River City Care Center
Nursing home in San Antonio, TX
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
We send it to River City Care Center if we can reach them by email, and we have no way to update you at a phone number. To be sure, call them: (210) 226-6397.
Public-record details
- Address
- 921 Nolan St, San Antonio, TX 78202
- Phone
- (210) 226-6397
- Listed under
- For-profit
- Medicare CCN
- 675896
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 92
- Average residents per day
- 50
- Ownership
- For-profit, individual
- Legal business name
- San Antonio I Enterprises LLC
- Chain
- Creative Solutions in Healthcare (150 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Nov 30, 2001
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Jul 10, 2025. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 31, 2023 to Jul 2, 2026): 10 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Jul 2, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| May 29, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| May 29, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| May 29, 2026 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| May 29, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Jul 10, 2025 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C |
| Jul 10, 2025 | Provide and implement an infection prevention and control program. | D |
| Jul 10, 2025 | 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… | E |
| Jul 10, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Jul 10, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| Feb 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| May 3, 2024 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C |
Fines and payment denials
CMS records 2 fines totalling $18,668 in the last three years.
| Jul 10, 2025 | Fine: $9,278 |
| Feb 28, 2025 | Fine: $9,390 |
Staffing
- Total nurse staffing per resident per day
- 3.19 hours
- Registered nurse (RN) time per resident per day
- 0.34 hours
- Nurse aide time per resident per day
- 1.94 hours
- Total nurse staffing on weekends
- 2.81 hours
- Nursing staff turnover (yearly)
- 54%
- RN turnover (yearly)
- 67%
- Administrators who left in the past year
- 3
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
Other nursing homes in San Antonio
Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error