Nursing Homes · Medicare certified
The Rio at Mission Trails
6211 S New Braunfels Avenue · San Antonio, TX 78223 · 124 certified beds
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About The Rio at Mission Trails
The Rio at Mission Trails is a nursing home in San Antonio, Texas. Its capacity is 124 beds, above 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 32 citations, the most recent on May 7, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.73 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 (32)
Records from November 2023 to May 2026.
May 7, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 21, 2026.
May 7, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 21, 2026.
April 17, 2026
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 31, 2026.
April 17, 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 April 19, 2026.
April 7, 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 1, 2026.
March 25, 2026
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected April 8, 2026.
March 25, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected April 22, 2026.
March 25, 2026
Tag F0585Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 25, 2026
Tag F0727Have 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 22, 2026.
March 25, 2026
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 8, 2026.
March 25, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 25, 2026
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 25, 2026
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 22, 2026.
March 25, 2026
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2026.
March 19, 2026
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2026.
March 19, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2026.
April 10, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 3, 2025.
April 10, 2025
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 3, 2025.
February 24, 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 February 28, 2025.
February 24, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity J: isolated, immediate jeopardy. Corrected February 28, 2025.
Penalties (2)
Total fines: $153,825
February 24, 2025 · Fine
CMS recorded a civil money penalty of $96,694 against this nursing home on February 24, 2025.
June 20, 2024 · Fine
CMS recorded a civil money penalty of $57,131 against this nursing home on June 20, 2024.
Staffing
3.73 nurse hours per resident per day in Q2 2026, about the same as 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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