The Rio At Mission Trails
San Antonio, TX · Medicare and Medicaid-certified nursing home (CCN 676297) · 124 certified beds
Health inspection: 2 · Quality measures: 4 · Staffing: 1
Federal fines: 2 totaling $153,825
Phone: (210) 531-0569 · Verify on Medicare Care Compare ↗
The Rio At Mission Trails has a CMS overall star rating of 1 out of 5, which is below the Texas state average of 2.65. Its health inspection rating is 2 stars and its staffing rating is 1 star.
The Rio At Mission Trails reports total nurse staffing of 3.71 hours per resident per day, including 0.25 RN hours per resident per day, with a staffing star rating of 1 out of 5. Nursing staff turnover is reported at 97.2%.
The Rio At Mission Trails has 2 federal fines on record totaling $153,825.00, with 0 payment denials. No abuse icon or Special Focus Facility designation is noted in the available CMS data for this facility.
About this facility
The Rio At Mission Trails is a government-owned (hospital district) nursing home in San Antonio, Bexar County, Texas, certified for both Medicare and Medicaid since October 2011. The facility is certified for 124 beds and has an average daily census of 82.9 residents.
According to CMS Care Compare, the facility holds an overall star rating of 1 out of 5, which is below the Texas state average of 2.65. Its four component ratings are: health inspection rating of 2 stars, staffing rating of 1 star, and quality measure (QM) rating of 4 stars. These ratings combine into the overall 1-star score.
Nurse staffing data show total nurse hours per resident per day of 3.71, including 0.25 RN hours per resident per day. Nursing staff turnover is reported at 97.2%.
On penalties, CMS records show 2 federal fines totaling $153,825.00 for this facility. There are 0 payment denials on record. CMS does not list an abuse icon or Special Focus Facility status for this location in the supplied data.
The Rio At Mission Trails is part of the Creative Solutions In Healthcare chain, which operates 149 facilities nationally with an average chain rating of 2.1 stars. Ownership has not changed in the past 12 months, so the current ratings reflect the current operator.
Data 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?
The Rio At Mission Trails has an overall rating of 1 out of 5 stars, below the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
It is certified to accept both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.71 hours per resident per day, with 0.25 RN hours per resident per day and a nursing turnover rate of 97.2%, earning a staffing rating of 1 star.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 2 fines totaling $153,825.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The provided CMS data does not indicate an abuse icon or Special Focus Facility status for this facility.
How large is this facility and how many residents live there?
It is certified for 124 beds with an average daily census of 82.9 residents.
Who owns this facility — and is it part of a chain?
It is government-owned (hospital district) and part of the Creative Solutions In Healthcare chain, which has 149 facilities and an average chain rating of 2.1 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since October 12, 2011.
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.
Does this facility offer short-term rehabilitation as well as long-term care?
The provided data does not specify service types; contact the facility at 2105310569 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 2105310569 to arrange a visit and verify current information on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the facility's current record at https://www.medicare.gov/care-compare/details/nursing-home/676297?state=TX.
Has ownership of this facility changed recently?
No, CMS data indicates ownership has not changed in the last 12 months, so current ratings reflect the current operator.
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.