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
Nursing home report
The Rio at Mission Trails
San Antonio, TX · Medicare-certified · 124 beds
Needs attention
For-profitChain member
3 of 5 overall
3 of 5 stars overall. The Rio at Mission Trails has a 1 of 5 staffing rating with 3.68 nurse hours per resident per day, below the 4.1 federal benchmark, and it has had $153,825 in fines in the last 24 months plus a recent federal penalty; quality measures are 5 of 5 and health inspections are 3 of 5.
Facility ratings
Health inspections
Staffing
3.677 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $153,825recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.677.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 1.35
- Nurse aides
- 2.04
- Weekend nursing
- 3.21
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
2.8%4.7%Worsening
Residents with a fall causing major injury
0%2.6%Worsening
Residents with pressure ulcers (bedsores)
4.9%6.8%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
6.7%7%No change
Residents whose ability to walk got worse
—8.3%—
Long-stay residents on antianxiety or sleep medication
22.6%19%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
11.8%20.7%Worsening
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 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
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 nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
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
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 83.4 residents on an average day (67% of 124 beds)
- Resident voice
- Resident council
- 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.