🛡️ Free for Families  ·  No Spam Calls  ·  No Referral Fees  ·  Built on Official Records

FindSeniorLivingNow

🏠 Is this your community?

Families are searching for a community like yours right now. Make sure they find you.

Claim This Community
🏥
Medicare-certifiedSkilled Nursing

The Rio at Mission Trails

San Antonio, Texas1 of 5 Medicare stars
(210) 531-0569

About The Rio at Mission Trails

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.

Community at a glance

Capacity

124 residents

Medicare rating

1 of 5 stars

Location

San Antonio, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

6211 S New Braunfels Ave, San Antonio, Texas 78223

(210) 531-0569

Medicare inspection and quality record

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

1 of 5

much below average

Combines the three ratings below

Health inspections

2 of 5

below average

Results of state inspections over three years

Staffing

1 of 5

much below average

Nurse hours per resident and staff turnover

Quality of resident care

4 of 5

above average

Outcomes like falls, pressure ulcers and rehospitalization

Texas average: 2.6 stars across 1,177 nursing homes. National average: 3.0 stars.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 43 minutesAbove the Texas average
Registered nurse time per resident, per day15 minutesBelow the Texas average
Nursing staff who left in the past year97%Above the Texas average

1 administrator has left the home in the past year.

Inspections

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.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 13, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 13, 2026

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.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected May 21, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 21, 2026
April 17, 2026 · Complaint investigation · 2 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 19, 2026
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 31, 2026
April 7, 2026 · Complaint investigation · 1 citation+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 1, 2026
March 25, 2026 · Standard inspection · 9 citations+
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 8, 2026
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 8, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Apr 22, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 8, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 22, 2026
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 8, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 8, 2026
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Minimal harm or risk, a pattern (level B)EnvironmentalCorrected Apr 8, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningCorrected Apr 22, 2026
March 19, 2026 · Complaint investigation · 2 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Mar 24, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 24, 2026
April 10, 2025 · Complaint investigation · 2 citations+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Mar 3, 2025
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Mar 3, 2025
February 24, 2025 · Complaint investigation · 2 citations+
  • Provide safe and appropriate respiratory care for a resident when needed.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 28, 2025
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 28, 2025
December 18, 2024 · Standard inspection · 6 citations+
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jan 6, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jan 6, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 6, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 6, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 6, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 6, 2025
November 21, 2024 · Complaint investigation · 1 citation+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 25, 2024
July 14, 2024 · Complaint investigation · 3 citations+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 16, 2024
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 16, 2024
  • Provide or get specialized rehabilitative services as required for a resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 16, 2024
June 20, 2024 · Complaint investigation · 1 citation+
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Immediate danger to residents, a few residents (level J)EnvironmentalFrom a complaintCorrected Jun 28, 2024
November 15, 2023 · Standard inspection · 1 citation+
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 16, 2023

Fines and payment denials

2 fines totaling $153,825 in the last three years.

  • February 24, 2025Fine: $96,694
  • June 20, 2024Fine: $57,131

About the home, per Medicare

Ownership
Government - Hospital district
Legal business name
West Wharton County Hospital District
Medicare-certified beds
124
Average residents per day
83
Accepts
Medicare and Medicaid
First certified
October 12, 2011
Part of a chain
Creative Solutions in Healthcare, 149 homes (chain average 2.1 stars)
Inside a hospital
Yes
Continuing care retirement community
No
Resident or family council
Both
Sprinklers in all required areas
Yes
CMS Certification Number
676297

Location

Loading map…

6211 S New Braunfels AveSan Antonio, TX 78223

12 other communities within 10 miles

Senior living near San Antonio

Questions about The Rio at Mission Trails

What is The Rio at Mission Trails's Medicare star rating?+

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.

How did The Rio at Mission Trails do on its last inspection?+

State inspectors visited on March 25, 2026 and cited 18 health deficiencies, 9 of them from complaint investigations. The Texas average is 9.3.

How much nursing care does each resident get at The Rio at Mission Trails?+

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.

Has The Rio at Mission Trails been fined by Medicare?+

Yes. Medicare fined The Rio at Mission Trails 2 times in the last three years, totaling $153,825.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in San Antonio Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026