The Rio at Mission Trails

6211 S New Braunfels Ave, San Antonio, TX 78223 · CCN 676297 · 124 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-02-24 IMMEDIATE JEOPARDY (tag F0695, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe and appropriate respiratory care for a resident when needed.
2025-02-24 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-06-20 IMMEDIATE JEOPARDY (tag F0925, severity J)
Environmental Deficiencies · correction not recorded in CMS data
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Staffing, from payroll records

Nursing hours / resident / day

2.83

state median 2.67

Weekend staffing gap

−15%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.20

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

97%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $153,825 in fines.

DateTypeAmount
2025-02-24Fine$96,694
2024-06-20Fine$57,131

Ownership

Ownership type: Government - Hospital district. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 2 · Potential for more than minimal harm: 27 · Immediate jeopardy: 3

Survey dateTagCategorySeverityCorrected
2026-05-07F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2026-05-07F0880Infection Control DeficienciesDnot recorded
2026-04-17F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2026-04-17F0695Quality of Life and Care DeficienciesDnot recorded
2026-04-07F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-25F0585Resident Rights DeficienciesEnot recorded
2026-03-25F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-25F0727Nursing and Physician Services DeficienciesEnot recorded
2026-03-25F0755Pharmacy Service DeficienciesDnot recorded
2026-03-25F0759Pharmacy Service DeficienciesEnot recorded
2026-03-25F0760Pharmacy Service DeficienciesEnot recorded
2026-03-25F0761Pharmacy Service DeficienciesDnot recorded
2026-03-25F0842Resident Assessment and Care Planning DeficienciesBnot recorded
2026-03-25F0919Environmental DeficienciesBnot recorded
2026-03-19F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-19F0880Infection Control DeficienciesDnot recorded
2025-04-10F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-04-10F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-24F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-02-24F0695Quality of Life and Care DeficienciesJnot recorded
2024-12-18F0558Resident Rights DeficienciesEnot recorded
2024-12-18F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-18F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-18F0761Pharmacy Service DeficienciesDnot recorded
2024-12-18F0812Nutrition and Dietary DeficienciesDnot recorded
2024-12-18F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-11-21F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-14F0557Resident Rights DeficienciesDnot recorded
2024-07-14F0677Quality of Life and Care DeficienciesDnot recorded
2024-07-14F0825Quality of Life and Care DeficienciesDnot recorded
2024-06-20F0925Environmental DeficienciesJnot recorded
2023-11-15F0657Resident Assessment and Care Planning DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “The Rio at Mission Trails, San Antonio” at medicare.gov/care-compare.