The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
RIVER CITY CARE CENTER
SAN ANTONIO, TX · Medicare-certified · 92 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
River City Care Center in San Antonio has a 1-star overall rating, with 1-star staffing and 2-star health inspections, though quality measures are 4 stars. It reports 2.62 nursing hours per resident per day versus the 4.1 federal benchmark, $23,410 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.6219 hrs/resident/day
Quality measures
Last inspection: July 10, 2025Penalties, last 24 months: $23,410recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6219.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 0.72
- Nurse aides
- 1.48
- Weekend nursing
- 2.21
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
7.7%8.3%Worsening
Residents with a fall causing major injury
0%5%Worsening
Residents with pressure ulcers (bedsores)
6.8%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3%2.7%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.7%2.9%Improving
Residents whose ability to walk got worse
—15.9%—
Long-stay residents on antianxiety or sleep medication
15.2%13.5%Improving
Short-stay residents newly given an antipsychotic
—2.9%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.8%9.7%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%92.5%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $14,020 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,390 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $23,410 in total fines.
- $14,020
Federal fine
Jul 10, 2025
- $9,390
Federal fine
Feb 28, 2025
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 46.7 residents on an average day (51% of 92 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.