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River City Care Center

San Antonio, TX · Medicare and Medicaid-certified nursing home (CCN 675896) · 92 certified beds

⚠ CMS consumer warning: CMS displays its abuse warning icon for this facility. Review the full inspection record on Medicare Care Compare ↗.
CMS overall rating: 1★ (state average 2.65★ — below state average)
Health inspection: 2 · Quality measures: 4 · Staffing: 1
Federal fines: 2 totaling $18,503
Phone: (210) 226-6397 · Verify on Medicare Care Compare ↗

River City Care Center has a CMS overall rating of 1 out of 5 stars, below the Texas state average of 2.65. Its health inspection rating is 2 stars and its staffing rating is 1 star.

River City Care Center reports total nurse staffing of about 3.22 hours per resident per day, including 0.43 RN hours per resident per day, and carries a CMS staffing rating of 1 star. CMS has not reported a nursing turnover percentage for this facility in the given data.

River City Care Center has 2 federal fines on record totaling $18,503.00, with 0 payment denials. CMS also displays its abuse warning icon for this facility, so families should review the inspection record on Care Compare.

Overall rating vs. benchmarks
River City Care Center River City Care Center: 1★ 1★ TX average TX average: 2.65★ 2.65★ Creative Solutions chain avg Creative Solutions chain avg: 2.1★ 2.1★

About this facility

River City Care Center is a Medicare and Medicaid certified nursing home in San Antonio, Bexar County, Texas, operating under For profit - Individual ownership since its first CMS approval on 2001-11-30. The facility is certified for 92 beds, with an average of 46.7 residents based on the most recent CMS Care Compare data.

CMS assigns River City Care Center an overall star rating of 1 out of 5, which is below the Texas state average of 2.65. Component ratings are: health inspection rating of 2, quality measures (QM) rating of 4, and staffing rating of 1. These ratings vary in weight and reflect different aspects of facility performance as measured by CMS.

Nurse staffing levels total 3.21778 hours per resident per day, with 0.43202 of those hours provided by registered nurses (RNs). Nursing staff turnover data was not provided in this listing.

CMS records show 2 federal fines against this facility totaling $18,503.00, with 0 payment denials on record. CMS also displays its abuse warning icon for this facility (abuse_icon: Y); families should review the full inspection record on Care Compare for details of the underlying findings.

River City Care Center is part of the Creative Solutions In Healthcare chain, which includes 149 facilities with an average CMS rating of 2.1. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.

Source: CMS Medicare Care Compare.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

River City Care Center has an overall rating of 1 out of 5 stars, which is below the Texas state average of 2.65.

Does this facility accept Medicare, Medicaid, or both?

Yes, it is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 3.22 hours per resident per day, including 0.43 RN hours per resident per day, with a staffing star rating of 1. Turnover data was not provided.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 2 fines totaling $18,503.00 and 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

CMS displays its abuse warning icon for this facility. No Special Focus status was indicated in the data provided.

How large is this facility and how many residents live there?

It is certified for 92 beds with an average of 46.7 residents.

Who owns this facility — and is it part of a chain?

It is owned under a For profit - Individual structure and is part of the Creative Solutions In Healthcare chain, which has 149 facilities averaging a 2.1 CMS rating.

How long has this facility been Medicare/Medicaid certified?

It was first approved by CMS on 2001-11-30.

What do the four different CMS star ratings mean?

CMS rates facilities on overall, health inspection, staffing, and quality measures; this facility scores 1, 2, 1, and 4 stars respectively in those categories.

Does this facility offer short-term rehabilitation as well as long-term care?

This information is not included in the data provided; contact the facility at 2102266397 and verify on Medicare Care Compare.

What should I look for when touring this facility?

The data provided does not cover tour details; contact the facility at 2102266397 and verify on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review the full current record at https://www.medicare.gov/care-compare/details/nursing-home/675896?state=TX.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.