% · TX 12.5This facility: 15.5, 24% above the TX average of 12.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · TX 0.8This facility: 0.0, 100% below the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · TX 0.8This facility: 0.0, 100% below the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
↑ 12% · TX 3.2This facility: 3.6, 12% above the TX average of 3.2 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
↑ 12% · TX 3.2This facility: 3.6, 12% above the TX average of 3.2 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
2.9%
↓ 21% · TX 3.7This facility: 2.9, 21% below the TX average of 3.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
2.9%
↓ 21% · TX 3.7This facility: 2.9, 21% below the TX average of 3.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
0.5%
↓ 83% · TX 2.9This facility: 0.5, 83% below the TX average of 2.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
0.5%
↓ 83% · TX 2.9This facility: 0.5, 83% below the TX average of 2.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · TX 2.3This facility: 0.0, 100% below the TX average of 2.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · TX 2.3This facility: 0.0, 100% below the TX average of 2.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
4.5%
↓ 54% · TX 9.8This facility: 4.5, 54% below the TX average of 9.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
4.5%
↓ 54% · TX 9.8This facility: 4.5, 54% below the TX average of 9.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · TX 96.3This facility: 100.0, 4% above the TX average of 96.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · TX 96.3This facility: 100.0, 4% above the TX average of 96.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
↑ 2% · TX 97.0This facility: 98.5, 2% above the TX average of 97.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
↑ 2% · TX 97.0This facility: 98.5, 2% above the TX average of 97.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · TX 1.4This facility: 0.0, 100% below the TX average of 1.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · TX 1.4This facility: 0.0, 100% below the TX average of 1.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
↑ 11% · TX 88.7This facility: 98.6, 11% above the TX average of 88.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
↑ 11% · TX 88.7This facility: 98.6, 11% above the TX average of 88.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
↑ 3% · TX 85.4This facility: 88.1, 3% above the TX average of 85.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
↑ 3% · TX 85.4This facility: 88.1, 3% above the TX average of 85.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Morningside at the Meadows’s finances from its CMS cost report for the fiscal year ending September 2024, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Sep 2024
Is it financially stable?
Losing money on care, and more than last year
−55.5% operating margin
−14.6 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.1M) trims the net loss to −$3.4M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Texas homes
90.2% payroll share of revenue
TX average 68.8%Rank #22 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 22nd out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.3M while revenue fell $0.3M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $6.2M | −$0.3M | Trend 20162024 | TX median $9.3M | Rank in TX Rank #184 / 225Net patient revenue — State benchmarked This nursing home is ranked 184th out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 18% of homes | Below TX median Higher net patient revenue than 18% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $9.7M | +$0.5M | Trend 20162024 | TX median $9.8M | Rank in TX Rank #117 / 225Operating expenses — State benchmarked This nursing home is ranked 117th out of 225 nursing homes we track in Texas for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Texas homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 48% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$3.5M | −$0.8M | Trend 20162024 | TX median −$0.4M | Rank in TX Rank #187 / 225Net patient income — State benchmarked This nursing home is ranked 187th out of 225 nursing homes we track in Texas for net patient income. Shows net patient revenue minus operating expenses, compared with other Texas homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 17% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −55.5% | −14.6 pts | Trend 20162024 | TX median −5.0% | Rank in TX Rank #199 / 225Operating margin — State benchmarked This nursing home is ranked 199th out of 225 nursing homes we track in Texas for operating margin. Shows net patient income as a share of net patient revenue, compared with other Texas homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 12% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | TX median $0.4M | Rank in TX Rank #142 / 214Other income — State benchmarked This nursing home is ranked 142nd out of 214 nursing homes we track in Texas for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Texas homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 34% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$3.4M | −$0.9M | Trend — | TX median $0.3M | Rank in TX Rank #191 / 207Net income — State benchmarked This nursing home is ranked 191st out of 207 nursing homes we track in Texas for net income. Shows the bottom line after other income, compared with other Texas homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 8% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends more of revenue on staff than most Texas homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.6M | +$0.3M | Trend 20162024 | TX median $4.9M | Rank in TX Rank #87 / 225Payroll costs — State benchmarked This nursing home is ranked 87th out of 225 nursing homes we track in Texas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 62% of homes | Above TX median Higher payroll than 62% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 90.2% | +9.0 pts | Trend 20162024 | TX median 57.6% | Rank in TX Rank #22 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 22nd out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 90% of homes | 21.4 pts over TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · TX benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017no report | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $10.7M | $11.2M | $9.0M | $7.1M | $6.4M | $5.5M | $6.5M | $6.2M | |
| Operating expenses | $13.6M | $14.7M | $12.9M | $11.0M | $9.4M | $8.3M | $9.2M | $9.7M | |
| Net patient income | −$2.9M | −$3.5M | −$4.0M | −$3.9M | −$3.0M | −$2.8M | −$2.7M | −$3.5M | |
| Operating margin | −27.2% | −31.4% | −44.1% | −54.6% | −47.2% | −51.8% | −40.9% | −55.5% | |
| Net income | −$2.0M | −$3.3M | −$3.9M | −$2.8M | −$2.7M | −$2.5M | −$2.5M | −$3.4M | |
| Payroll costs | $8.1M | $9.0M | $7.8M | $6.3M | $5.7M | $5.0M | $5.3M | $5.6M | |
| Payroll share of revenue | 76.1% | 80.3% | 86.6% | 88.4% | 89.7% | 90.7% | 81.2% | 90.2% | |
| Beds | 170 | 170 | 170 | 170 | 147 | 147 | 147 | 147 | |
| Gross revenue | $13.7M | $13.8M | $11.6M | $8.8M | $8.0M | $6.7M | $6.9M | $6.7M | |
| Salaries | $7.1M | $7.9M | $6.7M | $5.4M | $5.0M | $4.3M | $4.6M | $4.9M | |
| Wage-related costs | $1.1M | $1.0M | $1.1M | $0.8M | $0.8M | $0.7M | $0.7M | $0.8M | |
| Contract labor | $1.0M | $0.5M | — | — | $0.0M | $0.1M | $0.3M | — | |
| Other operating costs | $5.5M | $5.7M | $5.2M | $4.7M | $3.7M | $3.3M | $3.9M | $4.1M | |
| Net patient revenue per day | $197 | $214 | $222 | $243 | $262 | $239 | $245 | $226 | |
| Cost per day | $251 | $281 | $320 | $376 | $385 | $363 | $345 | $351 | |
| Average length of stay | 129.1 days | 85.8 days | 92.0 days | 70.4 days | 70.6 days | 61.9 days | 98.3 days | 129.1 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
204 admissions · FY2024
Residents admitted during the year.
Medicare
45 · 22%
Medicaid
4 · 2%
Private pay & other
155 · 76%
Resident snapshot
67 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
21 · 31%
Medicaid
46 · 69%
Private pay & other
0 · 0%
Leaving
214 discharges · FY2024
Residents discharged during the year.
