Nursing Homes · Medicare certified
River City Care Center
921 Nolan St · San Antonio, TX 78202 · 92 certified beds
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About River City Care Center
River City Care Center is a nursing home in San Antonio, Texas. Its capacity is 92 beds, below the Bexar County median of 120 for nursing homes. It is run by a for-profit operator and is part of Creative Solutions in Healthcare. It is Medicare certified. Its public inspection record shows 36 citations, the most recent on May 29, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.19 hours per resident per day. It is one of 59 nursing homes listed in San Antonio. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (36)
Records from March 2023 to May 2026.
May 29, 2026
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2026.
May 29, 2026
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2026.
May 29, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 30, 2026.
May 29, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2026.
July 10, 2025
Tag F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity C: widespread, no actual harm, potential for minimal harm.
July 10, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
July 10, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
July 10, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J: isolated, immediate jeopardy. Corrected July 11, 2025.
July 10, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 11, 2025.
February 28, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected March 1, 2025.
May 3, 2024
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 10, 2024.
May 3, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
May 3, 2024
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 10, 2024.
May 3, 2024
Tag F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected May 4, 2024.
May 3, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
May 3, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
May 3, 2024
Tag F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 21, 2024.
May 3, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
May 3, 2024
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 10, 2024.
May 3, 2024
Tag F0578Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
Penalties (2)
Total fines: $23,410
July 10, 2025 · Fine
CMS recorded a civil money penalty of $14,020 against this nursing home on July 10, 2025.
February 28, 2025 · Fine
CMS recorded a civil money penalty of $9,390 against this nursing home on February 28, 2025.
Staffing
3.19 nurse hours per resident per day in Q2 2026, up from 2.62 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Creative Solutions in Healthcare, a chain of 150 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.7 for health inspections, 1.4 for staffing, 3.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
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