Texas › Bexar County › San Antonio
The Rio At Mission Trails
6211 S New Braunfels Ave, San Antonio, TX 78223
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 124 beds, The Rio At Mission Trails serves San Antonio in Bexar County, Texas and has taken Medicare and Medicaid residents since 2011.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (18, 11, 5 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 27.4 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $154K.
Reported nurse staffing is 3.7 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 97.2%.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 34 | 38 | 25 | 28.7 |
| Citations per 100 beds | 27.4 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 97.2% | 50.0% | 52.1% | 45.8% |
| Fines listed | $153,825 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Mar 2026, 18 Dec 2024.
Severity mix: J ×3 D ×23 E ×6 B ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Jun 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 13 Jul 2026 |
| 23 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 13 Jul 2026 |
| 7 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 21 May 2026 |
| 7 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 May 2026 |
| 17 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 19 Apr 2026 |
| 17 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 31 May 2026 |
| 7 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 1 May 2026 |
| 25 Mar 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 8 Apr 2026 |
| 25 Mar 2026 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 22 Apr 2026 |
| 25 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 8 Apr 2026 |
| 25 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 8 Apr 2026 |
| 25 Mar 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 8 Apr 2026 |
| 25 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 Apr 2026 |
| 25 Mar 2026 | F0761 | 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. | D | Standard survey | 8 Apr 2026 |
| 25 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 22 Apr 2026 |
| 25 Mar 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | B | Standard survey | 8 Apr 2026 |
| 19 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 24 Mar 2026 |
| 19 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 24 Mar 2026 |
| 10 Apr 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 3 Mar 2025 |
| 10 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Mar 2025 |
| 24 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 28 Feb 2025 |
| 24 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | Complaint investigation | 28 Feb 2025 |
| 18 Dec 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 6 Jan 2025 |
| 18 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Jan 2025 |
| 18 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 6 Jan 2025 |
| 18 Dec 2024 | F0761 | 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. | D | Standard survey | 6 Jan 2025 |
| 18 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 6 Jan 2025 |
| 18 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 6 Jan 2025 |
| 21 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Nov 2024 |
| 14 Jul 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 16 Jul 2024 |
| 14 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 Jul 2024 |
| 14 Jul 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Complaint investigation | 16 Jul 2024 |
| 20 Jun 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | J | Complaint investigation | 28 Jun 2024 |
| 15 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Feb 2025 | Fine | $96,694 | |
| 20 Jun 2024 | Fine | $57,131 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 97.2%, RNs 100.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.3% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has The Rio At Mission Trails been cited for?
34 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Rio At Mission Trails been fined?
Yes. CMS lists fines totalling $154K in the period covered.
How does staffing at The Rio At Mission Trails compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Rio At Mission Trails?
It is part of the Creative Solutions In Healthcare chain. Ownership type is government, hospital district. Individual owners and managers are not listed on this site.
When was The Rio At Mission Trails last inspected?
The most recent survey or investigation in the CMS record is dated 23 Jun 2026; the most recent standard health survey was 25 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.