Velarion Records
Follow this facility
Unsubscribe any time.

Skilled nursing facility · CMS certification number 455450

Meridian Care Monte Vista

San Antonio, Texas · Medicare and Medicaid · 106 certified beds in Care Compare

Download Meridian Care Monte Vista’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $23,574.00 · Payment denials: 0. The most recent penalty on file: March 20, 2026, Fine, $9,249. Every penalty on file ↓

Meridian Care Monte Vista: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2025, covering January 1, 2025 to August 31, 2025 (242 days, not a full year), and CMS processed it on February 12, 2026.
  • Net patient revenue fell from $5.5M in fiscal year 2024 to $3.9M in fiscal year 2025.
  • Its result from service to patients: −$551K (2023), −$207K (2024), −$687K (2025).
  • Its cost reports on file run from fiscal year 1997 to fiscal year 2025.
  • Its net patient revenue of $3.9M ranks 387th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
  • All 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.

Meridian Care Monte Vista: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2025
Form CMS-2540-102025 · report 14477122024 · report 14246072023 · report 13895542022 · report 13738742021 · report 13289502020 · report 13392432019 · report 12695762018 · report 12369412017 · report 12073862016 · report 11725292015 · report 11403412014 · report 11207352013 · report 10717362012 · report 10809132011 · report 1014099
Period beganJanuary 1, 2025January 1, 2024January 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedAugust 31, 2025December 31, 2024December 31, 2023December 31, 2022December 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days, where not a full year242——————————————
Processed by CMSFebruary 12, 2026May 27, 2025July 19, 2024February 26, 2024August 4, 2022December 29, 2022September 24, 2020July 15, 2019August 21, 2018August 9, 2017August 9, 2016March 17, 2016July 23, 2014November 25, 2014October 26, 2012
Total patient revenue$5,783,081$9,343,233$6,772,258$5,640,322$4,599,882$3,216,816$3,636,173$3,340,368$2,791,164$2,448,861$2,758,287$2,817,402$3,224,801$4,421,138$5,139,261
Contractual allowances and discounts$1,884,021$3,807,208$2,491,003$1,786,601$1,595,067$753,230$1,017,893$658,833$498,940$453,633$501,389$514,205$475,997$1,105,815$1,022,936
Net patient revenue$3,899,060$5,536,025$4,281,255$3,853,721$3,004,815$2,463,586$2,618,280$2,681,535$2,292,224$1,995,228$2,256,898$2,303,197$2,748,804$3,315,323$4,116,325
Total operating expenses$4,585,910$5,743,127$4,832,580$4,333,601$3,927,215$4,189,298$3,944,116$3,487,049$2,977,547$2,889,911$2,947,355$2,986,779$3,265,531$3,559,550$3,844,821
Net income from service to patients−$686,850−$207,102−$551,325−$479,880−$922,400−$1,725,712−$1,325,836−$805,514−$685,323−$894,683−$690,457−$683,582−$516,727−$244,227$271,504
Total other income$144,028$5,886$302,412$75,230$704,173$144,171$205,054$581$777$680$729$9,359$4,742$9,461$62,142
Net income after other income−$542,822−$201,216−$248,913−$404,650−$218,227−$1,581,541−$1,120,782−$804,933−$684,546−$894,003−$689,728−$674,223−$511,985−$234,766$333,646
Net income−$542,822−$201,216−$248,913−$404,650−$218,227−$1,581,541−$1,120,782−$804,933−$684,546−$894,003−$689,728−$674,223−$511,985−$234,766$333,646
Total facility beds, all components106106106106106106106106106108108108108108108
Bed days available, all components25,758——————————————
Medicare (Title XVIII) patient days976——————————————
Medicaid (Title XIX) patient days8,707——————————————
Other-payer patient days4,216——————————————
Total patient days, all components13,89920,73717,48116,00312,35013,16016,74316,77017,36216,67817,35918,19520,05722,39326,844
Medicare discharges22——————————————
Medicaid discharges65——————————————
Other-payer discharges71——————————————
Total discharges, all components1582132641509179537972827786100128159
Average length of stay, Medicare, in days44.3655.4334.934.5952.8862.8830.8833.621013367.8359.561.574.562.41
Average length of stay, Medicaid, in days133.95171.13117.74268.69280183.291,166.11608.33462.04460.71329.56460.86249.58228.02211.4
Average length of stay, all patients, in days87.9797.3666.22106.69135.71166.58315.91212.28241.14203.39225.44211.57200.57174.95168.83

Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1997 to 2010
Form CMS-2540-962010 · report 4144162008 · report 3456342007 · report 3226542006 · report 2898902005 · report 2632752004 · report 2316822003 · report 1861552002 · report 1857742001 · report 1358912000 · report 947691999 · report 947681998 · report 947661997 · report 94765
Period beganJanuary 8, 2010January 1, 2008January 1, 2007January 1, 2006January 1, 2005January 1, 2004January 1, 2003May 1, 2001May 1, 2000May 1, 1999May 1, 1998May 1, 1997May 1, 1996
Period endedDecember 31, 2010December 31, 2008December 31, 2007December 31, 2006October 31, 2005December 31, 2004December 31, 2003April 30, 2002April 30, 2001April 30, 2000April 30, 1999April 30, 1998April 30, 1997
Report statussettledsettledsettledsettledsettledsettledas submittedsettledsettledsettledas submittedsettledsettled
Processed by CMSAugust 3, 2011June 18, 2009August 4, 2008July 26, 2007September 18, 2006August 25, 2005June 30, 2004June 29, 2004April 3, 2003June 18, 2001November 15, 1999November 15, 1999March 24, 1998
Net patient revenue$3,523,709$3,338,815$3,202,270$2,436,989$2,217,891$3,608,199$3,571,885$3,912,663$3,125,381$3,049,190$3,240,493$3,231,460$2,630,305
Total operating expenses$3,584,194$3,891,551$3,568,244$2,961,153$2,783,170$3,824,704$4,204,001$4,390,142$3,391,594$3,268,787$3,208,691$3,277,538$2,815,862
Net income from service to patients−$60,485−$552,736−$365,974−$524,164−$565,279−$216,505−$632,116−$477,479−$266,213−$219,597$31,802−$46,078−$185,557
Total other income$1,574$5,202$36,994$1,439$1,775$6,153$8,012$110,170$15,916−$15,512$4,564$8,425$3,275
Total other expenses—−$24,784———————————
Net income−$58,911−$522,750−$328,980−$522,725−$563,504−$210,352−$624,104−$367,309−$250,297−$235,109$36,366−$37,653−$182,282
Total facility beds, all components108108108108108108108108108108108108108
Total patient days, all components24,68326,93925,76922,39620,66031,30433,42235,18833,07832,33035,83636,25329,696
Total discharges, all components124182178129130215224168240201222222107
Average length of stay, Medicare, in days57.640.9644.2931.7920.4126.1130.14339.6381.0650.6447.1742.6
Average length of stay, Medicaid, in days302.54238.39261.68285.77258.32269.95212.11241.6180.58————
Average length of stay, all patients, in days199.06148.02144.77173.61158.92145.6149.21209.45137.83160.85161.42163.3277.53

Net income, fiscal years 2010, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.

Meridian Care Monte Vista: nurse staffing hours by quarter →

Who owns Meridian Care Monte Vista, as filed with CMS

Care Compare

  • ADP OF THE SNF: AZIZ, WESAM (individual), since 01/30/2025; BALENTINE, JAY (individual), since 01/08/2010; GLISCZINSKI, KIMBERLY (individual), since 01/30/2025; LOZANO, RAMIRO (individual), since 01/08/2010
  • CORPORATE OFFICER: BALENTINE, JAY (individual), since 01/08/2010; LOZANO, RAMIRO (individual), since 11/30/2009
  • DIRECT OWNERSHIP INTEREST: BALENTINE, JAY (individual), since 01/08/2010; LOZANO, RAMIRO (individual), since 01/08/2010
  • OPERATIONAL/MANAGERIAL CONTROL: AZIZ, WESAM (individual), since 06/01/2023; GLISCZINSKI, KIMBERLY (individual), since 05/19/2022; NIENABER, PAMELA (individual), since 02/10/2023

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of RJ MERIDIAN CARE ALTA VISTA LLC (enrollment ID O20100526000887).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: JAY BALENTINE (individual), 50.00%, since 01/08/2010; RAMIRO G LOZANO (individual), 50.00%, since 01/08/2010
  • ADP OF THE SNF: JAY BALENTINE (individual), since 01/08/2010; KIMBERLY GLISCZINSKI (individual), since 01/30/2025; RAMIRO G LOZANO (individual), since 01/08/2010; WESAM SABRI AZIZ (individual), since 01/30/2025
  • CORPORATE OFFICER: JAY BALENTINE (individual), 50.00%, since 01/08/2010; RAMIRO G LOZANO (individual), 50.00%, since 11/30/2009
  • DIRECT OWNERSHIP INTEREST: JAY BALENTINE (individual), 50.00%, since 01/08/2010; RAMIRO G LOZANO (individual), 50.00%, since 01/08/2010
  • OPERATIONAL/MANAGERIAL CONTROL: KIMBERLY GLISCZINSKI (individual), since 05/19/2022; PAMELA NIENABER (individual), since 02/10/2023; WESAM SABRI AZIZ (individual), since 06/01/2023

Private equity company, real estate investment trust and holding company: “Paused by CMS” for every owner listed here. Paused by CMS: Form CMS-855A, December 11, 2025.

Changes in ownership

  • May 1, 2025, enrollment ownership file; no longer listed: RAMIRO G LOZANO (W-2 MANAGING EMPLOYEE); JAY BALENTINE (CORPORATE DIRECTOR); first listed: PAMELA NIENABER (OPERATIONAL/MANAGERIAL CONTROL), associated since February 10, 2023; RAMIRO G LOZANO (DIRECT OWNERSHIP INTEREST), associated since January 8, 2010; RAMIRO G LOZANO (ADP OF THE SNF), associated since January 8, 2010; WESAM SABRI AZIZ (ADP OF THE SNF), associated since January 30, 2025; WESAM SABRI AZIZ (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2023; KIMBERLY GLISCZINSKI (ADP OF THE SNF), associated since January 30, 2025; KIMBERLY GLISCZINSKI (OPERATIONAL/MANAGERIAL CONTROL), associated since May 19, 2022; JAY BALENTINE (DIRECT OWNERSHIP INTEREST), associated since January 8, 2010; JAY BALENTINE (ADP OF THE SNF), associated since January 8, 2010. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv

Recent changes on this record

Inspections of Meridian Care Monte Vista

  • Cycle 1: health February 13, 2026 (16 deficiencies), fire safety February 13, 2026 (2)
  • Cycle 2: health November 6, 2024 (18 deficiencies), fire safety November 6, 2024 (10)
  • Cycle 3: health September 22, 2023 (14 deficiencies), fire safety September 22, 2023 (4)

Deficiencies cited at Meridian Care Monte Vista

52 deficiencies on file, by tag, newest citation first

every one from a health inspection; 31 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0641, resident assessment and care planning: July 17, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected July 18, 2026); September 22, 2023 (D, Deficient, Provider has date of correction, corrected September 29, 2023).
  • F 0656, resident assessment and care planning: July 17, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected July 18, 2026); February 13, 2026 (D, Deficient, Provider has date of correction, corrected March 1, 2026); November 6, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 7, 2024); May 28, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected May 30, 2024); September 22, 2023 (E, Deficient, Provider has date of correction, corrected September 29, 2023).
  • F 0695, quality of life and care: July 17, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected July 18, 2026); September 22, 2023 (E, Deficient, Provider has date of correction, corrected September 29, 2023).
  • F 0580, resident rights: May 20, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected May 21, 2026).
  • F 0755, pharmacy service: May 20, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected May 21, 2026); February 13, 2026 (D, Deficient, Provider has date of correction, corrected March 1, 2026); September 22, 2023 (E, Deficient, Provider has date of correction, corrected September 29, 2023).
  • F 0578, resident rights: March 20, 2026 (J, from a complaint, Past Non-Compliance).
  • F 0552, resident rights: February 13, 2026 (E, Deficient, Provider has date of correction, corrected March 1, 2026).
  • F 0655, resident assessment and care planning: February 13, 2026 (D, Deficient, Provider has date of correction, corrected March 1, 2026).
  • F 0690, quality of life and care: February 13, 2026 (D, Deficient, Provider has date of correction, corrected March 1, 2026); September 22, 2023 (D, Deficient, Provider has date of correction, corrected September 29, 2023); August 25, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected August 28, 2023).
  • F 0757, pharmacy service: February 13, 2026 (D, Deficient, Provider has date of correction, corrected March 1, 2026).
  • F 0761, pharmacy service: February 13, 2026 (E, Deficient, Provider has date of correction, corrected March 1, 2026); June 20, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected June 21, 2025); November 6, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 7, 2024); September 22, 2023 (D, Deficient, Provider has date of correction, corrected September 29, 2023).
  • F 0880, infection control: February 13, 2026 (E, Deficient, Provider has date of correction, corrected March 1, 2026); August 19, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected August 20, 2025); November 6, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 20, 2024); August 25, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected August 28, 2023).
  • F 0921, environmental: February 13, 2026 (E, Deficient, Provider has date of correction, corrected March 1, 2026); November 25, 2025 (F, from a complaint, Deficient, Provider has date of correction, corrected December 25, 2025).
  • F 0678, quality of life and care: August 3, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected August 4, 2025).
  • F 0561, resident rights: June 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected June 21, 2025).
  • F 0602, freedom from abuse, neglect, and exploitation: June 20, 2025 (D, from a complaint, Past Non-Compliance, corrected March 11, 2025).
  • F 0609, freedom from abuse, neglect, and exploitation: June 20, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected June 21, 2025); May 28, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected May 30, 2024).
  • F 0610, freedom from abuse, neglect, and exploitation: June 20, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected June 21, 2025).
  • F 0628, resident rights: June 20, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected June 21, 2025).
  • F 0842, resident assessment and care planning: June 20, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected June 21, 2025); September 18, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 19, 2023).
  • F 0759, pharmacy service: January 17, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected January 18, 2025); September 22, 2023 (D, Deficient, Provider has date of correction, corrected September 29, 2023).
  • F 0583, resident rights: November 6, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 7, 2024).
  • F 0689, quality of life and care: November 6, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 7, 2024).
  • F 0740, quality of life and care: November 6, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 7, 2024).
  • F 0812, nutrition and dietary: November 6, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected November 7, 2024); September 22, 2023 (E, Deficient, Provider has date of correction, corrected September 25, 2023).
  • F 0814, nutrition and dietary: November 6, 2024 (C, from a complaint, Deficient, Provider has date of correction, corrected November 7, 2024); August 25, 2023 (C, from a complaint, Deficient, Provider has date of correction, corrected September 7, 2023).
  • F 0558, resident rights: September 22, 2023 (D, Deficient, Provider has date of correction, corrected September 25, 2023).
  • F 0657, resident assessment and care planning: September 22, 2023 (D, Deficient, Provider has date of correction, corrected September 29, 2023).
  • F 0760, pharmacy service: September 22, 2023 (E, Deficient, Provider has date of correction, corrected September 29, 2023).
  • F 0926, environmental: September 22, 2023 (D, Deficient, Provider has date of correction, corrected September 27, 2023).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
March 20, 2026Fine$9,249137968
August 3, 2025Fine$14,325134298

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Meridian Care Monte Vista in Care Compare

  • Ownership Type: For profit - Individual
  • Legal Business Name: RJ MERIDIAN CARE ALTA VISTA LLC
  • Date First Approved to Provide Medicare and Medicaid Services: 1978-01-01
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Bexar
  • Telephone Number: 2107359233
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 57.1
  • Overall Rating: 1
  • Health Inspection Rating: 2
  • QM Rating: 1
  • Long-Stay QM Rating: 2
  • Short-Stay QM Rating: 1

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in San Antonio

Report a figure on Meridian Care Monte Vista’s record that differs from its CMS file, quoting 455450.