The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: J
Nursing home report
The Rio at Mission Trails
San Antonio, TX · Medicare-certified · 124 beds
Needs attention
Government-runChain member
Data as of July 1, 2026
1 of 5 overall
The Rio at Mission Trails in San Antonio has a 1-star overall rating, with 1-star staffing, 2-star health inspections, and 4-star quality measures. It reports 3.71 nurse staffing hours per resident per day, below the 4.1 federal benchmark, and has had $96,694 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.7137 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $96,694recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7137.
Staffing detail
- Registered nurses
- 0.25
- Licensed practical nurses
- 1.32
- Nurse aides
- 2.14
- Weekend nursing
- 3.12
Hours per resident per day.
Total staff turnover: 97%
Registered nurse turnover: 100%
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
6.5%2.5%Improving
Residents with a fall causing major injury
0%2.8%Worsening
Residents with pressure ulcers (bedsores)
5.6%7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.4%4.9%Improving
Residents whose ability to walk got worse
—7.3%—
Long-stay residents on antianxiety or sleep medication
23.7%14%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.5%18.2%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%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: J
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $96,694 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $57,131 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $153,825 in total fines.
- $96,694
Federal fine
Feb 24, 2025
- $57,131
Federal fine
Jun 20, 2024
Operator & ownership
Recent ownership change · Apr 1, 2022
Now operated by West Wharton County Hospital District, previously San Antonio Ii Enterprises, LLC.
- Ownership
- Government - Hospital district
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
- Occupancy
- 82.9 residents on an average day (67% of 124 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 14 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.