• CMS rates this facility 2/5 stars (below average)
• Has 92 certified beds with an average of 41.4 residents per day (45% occupancy)
• Last health inspection found 6 deficiencies (inspected Jul 10, 2025)
• Has been fined a total of $23,322 across 2 fine(s)
• Total nursing staff: 3.14 hours per resident per day
• Staff turnover rate: 38.7%
• Part of the Creative Solutions in Healthcare chain (149 facilities)
River City Care Center is a 2-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 92 certified beds. It has been operating since 2001. The facility scored below average compared to Texas facilities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Provide safe and appropriate respiratory care for a resident when needed.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure medication error rates are not 5 percent or greater.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
+ 2 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jan 1, 2019 |
| BLAKE, GARY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | Jan 1, 2019 |
| BLAKE, MALISA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50% | Jan 1, 2019 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 1, 2019 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2019 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2019 |
| HUGGINS, LINDA | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2019 |
This chain operates 149 facilities. View all →