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 3, 2024
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 10, 2024.
May 3, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
May 3, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
May 3, 2024
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
May 3, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 10, 2024.
May 3, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 4, 2024.
April 12, 2024
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected April 13, 2024.
April 12, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 13, 2024.
December 13, 2023
Tag F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 14, 2023.
March 31, 2023
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2023.
March 31, 2023
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2023.
March 31, 2023
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 April 1, 2023.
March 31, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2023.
March 31, 2023
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected April 1, 2023.
March 31, 2023
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 April 1, 2023.
March 31, 2023
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 April 1, 2023.
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.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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