Medicare
42 · 20%
Medicaid
10 · 5%
Private pay & other
162 · 76%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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)
Calculate Travel Distance to Morningside at the Meadows
Add your location
Compare Nursing Homes around San Antonio
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 68.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lakeside Nursing and Rehabilitation Center | NH SNF | San Antonio (Far West Side) | 120
Facility
120
TX AVG
121
Rank
#125 / 258 | B- |
95.8%
Facility
95.8%
TX AVG
72.9%
Rank
#4 / 178 | +31% | 3.05
Facility
3.05
TX AVG
3.47
Rank
#175 / 233 | +11% | -12% | $14.6k
Facility
$14.6k
TX AVG
$63.8k
Rank
#101 / 236 | 22
Facility
22
TX AVG
28.0
Rank
#96 / 234 | 4.4
Facility
4.4
TX AVG
3.6
Rank
#201 / 234 | 3 | 113 | - |
19
Facility
19
TX AVG
44
Rank
#242 / 276 | West Wharton County Hospital District | $12.8MFiscal year ending 03/2025
Facility
$12.8MFiscal year ending 03/2025
TX AVG
$10.2M
Rank
#41 / 225 | $7.7MFiscal year ending 03/2025
Facility
$7.7MFiscal year ending 03/2025
TX AVG
$5.8M
Rank
#40 / 225 | 60%Fiscal year ending 03/2025
Facility
60%Fiscal year ending 03/2025
TX AVG
68.8%
Rank
#77 / 202 | 676325 | ||||
| Remington Transitional Care | NH HC HOS RC SNF | San Antonio (Northwest Side) | 60
Facility
60
TX AVG
121
Rank
#229 / 258 | A |
93.0%
Facility
93.0%
TX AVG
72.9%
Rank
#14 / 178 | +28% | 4.04
Facility
4.04
TX AVG
3.47
Rank
#56 / 233 | +40% | +16% | $0
Facility
$0
TX AVG
$63.8k
Rank
#1 / 236 | 26
Facility
26
TX AVG
28.0
Rank
#137 / 234 | 4.3
Facility
4.3
TX AVG
3.6
Rank
#195 / 234 | - | 56 | - |
75
Facility
75
TX AVG
44
Rank
#18 / 276 | Regency Ihs Of San Antonio, LLC | $11.1MFiscal year ending 12/2024
Facility
$11.1MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#63 / 225 | $5.0MFiscal year ending 12/2024
Facility
$5.0MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#110 / 225 | 44.9%Fiscal year ending 12/2024
Facility
44.9%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#163 / 202 | 676216 | ||||
| Morningside at the Meadows | NH AL IL MC SNF | San Antonio (Sunshine Estates) | 147
Facility
147
TX AVG
121
Rank
#58 / 258 | A- |
44.4%
Facility
44.4%
TX AVG
72.9%
Rank
#168 / 178 | -39% | 4.42
Facility
4.42
TX AVG
3.47
Rank
#36 / 233 | -61% | +27% | $5.0k
Facility
$5.0k
TX AVG
$63.8k
Rank
#71 / 236 | 26
Facility
26
TX AVG
28.0
Rank
#137 / 234 | 6.5
Facility
6.5
TX AVG
3.6
Rank
#231 / 234 | - | 65 | - |
46
Facility
46
TX AVG
44
Rank
#135 / 276 | Guadalupe County Hospital Board | $6.2MFiscal year ending 09/2024
Facility
$6.2MFiscal year ending 09/2024
TX AVG
$10.2M
Rank
#184 / 225 | $5.6MFiscal year ending 09/2024
Facility
$5.6MFiscal year ending 09/2024
TX AVG
$5.8M
Rank
#87 / 225 | 90.2%Fiscal year ending 09/2024
Facility
90.2%Fiscal year ending 09/2024
TX AVG
68.8%
Rank
#22 / 202 | 455523 | ||||
| San Pedro Manor | NH MC SNF | San Antonio (Monte Vista) | 150
Facility
150
TX AVG
121
Rank
#46 / 258 | B- |
67.3%
Facility
67.3%
TX AVG
72.9%
Rank
#123 / 178 | -8% | 3.85
Facility
3.85
TX AVG
3.47
Rank
#65 / 233 | 0% | +11% | $24.3k
Facility
$24.3k
TX AVG
$63.8k
Rank
#134 / 236 | 31
Facility
31
TX AVG
28.0
Rank
#163 / 234 | 3.1
Facility
3.1
TX AVG
3.6
Rank
#103 / 234 | 2 | 101 | A+ |
79
Facility
79
TX AVG
44
Rank
#14 / 276 | Uvalde County Hospital Authority | $8.9MFiscal year ending 06/2025
Facility
$8.9MFiscal year ending 06/2025
TX AVG
$10.2M
Rank
#126 / 225 | $6.5MFiscal year ending 06/2025
Facility
$6.5MFiscal year ending 06/2025
TX AVG
$5.8M
Rank
#60 / 225 | 72.3%Fiscal year ending 06/2025
Facility
