Nursing Homes · Medicare certified
River City Care Center
921 Nolan St · San Antonio, TX 78202 · 92 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1245709765. Look this up in the CMS NPPES registry (opens in a new tab)
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About River City Care Center
River City Care Center is a nursing home in San Antonio, Texas. Public records list 92 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Creative Solutions in Healthcare. We hold 36 inspection citations for this listing, the most recent dated 29 May 2026. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 3.22 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
29
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
25
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
30
Inspection history (36)
Records from March 2023 to May 2026.
May 29, 2026 · D
Citation F0656Federal surveyors cited this nursing home on 2026-05-29 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2026-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-29.GOVMay 29, 2026 · D
Citation F0806Federal surveyors cited this nursing home on 2026-05-29 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2026-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-29.GOVMay 29, 2026 · E
Citation F0812Federal surveyors cited this nursing home on 2026-05-29 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-29.GOVMay 29, 2026 · D
Citation F0689Federal surveyors cited this nursing home on 2026-05-29 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-29.GOVJuly 10, 2025 · C
Citation F0912Federal surveyors cited this nursing home on 2025-07-10 under CMS tag F0912 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-10.GOVJuly 10, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-07-10 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-10.GOVJuly 10, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-07-10 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-10.GOVJuly 10, 2025 · J
Citation F0600Federal surveyors cited this nursing home on 2025-07-10 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-10.GOVJuly 10, 2025 · E
Citation F0761Federal surveyors cited this nursing home on 2025-07-10 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-07-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-10.GOVFebruary 28, 2025 · J
Citation F0689Federal surveyors cited this nursing home on 2025-02-28 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-03-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-28.GOVMay 3, 2024 · D
Citation F0693Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. The deficiency was recorded as corrected on 2024-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOVMay 3, 2024 · E
Citation F0755Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOVMay 3, 2024 · D
Citation F0759Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2024-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOVMay 3, 2024 · C
Citation F0912Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0912 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. The deficiency was recorded as corrected on 2024-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOVMay 3, 2024 · E
Citation F0656Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOVMay 3, 2024 · D
Citation F0695Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOVMay 3, 2024 · D
Citation F0949Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0949 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide behavior health training consistent with the requirements and as determined by a facility assessment. The deficiency was recorded as corrected on 2024-05-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOVMay 3, 2024 · E
Citation F0550Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOVMay 3, 2024 · D
Citation F0698Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOVMay 3, 2024 · D
Citation F0578Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The deficiency was recorded as corrected on 2024-05-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-03.GOV
Penalties (2)
Total fines on file: $23,410
July 10, 2025 · Fine
Citation FINE-133977CMS recorded a civil money penalty of $14,020 against this nursing home on 2025-07-10 (Fine ID: 133977). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-10.GOVFebruary 28, 2025 · Fine
Citation FINE-113646CMS recorded a civil money penalty of $9,390 against this nursing home on 2025-02-28 (Fine ID: 113646). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-28.GOV
Staffing
Latest: 3.22 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q42.62 hrs/resident/day
- 2026-06-012.62 hrs/resident/day
- 2026-07-013.22 hrs/resident/day
- 2026-08-013.22 hrs/resident/day
- 2026Q13.22 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.60 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Creative Solutions in Healthcare
Chain ID 169 · 149 facilities in chain (CMS)
- Chain average overall rating: 2.1
- Chain average health inspection rating: 2.7
- Chain average staffing rating: 1.1
- Chain average quality measure rating: 3.2
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Creative Solutions in Healthcare INC
parent · PAC 8224049598
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Individual".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Individual".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$5,627/moNearby alternatives
No other listed providers in San Antonio yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at River City Care Center
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.