River City Care Center

Nursing Home
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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Texas average: 2.8/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Texas average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Texas average: 2.1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Texas average: 3.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 38m per day

This home provides 0% more nursing time per resident than the state average.

Texas average: 3h 38m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 32m per day 26m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 52m per day 57m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 1h 44m per day 2h 1m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 51m per day 2h 59m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 29m per day 21m per day 29m per day

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 40.2%
Residents per day (avg) 41
Occupancy rate
40.2%
Residents per day (avg)
41

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

13% of new residents, usually for short-term rehab.

Typical stay 27 days

Private pay

47% of new residents, often for short stays.

Typical stay 3 months

Medicaid

40% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Finances and operations

Proprietary home
Corporation
Home revenue
$4.4M
Profit
$440.9K
Proprietary home Corporation
Home revenue
$4,419,965.00
Profit
$440,878.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
43% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.1M
Total costs $4.0M
Bed community size
92-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
52 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]

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab

Programs & Activities

Specific Programs
Rehab-to-Home, Nursing Restorative Programs, Respite Care, Wound Care, Physical, Occupational, and Speech Therapy, Surgery Recovery, Stroke and Neurological Conditions, Cardiac Related Illnesses, Diabetes Management, Podiatry, Dentistry, Optometry, Hospice, Transportation Services, Medication Management, Nutritional Services, Beauty & Barber Services, Laundry & Housekeeping, Religious Services, Engaging Activities
Religious Services
Yes

Dining & Nutrition

Food Description
Healthy, nutritious, and delicious meals prepared for residents daily.
Meals Included
Yes

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Transportation services icon
Transportation services icon

Transportation Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Recreational activities icon
Recreational activities icon

Recreational Activities

Exercise program icon
Exercise program icon

Exercise Programs

Types of Care at River City Care Center

Nursing Home Respite Care Hospice Care
Contact River City Care Center

Compare Nursing Homes around Bexar County

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

Nursing Homes 24/7 care needed

San Antonio (Far West Side)
119
No
A+
59
FOX SPARROW HEALTHCARE, INC.
81.8%
$14,460,843.00
$5,902,732.00
40.8%
107.30
2/5
3.5002
3/5
3/5
1/5
1
21
2
+9%
-4%
+29%
Private / Semi-Private Rooms
Buena Vida Nursing and Rehab Center San Antonio
HC

Hospice Care

SNF

Nursing Homes 24/7 care needed

RC

Respite Care

San Antonio (East Side)
222
No
A+
26
WEST WHARTON COUNTY HOSPITAL DISTRICT
27.6%
$5,307,377.00
$2,911,791.00
54.9%
65.80
2/5
3.4827
3/5
1/5
4/5
1
44
3
+20%
-4%
-57%
Private / Semi-Private Rooms
Westover Hills Rehabilitation and Healthcare Center
SNF

Nursing Homes 24/7 care needed

San Antonio (Far West Side)
124
No
-
32
SAGE TERRACE HEALTHCARE LLC
81.0%
$15,279,446.00
$6,899,931.00
45.2%
106.80
2/5
3.8735
2/5
3/5
4/5
3
29
2
-24%
+7%
+28%
Private / Semi-Private Rooms
River City Care Center
HC

Hospice Care

SNF

Nursing Homes 24/7 care needed

RC

Respite Care

San Antonio (Eastside Promise Neighborhood)
100
No
-
68
-
40.2%
$3,305,456.00
$1,901,992.00
57.5%
41.30
2/5
3.6292
2/5
3/5
4/5
2
32
2
+91%
0%
-37%
Private / Semi-Private Rooms
San Pedro Manor
SNF

Nursing Homes 24/7 care needed

San Antonio (Monte Vista)
150
No
A+
79
WEST ASHBY HEALTHCARE, INC.
54.9%
$12,102,998.00
$5,402,488.00
44.6%
93.60
1/5
3.6342
2/5
1/5
4/5
5
43
5
+20%
0%
-13%
Private / Semi-Private Rooms

Places of interest near River City Care Center

Address 1.8 miles from city center

Address 921 Nolan St, San Antonio, TX 78202

Calculate Travel Distance to River City Care Center

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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

Inspections
Total health inspections 6

Texas average 7.4


Last Health inspection on Jul 2025

Total health citations 32
Citations per inspection
5.33

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

27 of 32 citations resulted from standard inspections; 4 of 32 resulted from complaint investigations; and 1 of 32 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 2
In line with Texas average

Texas average: 2


Serious Health citations More info 0
100% better than Texas average

Texas average: 0.4

2 critical citations More info Texas average: 2

0 serious citations More info Texas average: 0.4

27 moderate citations More info Texas average: 23

3 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Abuse/Neglect critical citation Jul 10, 2025
Corrected

Environmental minor citation Jul 10, 2025

Infection Control moderate citation Jul 10, 2025
Corrected

Nutrition moderate citation Jul 10, 2025
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 of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.5
45% worse than Texas average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.2
45% worse than Texas average

Texas average: 16.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 32.0%
98% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.4%
26% worse than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.2%
10% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.3%
61% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.5%
48% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
21% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.2%
36% better than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.1%
In line with Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 6.3%
331% worse than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
14% better than Texas average

Texas average: 88.0%

Penalties and 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 amount $23K
71% lower than Texas average

Texas average: $80K

Number of fines 2
20% fewer fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $23K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 10, 2025
$14K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 28, 2025
$9K

Last updated: Jan 2026

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Financial Aid for Texas Seniors

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Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Texas Community Care Services

TX CCS

Age 60+, Texas resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; high demand in urban areas.

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+, TX resident; no income/asset limits.

None; donations encouraged.

Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled, TX resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized, TX resident, low-income.

~$3,970/month (185% FPL).

Not assessed.

Priority for elderly/disabled; covers gas, electric, propane.

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed.

High rural demand; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+, unemployed, low-income, TX resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

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

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+, TX resident, homeowner (homestead).

None; tax-based eligibility.

Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+, TX resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

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