The Rio at Mission Trails

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address: 6211 S New Braunfels Ave, San Antonio, TX 78223
Phone: (210) 531-0569
Listed under: Government-owned
Medicare CCN: 676297
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: 124
Average residents per day: 83
Ownership: Government, hospital district
Legal business name: West Wharton County Hospital District
Chain: Creative Solutions in Healthcare (149 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Oct 12, 2011
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: Yes
Resident or family council: Resident and family councils
Sprinklers in all required areas: Yes

CMS certification number 676297. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 25, 2026. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 15, 2023 to Jun 23, 2026): 18 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 23, 2026	Honor 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. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Jun 23, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
May 7, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
May 7, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	E Potential for more than minimal harm, pattern
Apr 17, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Apr 17, 2026	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Apr 7, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Mar 25, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning	B Potential for minimal harm, pattern
Mar 25, 2026	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental	B Potential for minimal harm, pattern
Mar 25, 2026	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Mar 25, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Mar 25, 2026	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… Pharmacy Service	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 34. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $153,825 in the last three years.

Feb 24, 2025	Fine: $96,694
Jun 20, 2024	Fine: $57,131

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.71 hours
Registered nurse (RN) time per resident per day: 0.25 hours
Nurse aide time per resident per day: 2.14 hours
Total nurse staffing on weekends: 3.12 hours
Nursing staff turnover (yearly): 97%
RN turnover (yearly): 100%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

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