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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasRiver City Care Center

River City Care Center

921 Nolan St, San Antonio, TX 782022102266397
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
3/5
Quality
4/5
Beds
92
certified
This facility has been flagged for abuse.
2 fine(s) totaling $23,322

Key Findings

• 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.

Beds
92
Avg Residents/Day
41.4
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 30, 2001
Sprinklers
Yes
Council
Resident
County
Bexar
Last Inspection
Jul 10, 2025
Deficiencies (Cycle 1)
6
Weighted Score
152.5
Infection Citations
0

Deficiency Citations (32)

F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 28, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Jul 10, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 10, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 10, 2025Corrected: NoCycle: 1
F0912Minimal Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey: Jul 10, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 10, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 12, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Apr 12, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 3, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: May 3, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: May 3, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 3, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: May 3, 2024Corrected: NoCycle: 2
F0693Potential for Harm

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.

Survey: May 3, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: May 3, 2024Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: May 3, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: May 3, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: May 3, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: May 3, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 3, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: May 3, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 3, 2024Corrected: NoCycle: 2
F0912Minimal Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey: May 3, 2024Corrected: NoCycle: 2
F0949Potential for Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey: May 3, 2024Corrected: NoCycle: 2
F0810Potential for Harm

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Survey: Dec 13, 2023Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 31, 2023Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 31, 2023Corrected: NoCycle: 3
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Mar 31, 2023Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Mar 31, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 31, 2023Corrected: NoCycle: 3

+ 2 more deficiencies

Total Fines
$23,322
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineFeb 28, 2025
$9,302
FineJul 10, 2025
$14,020

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.73 hrs
National avg: 2.35 hrs
LPN0.87 hrs
National avg: 0.86 hrs
RN0.54 hrs
National avg: 0.68 hrs
Total Nursing3.14 hrs
National avg: 3.89 hrs
Weekend Total2.85 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
38.7%
RN Turnover
20.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
HONOR X ENTERPRISES, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2019
BLAKE, GARY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Jan 1, 2019
BLAKE, MALISA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Jan 1, 2019
CREATIVE SOLUTIONS IN HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2019
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2019
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2019
HUGGINS, LINDAW-2 MANAGING EMPLOYEEIndividualN/AJan 1, 2019

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Frequently Asked Questions

What is the CMS rating for River City Care Center?▾
River City Care Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 4/5. This facility is rated below average.
Has River City Care Center had any health inspection violations?▾
River City Care Center had 6 deficiency citations in its most recent health inspection (Jul 10, 2025). The facility has been fined a total of $23,322 across 2 fine(s).
What are the staffing levels at River City Care Center?▾
River City Care Center provides 3.14 total nursing staff hours per resident per day, including 0.54 RN hours, 0.87 LPN hours, and 1.73 nurse aide hours. The total staff turnover rate is 38.7%.
How many beds does River City Care Center have?▾
River City Care Center has 92 certified beds with an average of 41.4 residents per day, resulting in approximately 45% occupancy. The facility is For profit - Individual owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near River City Care Center?▾
Yes, there are 57 other nursing homes in San Antonio, Texas with an average rating of 2.5/5. You can compare all facilities on the San Antonio nursing homes page.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →