River City Care Center
Nursing Home · 921 Nolan St, San Antonio, TX 78202 · 2102266397
D+
graded on 75% of our rubric
Public records for this provider include abuse or neglect findings. Review the underlying records before deciding.
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 1.0 / 5 | high |
| Staffing | 1.2 / 5 | high |
| Clinical outcomes | 2.9 / 5 | high |
| Enforcement | 2.6 / 5 | high |
| Financial stability | 3.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 92 |
| Ownership | For Profit - Individual |
| Operator | San Antonio I Enterprises Llc |
| Chain size | 149 facilities |
| Certified since | 2001-11-30 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $ of 5 · ~$131/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 2 immediate jeopardy · 0 actual harm · 27 potential for harm · 3 minor
- Federal fines: $23,410 · payment denials: 0 · penalty actions: 2
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-07-10 | 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. (Pharmacy Service Deficiencies, tag 0761) | E | corrected 2025-07-11 |
| 2025-07-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | E | corrected 2025-07-11 |
| 2025-07-10 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2025-07-11 |
| 2025-07-10 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Environmental Deficiencies, tag 0912) | C | open |
| 2025-07-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0600) | J · immediate jeopardy | corrected 2025-07-11 |
| 2025-02-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | J · immediate jeopardy | corrected 2025-03-01 |
| 2024-05-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Resident Rights Deficiencies, tag 0550) | E | corrected 2024-05-04 |
| 2024-05-03 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Resident Rights Deficiencies, tag 0578) | D | corrected 2024-05-04 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 2.62 hrs/resident/day (expected 3.73 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.42 hrs/resident/day (expected 0.65 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.48 · LPN 0.72 hrs/resident/day
- Weekend total staffing: 2.21 hrs/resident/day (expected 3.31 for this facility's resident acuity — below expected)
- Resident acuity (nursing case-mix index): 1.34 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 2.9% | not reported | worse than 84% of US homes · TX median 0.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 3.8% | 0 → 4.9 → 4.9 → 5 | worse than 65% of US homes · TX median 3% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 15.3% | 9.7 → 27.3 → 21.2 → 2.9 | worse than 59% of US homes · TX median 14.8% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 15.9% | not reported | worse than 59% of US homes · TX median 13% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 1.3% | 0 → 2.4 → 2.4 → 0 | worse than 57% of US homes · TX median 0.3% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 4.8% | 6.8 → 6.4 → 6.1 → 0 | worse than 56% of US homes · TX median 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 8.6% | · → 7.7 → 7.7 → 8.3 | better than 72% of US homes · TX median 8.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
What this costs
- This facility's reported avg daily charge: $131/day · $ (price tier 1 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 74% Medicaid · 3% Medicare · 23% other/private · 76% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Bexar County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Baptist Neighborhood Hospital Thousand Oaks | San Antonio | Yes | 5★ | Acute care |
| San Antonio VA Medical Center (va South Texas Healthcare System) | San Antonio | Yes | 5★ | Acute care - Veterans Administration |
| Methodist Hospital | San Antonio | Yes | 4★ | Acute care |
| Methodist Hospital Stone Oak | San Antonio | Yes | 4★ | Acute care |
| Baptist Medical Center | San Antonio | Yes | 3★ | Acute care |
| Christus Santa Rosa Medical Center | San Antonio | Yes | 3★ | Acute care |
Compare nearby
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- B+ Remington Transitional Care Of San Antonio · San Antonio
- B+ The Heights On Huebner · San Antonio
- B+ The Village At Incarnate Word · San Antonio
- B+ Legend Oaks Healthcare And Rehabilitation Center - · San Antonio
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Bexar County nursing homes coverage. Spot an error? Tell us.