72.3%Fiscal year ending 06/2025
TX AVG
68.8%
Rank
#33 / 202 | 455689 | ||||
| The Army Residence Community Health Care Center | NH AL IL MC SNF | San Antonio (Northeast Side) | 121
Facility
121
TX AVG
121
Rank
#122 / 258 | A- | - | - | 5.28
Facility
5.28
TX AVG
3.47
Rank
#15 / 233 | -4% | +52% | $0
Facility
$0
TX AVG
$63.8k
Rank
#1 / 236 | 13
Facility
13
TX AVG
28.0
Rank
#27 / 234 | 3.3
Facility
3.3
TX AVG
3.6
Rank
#124 / 234 | - | 59 | - |
6
Facility
6
TX AVG
44
Rank
#269 / 276 | The Army Retirement Residence Foundation San Antonio Inc | $36.0MFiscal year ending 06/2025
Facility
$36.0MFiscal year ending 06/2025
TX AVG
$10.2M
Rank
#3 / 225 | $17.4MFiscal year ending 06/2025
Facility
$17.4MFiscal year ending 06/2025
TX AVG
$5.8M
Rank
#6 / 225 | 48.2%Fiscal year ending 06/2025
Facility
48.2%Fiscal year ending 06/2025
TX AVG
68.8%
Rank
#148 / 202 | 675697 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Texas
Morningside at the Meadows is in San Antonio, Texas. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
Texas VA Aid and Attendance/Housebound
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- Countable income must be below the applicable Maximum Annual Pension Rate (MAPR); the rate depends on dependents and benefit category; Qualifying unreimbursed medical expenses may reduce countable income.
- Asset limit
- VA pension net-worth limit is $163,699 from December 1 2025 through November 30 2026; net worth includes countable assets and annual income under VA rules.
Eligibility
- General
- Additional pension benefits for qualifying Veterans or survivors who satisfy VA pension eligibility and the medical requirements for Aid and Attendance or Housebound status; being an older veteran or spouse alone does not qualify.
- TX specifics
- This is a federal VA benefit rather than a state-specific grant; Aid and Attendance and Housebound benefits cannot be received together.
What it provides
- Increased monthly VA pension based on the applicable MAPR less countable income.
STAR+PLUS and STAR+PLUS HCBS
Texas STAR+PLUS and STAR+PLUS HCBS
- Who it is for
- Texas Medicaid members, mainly adults 65+ or with disabilities, who need long-term services and supports
Eligibility
- General
- Texas Medicaid applicants or members who meet a STAR+PLUS eligibility pathway; the program principally serves adults with disabilities and adults age 65 or older. STAR+PLUS HCBS requires a separate assessment for nursing-facility-level needs.
- TX specifics
- Health plans and participating providers depend on the service area. Assisted living and adult foster care are additional HCBS services for approved enrollees; members remain responsible for room and board and any assessed copayment.
What it provides
- STAR+PLUS provides Medicaid health coverage and authorized long-term services and supports.
- Approved STAR+PLUS HCBS plans may include personal assistance or assisted living services.
- Other assessed HCBS benefits include respite and nursing services and home modifications.
Texas Community Care Services (CCAD)
Texas Community Care for the Aged and Disabled / Community Care Services
- Who it is for
- Texans who need community-care services assessed under the HHS Community Care handbook
Eligibility
- General
- Texas Community Care for the Aged and Disabled is an umbrella for community-care services with service-specific eligibility.
- TX specifics
- Individual services are administered under the Community Care Services Eligibility Handbook.
What it provides
- Community care services depend on the specific program and assessed need.
