River City Care Center
921 Nolan St, San Antonio, TX 78202 · Bexar County
For-profit · 92 certified beds · 51% occupancy · (210) 226-6397
The U.S. government (CMS) rates River City Care Center 1 out of 5 stars overall — much below average. Its nurse staffing is 2% below the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.22 nurse hours per resident per day. 2% below the Texas median of 3.27.
Safety & compliance flags
- Federal abuse warning icon
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0600 · Jul 10, 2025ComplaintCorrected Jul 11, 2025
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
- Potential for harmTag F0812 · May 29, 2026ComplaintCorrected May 30, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0761 · Jul 10, 2025Corrected Jul 11, 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.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · Jul 10, 2025Corrected Jul 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0656 · May 29, 2026ComplaintCorrected May 30, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0689 · May 29, 2026ComplaintCorrected May 30, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0806 · May 29, 2026ComplaintCorrected May 30, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Jul 10, 2025Corrected Jul 11, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Minimal harmTag F0912 · Jul 10, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies
- Immediate jeopardyTag F0689 · Feb 28, 2025ComplaintCorrected Mar 1, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 36 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Creative Solutions In Healthcare chain (149 facilities), chain average overall rating 2.2★.