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SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

River City Care Center

921 Nolan St · San Antonio, TX 78202 · 92 certified beds

2102266397

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

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

1.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

29

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

25

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

1.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

30

Inspection history (36)

Records from March 2023 to May 2026.

  • May 3, 2024 · D

    Citation F0690

    Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 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.GOV
  • May 3, 2024 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0880 (CMS scope/severity E: pattern, 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 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
  • May 3, 2024 · D

    Citation F0644

    Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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.GOV
  • May 3, 2024 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0761 (CMS scope/severity D: isolated, 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 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
  • May 3, 2024 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0812 (CMS scope/severity F: widespread, 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 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.GOV
  • May 3, 2024 · D

    Citation F0842

    Federal surveyors cited this nursing home on 2024-05-03 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 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
  • April 12, 2024 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0761 (CMS scope/severity D: isolated, 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 2024-04-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOV
  • April 12, 2024 · D

    Citation F0657

    Federal surveyors cited this nursing home on 2024-04-12 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-04-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-12.GOV
  • December 13, 2023 · D

    Citation F0810

    Federal surveyors cited this nursing home on 2023-12-13 under CMS tag F0810 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide special eating equipment and utensils for residents who need them and appropriate assistance. The deficiency was recorded as corrected on 2023-12-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-13.GOV
  • March 31, 2023 · D

    Citation F0921

    Federal surveyors cited this nursing home on 2023-03-31 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2023-04-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-31.GOV
  • March 31, 2023 · D

    Citation F0690

    Federal surveyors cited this nursing home on 2023-03-31 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2023-04-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-31.GOV
  • March 31, 2023 · E

    Citation F0812

    Federal surveyors cited this nursing home on 2023-03-31 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 2023-04-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-31.GOV
  • March 31, 2023 · E

    Citation F0684

    Federal surveyors cited this nursing home on 2023-03-31 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-31.GOV
  • March 31, 2023 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2023-03-31 under CMS tag F0761 (CMS scope/severity D: isolated, 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 2023-04-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-31.GOV
  • March 31, 2023 · C

    Citation F0912

    Federal surveyors cited this nursing home on 2023-03-31 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 2023-04-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-31.GOV
  • March 31, 2023 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2023-03-31 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 2023-04-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-31.GOV

Penalties (2)

Total fines on file: $23,410

  • July 10, 2025 · Fine

    Citation FINE-133977

    CMS 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.GOV
  • February 28, 2025 · Fine

    Citation FINE-113646

    CMS 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)

  1. 2025Q42.62 hrs/resident/day
  2. 2026-06-012.62 hrs/resident/day
  3. 2026-07-013.22 hrs/resident/day
  4. 2026-08-013.22 hrs/resident/day
  5. 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.

  1. 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.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Individual".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Individual".

    Reported by CMS nursing homes (provider info)

  5. 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/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby 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.