River City Care Center
Nursing Home & Skilled Nursing · San Antonio, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

River City Care Center

Nursing Home & Skilled Nursing · San Antonio, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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River City Care Center accepts Medicaid, Medicare, and private pay.

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 The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 64.2% Below TX avg. ▼ 64.2% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 27.6% Below TX avg. ▼ 27.6% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 52.9% Below TX avg. ▼ 52.9% Below TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 6.5% Above TX avg. ▲ 6.5% Above TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Texas state averages

Total nursing care / resident Info This home is ranked 121st out of 273 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 38m per day
Rank #121 / 273Nurse hours — State benchmarkedThis home is ranked 121st out of 273 homes in Texas for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 273 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Texas avg (3h 38m per day)
vs Texas avg
+0%

5 of 6 metrics below state avg

Standout metric Weekend RN is +30% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 25m per day ▼ 3% State avg: 26m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 43m per day ▼ 24% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 29m per day ▼ 26% State avg: 2h 1m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 13m per day ▼ 26% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day ▼ 68% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 27m per day ▲ 30% State avg: 21m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
186 days
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.

About this community

Occupancy

Occupancy rate
46%
Rank #194 / 220Occupancy rate — State benchmarkedThis home is ranked 194th out of 220 homes in Texas for Occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 220. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Texas average: 63.5%
Occupied beds
42 / 92
Average occupied beds in Texas homes 75 beds

License Details

Facility TypeNursing
IssuanceJanuary 1, 2026
ExpirationJanuary 1, 2029
CountyBexar
License Number307206
Year Opened11/1/1973
CMS Certification Number675896
QualificationNursing

Ownership & Operating Entity

River City Care Center is administered by Tamara Raines.

Management CompanyCREATIVE SOLUTIONS IN HEALTHCARE, INC
OwnerSan Antonio I Enterprises, L.l.c
Ownership TypeLimited 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

ContactOwner/Manager, Owner/Manager (per BBB, record updated Jul 2026)
Administrator Emailzachary_willig@csnhc.com

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Memory & Specialized Care

1 service
No Alzheimer's certification

Amenities & Lifestyle

Specific ProgramsRehab-to-Home, Nursing Restorative Programs, Physical, Occupational, and Speech Therapy, Surgery Recovery, Stroke and Neurological Conditions, Cardiac Related Illnesses, Diabetes Management, Podiatry, Dentistry, Optometry, Nutritional Services, Beauty & Barber Services, Laundry & Housekeeping, Religious Services
Religious Services

Contact River City Care Center

Inspection History

In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.

Since 2023 · 3 years of data 31 citations

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Texas state average
Overall vs. TX average 2 Worse Metrics worse than Texas average:
• Total citations (417% above)
• Citations per year (415% above)
0 Better No metrics in this bucket.
Latest Inspection July 10, 2025 Complaint Investigation

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 316 This facility has 417% more total citations than a typical Texas nursing home (31 vs. TX avg 6).↑ 417% worse
Citations per year Info Average citations per year since 2023. 10.32 This facility has 415% more citations per year than a typical Texas nursing home (10.3 vs. TX avg 2).↑ 415% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • July 10, 2025 complaint investigation found immediate jeopardy for physical abuse by staff, improper medication storage, food safety, infection control failures, and 45 of 46 rooms below required size.
  • Immediate jeopardy for abuse and elopement was identified and removed in 2025, but the facility remained out of compliance with ongoing deficiencies in supervision, abuse prevention, and environment safety.
  • The June 10, 2024 annual inspection found no violations and no deficiencies across all surveyed areas.

Health Inspection History

Inspections since 2023
Total health inspections 6

Texas average 7.4


Last Health inspection on Jul 2025

Total health citations
32 Rank #212 / 274Health citations — State benchmarkedThis home is ranked 212th out of 274 homes in Texas for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 274 TX facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 25.9

Citations per inspection
5.33 Rank #254 / 274Citations per inspection — State benchmarkedThis home is ranked 254th out of 274 homes in Texas for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 274 facilities with citation data. Lower is better.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 3.67


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
2
In line with Texas average

Texas average: 2


Serious health citations
0
100% better than Texas average

Texas average: 0.4

2 critical citations Texas average: 2

0 serious citations Texas average: 0.4

27 moderate citations Texas average: 23

3 minor citations 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 86
Employees 84
Contractors 2
Staff to resident ratio 2.10 : 1
42% more staff per resident than Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 21
Average shift 7.2 hours
11% worse than Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 13,878

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 9 RN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 17 LPN Staff are full-time employees. No contractors work on this role. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 27 CNA Staff are full-time employees. No contractors work on this role. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.3%

38 contractor hours this quarter

Occupational Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant270275,15092100%7.4
Licensed Practical Nurse170172,56092100%8.1
Medication Aide/Technician5051,1798289%8.4
Registered Nurse9091,1288491%8.5
Nurse Practitioner2026686571%8.8
Speech Language Pathologist5056627683%5.7
RN Director of Nursing2025305964%7.9
Administrator1014725964%8
Physical Therapy Aide3034566874%5.2
Qualified Social Worker2023886267%5.8
Dietitian2022903639%8.1
Mental Health Service Worker1011171820%6.5
Physical Therapy Assistant4041063033%3
Respiratory Therapy Technician303932628%3.4
Nurse Aide in Training1014167%6.8
Occupational Therapy Aide0113278%4.6
Medical Director011633%2
27 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 89%
9 Registered Nurse
% of Days 91%
2 Nurse Practitioner
% of Days 71%
5 Speech Language Pathologist
% of Days 83%
2 RN Director of Nursing
% of Days 64%
1 Administrator
% of Days 64%
3 Physical Therapy Aide
% of Days 74%
2 Qualified Social Worker
% of Days 67%
2 Dietitian
% of Days 39%
1 Mental Health Service Worker
% of Days 20%
4 Physical Therapy Assistant
% of Days 33%
3 Respiratory Therapy Technician
% of Days 28%
1 Nurse Aide in Training
% of Days 7%
1 Occupational Therapy Aide
% of Days 8%
1 Medical Director
% of Days 3%

Penalties and fines

Includes penalties issued in 2025

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 Rank #143 / 278Federal fines — State benchmarkedThis home is ranked 143rd out of 278 homes in Texas for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 278 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

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

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
Above average Texas avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%

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

Facility Characteristics

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

Total residents 41
Medicaid
40
97.6% of residents
Private pay or other
1
2.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$673.6K
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.0M Rank #272 / 280Revenue — State benchmarkedThis home is ranked 272nd out of 280 homes in Texas for Revenue. Shows this facility's annual revenue compared to the Texas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$673.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.1M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #272 / 280Payroll — State benchmarkedThis home is ranked 272nd out of 280 homes in Texas for Payroll. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.1M 69.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #120 / 280Payroll % — State benchmarkedThis home is ranked 120th out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.7M

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

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

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.

New residents most often arrive under private pay (47% of admissions), and a typical private pay stay runs around 3 months.

Admissions
91 total

Coverage residents most often arrive under.

Medicare 13%
Private pay 47%
Medicaid 40%
Discharges
79 total

Coverage residents most often leave under.

Medicare 5%
Private pay 57%
Medicaid 38%

Places of interest near River City Care Center

Address 1.8 miles from city center Info Estimated distance in miles from San Antonio's city center to River City Care Center's address, calculated via Google Maps.

Calculate Travel Distance to River City Care Center

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Address

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Rank #272 / 280
$2.1MFiscal year ending 12/2023
Facility $2.1MFiscal year ending 12/2023
TX AVG $3.5M
Rank #272 / 280
69.7%Fiscal year ending 12/2023
Facility 69.7%Fiscal year ending 12/2023
TX AVG 47%
Rank #120 / 280
675896

Financial Assistance for
Nursing Home in Texas

River City Care Center is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General 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

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General 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

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age
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

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General 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

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

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

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

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

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about River City Care Center

What neighborhood is River City Care Center in?

River City Care Center is in the Eastside Promise Neighborhood neighborhood of San Antonio.

Who is the owner of River City Care Center?

River City Care Center is legally operated by San Antonio I Enterprises, L.L.C., and administered by Tamara Raines.

Is River City Care Center in a walkable area?

River City Care Center has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of River City Care Center?

According to TX state health department records, River City Care Center's license number is 307206.

When does River City Care Center's license expire?

According to TX state health department records, River City Care Center's license expires on January 1, 2029.

What is the occupancy rate at River City Care Center?

River City Care Center's occupancy is 46%.

Does River City Care Center operate as a for-profit or non-profit?

River City Care Center is registered as a for-profit in TX.

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