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HomeTexasThe Rio at Mission Trails

The Rio at Mission Trails

6211 S New Braunfels Ave, San Antonio, TX 782232105310569WebsiteGoogle Maps
4.2on Google(108 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
4/5
Beds
124
certified
2 fine(s) totaling $153,825

How The Rio at Mission Trails Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.71 hrs/day
TX average
3.39 hrs/day
Above state average
RN hours per resident
0.25 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
97.2%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 3.71 hours per resident per day, above the state average of 3.39.
Reported RN time is 0.25 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
15
deficiency citations
Inspected Dec 18, 2024
Most recent cycle
16
deficiency citations
Inspected Mar 25, 2026
The most recent cycle recorded 1 more deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Bexar County 65+
248,631
12.3% of county
County Population
2,014,059
Bexar County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

The Rio at Mission Trails is a 1-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 124 certified beds. It has been operating since 2011. Its overall CMS rating is 1 out of 5.

Beds
124
Avg Residents/Day
82.9
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
Yes
First Approved
Oct 12, 2011
Sprinklers
Yes
Council
Both
County
Bexar
Last Inspection
Mar 25, 2026
Deficiencies (Cycle 1)
16
Weighted Score
120.0
Infection Citations
0

Deficiency Citations (32)

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 7, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 7, 2026Corrected: NoCycle: 1
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: Apr 17, 2026Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Apr 17, 2026Corrected: NoCycle: 1
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: Apr 7, 2026Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0727Potential for Harm

Have 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.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Mar 25, 2026Corrected: 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: Mar 25, 2026Corrected: NoCycle: 1
F0842Minimal Harm

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

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0919Minimal Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Mar 25, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 19, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 19, 2026Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 10, 2025Corrected: NoCycle: 2
F0600Immediate Jeopardy

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

Survey: Feb 24, 2025Corrected: NoCycle: 2
F0695Immediate Jeopardy

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

Survey: Feb 24, 2025Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Dec 18, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 18, 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: Dec 18, 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: Dec 18, 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: Dec 18, 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: Dec 18, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 21, 2024Corrected: NoCycle: 2
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Jul 14, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 14, 2024Corrected: NoCycle: 2
F0825Potential for Harm

Provide or get specialized rehabilitative services as required for a resident.

Survey: Jul 14, 2024Corrected: NoCycle: 2

+ 2 more deficiencies

Total Fines
$153,825
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJun 20, 2024
$57,131
FineFeb 24, 2025
$96,694

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

Nurse Aide2.14 hrs
National avg: 2.32 hrs
LPN1.32 hrs
National avg: 0.86 hrs
RN0.25 hrs
National avg: 0.69 hrs
Total Nursing3.71 hrs
National avg: 3.86 hrs
Weekend Total3.12 hrs
National avg: 0.00 hrs
Physical Therapist0.10 hrs
National avg: 0.07 hrs
Total Turnover
97.2%
RN Turnover
100.0%
Administrators Left
1

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

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
HUGGINS, LINDAW-2 MANAGING EMPLOYEEIndividualN/AApr 1, 2022
MAK, DAVIDCORPORATE OFFICERIndividualN/AMay 17, 2021
SAN ANTONIO II ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for The Rio at Mission Trails and nearby alternatives.

All Texas facilities
The Rio at Mission Trails
San Antonio, TXCurrent facility
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $153,825
Highland Nursing Center
San Antonio, TX1.4 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: None
Windsor Mission Oaks
San Antonio, TX1.4 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $10,842
Pecan Valley Rehabilitation and Healthcare
San Antonio, TX2.3 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: None
Buena Vida Nursing and Rehab-San Antonio
San Antonio, TX2.4 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $187,608
Southeast Nursing & Rehabilitation Center
San Antonio, TX2.9 mi
CMS
2/5
Health
1/5
Staffing
2/5
Recorded fines: $204,738
San Jose Nursing Center
San Antonio, TX3.2 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
The Rio at Mission Trails
San Antonio, TX · Current facility
—1/52/51/5$153,825
Highland Nursing Center
San Antonio, TX
1.4 mi2/52/54/5None recorded
Windsor Mission Oaks
San Antonio, TX
1.4 mi3/53/52/5$10,842
Pecan Valley Rehabilitation and Healthcare
San Antonio, TX
2.3 mi3/53/51/5None recorded
Buena Vida Nursing and Rehab-San Antonio
San Antonio, TX
2.4 mi1/51/51/5$187,608
Southeast Nursing & Rehabilitation Center
San Antonio, TX
2.9 mi2/51/52/5$204,738
San Jose Nursing Center
San Antonio, TX
3.2 mi3/53/52/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for The Rio at Mission Trails?▾
The Rio at Mission Trails has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does The Rio at Mission Trails cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). The Rio at Mission Trails participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has The Rio at Mission Trails had any health inspection violations?▾
The Rio at Mission Trails had 16 deficiency citations in its most recent health inspection (Mar 25, 2026). The current CMS dataset records 2 fine(s) totaling $153,825.
What are the staffing levels at The Rio at Mission Trails?▾
The Rio at Mission Trails provides 3.71 total nursing staff hours per resident per day, including 0.25 RN hours, 1.32 LPN hours, and 2.14 nurse aide hours. The total staff turnover rate is 97.2%.
How many beds does The Rio at Mission Trails have?▾
The Rio at Mission Trails has 124 certified beds with an average of 82.9 residents per day, resulting in approximately 67% occupancy. The facility is Government - Hospital district owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near The Rio at Mission Trails?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 6 in San Antonio. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about The Rio at Mission Trails?▾
On Google Maps, The Rio at Mission Trails has a rating of 4.2 out of 5 based on 108 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →