River City Care Center

River City Care Center is a Nursing Home in Texas

River City Care Center is a Nursing Home in Texas

River City Care Center

921 Nolan St, San Antonio, TX 78202 View Map

River City Care Center is a Nursing Home in Texas

River City Care Center is a Nursing Home in Texas

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Overview of River City Care Center

Enjoy a comfortable recovery in River City Care Center, an excellent community in San Antonio, TX designed for skilled nursing and rehabilitation. The community also caters to residents living with the challenges of memory loss through their comprehensive memory care plans. Residents find peace of mind from having a dependable team of care experts available to support their daily activities and attend to their emergencies 24/7.

Fostering an active lifestyle, the community also features a wide array of fun and stimulating activities for residents’ enjoyment. With delicious and nutritionally-balanced meals, the community makes sure residents maintain healthy eating habits. The community also makes sure residents are liberated from their household responsibilities, giving them more time to spend on their happiness and well-being.

+1 210-226-6397

Rating

2 / 5

Overall rating based on health inspections, staffing and quality measures.

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 92

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Texas average
Occupancy rate 44.1%
Residents per day (avg) 41
Occupancy rate
44.1%
Residents per day (avg)
41

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

17% of new residents, usually for short-term rehab.

Typical stay 1 - 2 years

Private pay

35% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

48% of new residents, often for long-term daily care.

Typical stay 13 days

Finances and operations

Voluntary non-profit home
Other
Home revenue
$2.4M
Surplus of revenue
-$265.3K
Voluntary non-profit home Other
Home revenue
$2,372,117.00
Surplus of revenue
$-265,301.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
67.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.8M
Total costs $3.4M
Bed community size
92-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
18+ years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 68 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Services

MEDICARE/MEDICAID

About this community

License Status
Active
Facility Type
Nursing
License Date
January 1, 2026
License Expiration
January 1, 2029

Additional licensing details

License number: 307206
Year opened: 11/1/1973
CMS Certification Number: 675896
County: BEXAR

Ownership & operating entity

River City Care Center is administrated by TAMARA RAINES.

Management company: CREATIVE SOLUTIONS IN HEALTHCARE, INC
Owner: SAN ANTONIO I ENTERPRISES, LLC
Ownership type: Limited Liability Company (LLC)

Type Of Units

Medicare
23 units
Medicaid and Medicare
69 units
Total beds
92 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Owner/Manager, Owner/Manager
Administrator email: [email protected]

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Single-story

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Recreational Activities

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Exercise Programs

Types of Care at River City Care Center

Nursing Home Respite Care Hospice Care
Contact River City Care Center

Comparison Chart

The information below is reported by the Texas Health and Human Services Commission.
Compare Nursing Homes around Bexar County
Mystic Park Nursing and Rehabilitation Center
SNF

24/7 care needed

San Antonio
119
No
A+
59
FOX SPARROW HEALTHCARE, INC.
86.1%
$7,068,842.00
$2,555,107.00
36.1%
107.30
2/5
3.5002
3/5
3/5
1/5
1
Private / Semi-Private Rooms
Buena Vida Nursing and Rehab Center San Antonio
HC

Hospice Care

SNF

24/7 care needed

RC

Respite Care

San Antonio
222
No
A+
26
WEST WHARTON COUNTY HOSPITAL DISTRICT
28.2%
$4,349,322.00
$2,509,825.00
57.7%
65.80
2/5
3.4827
3/5
1/5
4/5
1
Private / Semi-Private Rooms
Westover Hills Rehabilitation and Healthcare Center
SNF

24/7 care needed

San Antonio
124
No
-
32
SAGE TERRACE HEALTHCARE LLC
79.4%
$12,556,057.00
$5,494,639.00
43.8%
106.80
2/5
3.8735
2/5
3/5
4/5
3
Private / Semi-Private Rooms
River City Care Center
HC

Hospice Care

SNF

24/7 care needed

RC

Respite Care

San Antonio
92
No
-
68
-
44.1%
$2,372,117.00
$1,601,161.00
67.5%
41.30
2/5
3.6292
2/5
3/5
4/5
2
Private / Semi-Private Rooms
San Pedro Manor
SNF

24/7 care needed

San Antonio
150
No
A+
79
WEST ASHBY HEALTHCARE, INC.
53.2%
$10,259,790.00
$4,452,458.00
43.4%
93.60
1/5
3.6342
2/5
1/5
4/5
5
Private / Semi-Private Rooms
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Places of interest near River City Care Center

Address 1.8 miles from city center

Address 921 Nolan St, San Antonio, TX 78202

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

49
Total Staff
47
Employees
2
Contractors
14,052
Total Hours (Quarter)
19
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse78.6 No
Licensed Practical Nurse108.5 No
Certified Nursing Assistant158.2 No
Staff by Category
Administration
4 staff
7.8hs shift avg
Nursing Staff
35 staff
8.4hs shift avg
Physicians & Practitioners
1 staff
8hs shift avg
Therapy Services
6 staff
5.4hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
2.5hs shift avg
Dietary Services
2 staff
8.5hs shift avg
Other Services
0 staff
0hs shift avg
Contractor Analysis
0.2%
of total hours from contractors
30 contractor hours this quarter
Occupational Therapy Aide: 1 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant150155,49291100%8.2
Licensed Practical Nurse100103,69491100%8.5
Registered Nurse7071,1178492%8.6
Medication Aide/Technician2027217886%8.9
Administrator3035846571%8
Nurse Practitioner1015546976%8
Physical Therapy Aide1015106268%8.2
RN Director of Nursing1014986167%8.2
Dietitian2024625358%8.5
Speech Language Pathologist2021755662%3.1
Respiratory Therapy Technician1011042527%4.2
Qualified Social Worker101893640%2.5
Occupational Therapy Aide0112467%4
Physical Therapy Assistant1012455%4.7
Medical Director011633%2

Health Inspection History

Source: CMS Health Citations (Mar 2023 – Jul 2025)

6
Inspections
32
Total Citations
2
Critical (J-L)
0
Serious (G-I)
5.33
Citations/Inspection
Jul 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
3
Moderate (D-F)
27
Serious (G-I)
0
Critical (J-L)
2
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
8
25% of total
Pharmacy Services
6
19% of total
Environmental
4
13% of total
Infection Control
2
6% of total
Resident Rights
2
6% of total
Administration
1
3% of total
Citation Sources
Standard Inspections 28
Complaint Investigations 5
State Comparison (TX)
Avg Citations (State)
25.9
This Facility: 32
Avg Critical (State)
2
This Facility: 2
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Jul 10, 2025 J Abuse/NeglectF0600 Corrected
Jul 10, 2025 C EnvironmentalF0912 Open
Jul 10, 2025 D Infection ControlF0880 Corrected
Jul 10, 2025 E NutritionF0812 Corrected
Jul 10, 2025 E PharmacyF0761 Corrected
Feb 28, 2025 J Quality of CareF0689 Corrected
May 03, 2024 D AdministrationF0949 Corrected
May 03, 2024 C EnvironmentalF0912 Corrected
May 03, 2024 E Infection ControlF0880 Corrected
May 03, 2024 F NutritionF0812 Corrected
May 03, 2024 E PharmacyF0755 Corrected
May 03, 2024 D PharmacyF0759 Corrected
May 03, 2024 D PharmacyF0761 Corrected
May 03, 2024 D Quality of CareF0690 Corrected
May 03, 2024 D Quality of CareF0693 Corrected
May 03, 2024 D Quality of CareF0695 Corrected
May 03, 2024 D Quality of CareF0698 Corrected
May 03, 2024 D Care PlanningF0644 Corrected
May 03, 2024 E Care PlanningF0656 Corrected
May 03, 2024 D Care PlanningF0842 Corrected
May 03, 2024 E Resident RightsF0550 Corrected
May 03, 2024 D Resident RightsF0578 Corrected
Apr 12, 2024 D PharmacyF0761 Corrected
Apr 12, 2024 D Care PlanningF0657 Corrected
Dec 13, 2023 D NutritionF0810 Corrected
Mar 31, 2023 C EnvironmentalF0912 Corrected
Mar 31, 2023 D EnvironmentalF0921 Corrected
Mar 31, 2023 E NutritionF0812 Corrected
Mar 31, 2023 D PharmacyF0761 Corrected
Mar 31, 2023 E Quality of CareF0684 Corrected
Mar 31, 2023 D Quality of CareF0689 Corrected
Mar 31, 2023 D Quality of CareF0690 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Individual
Resident Census by Payment Source
41 Total Residents
Medicaid 40 (97.6%)
Private Pay/Other 1 (2.4%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
12.5 Score
45% worse than avg State avg: 8.6

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
23.2 Score
45% worse than avg State avg: 16.0

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
32.0%
Lost Too Much Weight
2.2%
Urinary Tract Infection
0.6%
Depressive Symptoms
0.0%
Falls with Major Injury
1.3%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
8.1%
Walking Ability Worsened
20.4%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
6.5%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
17.2%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
100.0% 11% better than avg State: 90.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
6.3% 331% worse than avg State: 1.4%
Influenza Vaccine
100.0% 14% better than avg State: 88.0%

Penalties & Fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total Fines $23K State avg: $80K 71% better than avg
Number of Fines 2 State avg: 2.5
Compared to State Average Facility: $23K | State Avg: $80K
Penalty History

Showing all 2 penalties (Feb 2025 - Jul 2025)

Jul 10, 2025 Civil Money Penalty
$14K
Feb 28, 2025 Civil Money Penalty
$9K
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Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

Claim What’s Yours: Financial Aid for Texas Seniors

Program
State Program Name
Eligibility
Benefits
Community Care for the Aged and Disabled (CCAD)
TX Medicaid CCAD
  • General: Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • TX Specifics: Large state; rural access challenges.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
Texas Community Care Services
  • General: Age 60+, Texas resident, at risk of decline.
  • Income Limits: ~$2,000/month (individual, varies).
  • Asset Limits: $5,000 (individual).
  • TX Specifics: Limited funding; high demand in urban areas.
  • Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Area Agency on Aging (AAA) Services
  • General: Age 60+, TX resident; no income/asset limits.
  • Income Limits (2025): None; donations encouraged.
  • Asset Limits: Not assessed.
  • TX Specifics: 28 AAAs; includes Meals on Wheels in some areas.
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Medicare Savings Program (MSP)
Texas Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, TX resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • TX Specifics: Includes Extra Help for Part D; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIHEAP)
Texas Comprehensive Energy Assistance Program (CEAP)
  • General: Age 60+ prioritized, TX resident, low-income.
  • Income Limits (2025): ~$3,970/month (185% FPL).
  • Asset Limits: Not assessed.
  • TX Specifics: Priority for elderly/disabled; covers gas, electric, propane.
  • Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
Texas Family Caregiver Support Program
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
  • Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits: Not assessed.
  • TX Specifics: High rural demand; includes grandparent caregivers.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, TX resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified.
  • TX Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Texas VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth).
  • TX Specifics: High veteran population; supports rural/urban needs.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Property Tax Exemption for Seniors
Texas Senior Property Tax Exemption
Official government program page
  • General: Age 65+, TX resident, homeowner (homestead).
  • Income Limits (2025): None; tax-based eligibility.
  • Asset Limits: Not assessed.
  • TX Specifics: $25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.
  • Services: Tax exemption or freeze (~$500-$1,000/year savings).
Senior Farmers’ Market Nutrition Program (SFMNP)
Texas SFMNP
  • General: Age 60+, TX resident, low-income.
  • Income Limits (2025): ~$2,322/month (185% FPL).
  • Asset Limits: Not assessed.
  • TX Specifics: Vouchers (~$50/season); serves ~20,000 via 28 AAAs.
  • Services: Vouchers (~$50/season) for produce at farmers’ markets.

Claim What’s Yours Financial Aid for Texas Seniors

TX Medicaid CCAD

Community Care for the Aged and Disabled (CCAD)

Requirements:
  • General:
    Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • TX Specifics:
    Large state; rural access challenges.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
TX CCS

Texas Community Care Services

Requirements:
  • General:
    Age 60+, Texas resident, at risk of decline.
  • Income Limits:
    ~$2,000/month (individual, varies).
  • Asset Limits:
    $5,000 (individual).
  • TX Specifics:
    Limited funding; high demand in urban areas.
Benefits without Contact:
  • Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Texas AAA Services

Area Agency on Aging (AAA) Services

Requirements:
  • General:
    Age 60+, TX resident; no income/asset limits.
  • Income Limits (2025):
    None; donations encouraged.
  • Asset Limits:
    Not assessed.
  • TX Specifics:
    28 AAAs; includes Meals on Wheels in some areas.
Benefits without Contact:
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Texas Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, TX resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • TX Specifics:
    Includes Extra Help for Part D; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Texas Comprehensive Energy Assistance Program (CEAP)

Low-Income Home Energy Assistance Program (LIHEAP)

Requirements:
  • General:
    Age 60+ prioritized, TX resident, low-income.
  • Income Limits (2025):
    ~$3,970/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • TX Specifics:
    Priority for elderly/disabled; covers gas, electric, propane.
Benefits without Contact:
  • Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Texas Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
  • Income Limits (2025):
    No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits:
    Not assessed.
  • TX Specifics:
    High rural demand; includes grandparent caregivers.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Texas SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, TX resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified.
  • TX Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Texas VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth).
  • TX Specifics:
    High veteran population; supports rural/urban needs.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Texas Senior Property Tax Exemption

Property Tax Exemption for Seniors

Requirements:
  • General:
    Age 65+, TX resident, homeowner (homestead).
  • Income Limits (2025):
    None; tax-based eligibility.
  • Asset Limits:
    Not assessed.
  • TX Specifics:
    $25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.
Benefits without Contact:
  • Services: Tax exemption or freeze (~$500-$1,000/year savings).
Texas SFMNP

Senior Farmers’ Market Nutrition Program (SFMNP)

Requirements:
  • General:
    Age 60+, TX resident, low-income.
  • Income Limits (2025):
    ~$2,322/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • TX Specifics:
    Vouchers (~$50/season); serves ~20,000 via 28 AAAs.
Benefits without Contact:
  • Services: Vouchers (~$50/season) for produce at farmers’ markets.
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