Area Agency on Aging (AAA) Services
Texas AAA Services
- Who it is for
- People 60+ in Texas and their family members and caregivers
- Income limit
- Services prioritize greatest economic and social need.
Eligibility
- General
- Texas Area Agencies on Aging help people age 60 or older and their family members and caregivers.
- TX specifics
- Texas has 28 Area Agencies on Aging; assistance and services are obtained through the local agency.
What it provides
- Information and referrals; benefits counseling and legal assistance; care coordination; caregiver support; in-home support; nutrition and ombudsman services.
Family Caregiver Support Program (FCSP)
Texas Family Caregiver Support Program
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
- Income limit
- Federal program prioritizes greatest economic and social need.
Eligibility
- General
- Texas AAA caregiver support serves eligible caregivers of older adults; particular service eligibility follows the relevant program and assessment.
- TX specifics
- Available through the 28 Area Agencies on Aging with priority to greatest economic and social need.
What it provides
- Caregiver information assistance and support; respite and other services depend on local availability and assessment.
Medicare Savings Program (MSP)
Texas Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
- Income limit
- effective March 1 2026 · Individual QMB maximum $1,330 per month; SLMB range $1,330.01 to less than $1,596; QI-1 range $1,596 to less than $1,796; These published bases exclude the $20 general income disregard; couple and spousal-deeming rules differ.
- Asset limit
- 2026 · Countable resources up to $9,950 individual or $14,910 couple for QMB SLMB and QI-1; exclusions apply.
Eligibility
- General
- Texas applicant entitled to Medicare Part A or enrolled in qualifying Part B-ID coverage and meeting applicable MSP criteria.
- TX specifics
- QI-1 is unavailable with other Medicaid-funded coverage; Part B-ID applicants have special limited-benefit rules.
What it provides
- QMB pays qualifying Medicare premiums deductibles and coinsurance; SLMB and QI-1 pay Part B or B-ID premiums only.
Comprehensive Energy Assistance Program (CEAP)
Texas Comprehensive Energy Assistance Program (CEAP)
- Who it is for
- Low-income Texas households that need help with utility bills
Eligibility
- General
- Qualifying low-income Texas households apply through local Comprehensive Energy Assistance Program providers.
- TX specifics
- Texas LIHEAP utility assistance operates through CEAP.
What it provides
- Utility assistance through CEAP.
Property Tax Exemption for Seniors
Texas Senior Property Tax Exemption
- Who it is for
- Texas homeowners 65+, or qualifying disabled homeowners, living in their homestead
Eligibility
- General
- Residence-homestead owner age 65 or older who uses the property as a principal residence; qualifying disabled homeowners and certain surviving spouses have related provisions.
- TX specifics
- School districts must provide an additional $60,000 age-65-or-disabled residence-homestead exemption; Local-option exemptions and tax-ceiling rules are separate.
What it provides
- Reduction in taxable residence-homestead value (additional $60,000 school-district exemption for age 65 or qualifying disability); actual tax savings vary.
Know before you visit
Frequently Asked Questions about Morningside at the Meadows
Quick answers from public records and the community's own listing.01 What neighborhood is Morningside at the Meadows in?
Morningside at the Meadows is in the Sunshine Estates neighborhood of San Antonio.
02 Who is the owner of Morningside at the Meadows?
Morningside at the Meadows is legally operated by Guadalupe County Hospital Board, and administered by Cristyan Loredo.
03 Is Morningside at the Meadows in a walkable area?
Morningside at the Meadows has a walk score of 46. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
04 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.
05 What is the occupancy rate at Morningside at the Meadows?
Morningside at the Meadows's occupancy is 44.4%.
06 How long has Morningside at the Meadows been in business?
Morningside at the Meadows has been operating for approximately 55 years, based on available licensing and registration records.
07 Are pets allowed at Morningside at the Meadows?
Yes, Morningside at the Meadows allows residents to bring their pets.
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