For profit - Individual ·
92 certified beds ·
Medicare and Medicaid
· Part of Creative Solutions In Healthcare (149 facilities)
2
Overall CMS Rating
★★☆☆☆
River City Care Center is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.14 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jul 10, 2025 cited 5 deficiencies. Note: it carries a CMS abuse icon.
CMS Abuse Icon: this facility has an active abuse icon on its CMS record.
2 fines totaling $23,410 in CMS records.
2 total penalties
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★☆☆☆ 2/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★★★☆☆ 3/5
Quality Measures
★★★★☆ 4/5
Long-Stay QM
★★★★☆ 4/5
Short-Stay QM
No data
How River City Care Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Texas avg
National avg
Total nurse staffing (hrs/resident/day)
3.14
3.40
3.89
below avg
RN staffing (hrs/resident/day)
0.54
0.44
0.68
above avg
Aide staffing (hrs/resident/day)
1.73
2.01
2.34
below avg
Nursing staff turnover
38.7%
51.5%
46.4%
below avg
Deficiencies cited, last inspection
5.0
9.1
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
3.14
Total Nurse Hrs/Resident/Day
0.54
RN Hrs/Resident/Day
0.87
LPN Hrs/Resident/Day
1.73
Aide Hrs/Resident/Day
2.85
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
38.7%
Registered Nurses
20.0%
Administrator Changes1 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Jul 10, 2025
Most Recent Inspection Date
5
Total Deficiencies Found
95
Health Inspection Score
2
Number of Fines
What inspectors found at River City Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 10, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Jul 10, 2025
Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy Service Deficiencies · Jul 10, 2025
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Jul 10, 2025
Minimal
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Environmental Deficiencies · Jul 10, 2025
Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies · Feb 28, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · May 3, 2024
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · May 3, 2024
Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies · May 3, 2024
Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · May 3, 2024
Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies · May 3, 2024
Potential for harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.Administration Deficiencies · May 3, 2024
About This Facility
Address
921 Nolan St San Antonio, TX 78202
CMS Certification #
675896
Ownership
For profit - Individual
Certified Beds
92
Avg Residents/Day
41.4
Provider Type
Medicare and Medicaid
First Certified
2001-11-30
Chain
Creative Solutions In Healthcare (149 facilities)
Setting
Urban
Part of Creative Solutions In Healthcare
149
Facilities Nationwide
Creative Solutions In Healthcare operates 149 nursing facilities across the United States.
CMS gives River City Care Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
River City Care Center reports 3.14 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 5 deficiencies.
River City Care Center is certified for 92 beds.
Admissions at River City Care Center
For admissions, availability and rehab questions, call (210) 226-6397. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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