Highland Gardens Personal Care
State licensed802 Monticello, San Antonio, TX 78223
Call for pricing
Prices not published
🛡️ Free for Families · No Spam Calls · No Referral Fees · Built on Official Records
🏠 Is this your community?
Families are searching for a community like yours right now. Make sure they find you.
The Rio at Mission Trails provides skilled nursing and rehabilitation services to San Antonio, Texas residents who need expert medical care and recovery support. Our compassionate team focuses on helping patients regain independence through personalized treatment plans and evidence-based therapies in a comfortable, healing environment.
Capacity
124 residents
Medicare rating
1 of 5 stars
Location
San Antonio, TX
Status
Listed in a public registry
6211 S New Braunfels Ave, San Antonio, Texas 78223
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of August 1, 2026. Check it on Medicare.gov
Medicare rates The Rio at Mission Trails 1 out of 5 stars overall, which it describes as much below average. The average across Texas's nursing homes is 2.6 stars.
At its most recent standard inspection, on March 25, 2026, state inspectors cited 18 health deficiencies (the Texas average is 9.3).
Nurses and nurse aides spend 3 hours 43 minutes with each resident a day, above the Texas average of 3 hours 23 minutes.
Medicare fined The Rio at Mission Trails 2 times in the last three years, $153,825 in total.
Overall
much below average
Combines the three ratings below
Health inspections
below average
Results of state inspections over three years
Staffing
much below average
Nurse hours per resident and staff turnover
Quality of resident care
above average
Outcomes like falls, pressure ulcers and rehospitalization
Texas average: 2.6 stars across 1,177 nursing homes. National average: 3.0 stars.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 43 minutesAbove the Texas average |
| Registered nurse time per resident, per day | 15 minutesBelow the Texas average |
| Nursing staff who left in the past year | 97%Above the Texas average |
1 administrator has left the home in the past year.
34 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 23, 2026 · Complaint investigation · 2 citations
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
May 7, 2026 · Complaint investigation · 2 citations
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide safe and appropriate respiratory care for a resident when needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that residents are free from significant medication errors.
Ensure medication error rates are not 5 percent or greater.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
PASARR screening for Mental disorders or Intellectual Disabilities
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide safe and appropriate respiratory care for a resident when needed.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Reasonably accommodate the needs and preferences of each resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Ensure each resident receives an accurate assessment.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Provide or get specialized rehabilitative services as required for a resident.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2 fines totaling $153,825 in the last three years.
6211 S New Braunfels AveSan Antonio, TX 78223
12 other communities within 10 miles
802 Monticello, San Antonio, TX 78223
Call for pricing
Prices not published
2368 E SOUTHCROSS BLVD, San Antonio, TX 78223
Call for pricing
Prices not published
3030 S ROOSEVELT AVE, San Antonio, TX 78214
Call for pricing
Prices not published
Medicare rates The Rio at Mission Trails 1 out of 5 stars overall (much below average). Health inspections: 2 stars. Staffing: 1 stars. Quality of resident care: 4 stars. Source: CMS Care Compare, data as of August 1, 2026.
State inspectors visited on March 25, 2026 and cited 18 health deficiencies, 9 of them from complaint investigations. The Texas average is 9.3.
Nurses and aides spend 3 hours 43 minutes with each resident per day, including 15 minutes from registered nurses. 97% of nursing staff left over the past year.
Yes. Medicare fined The Rio at Mission Trails 2 times in the last three years, totaling $153,825.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.