We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
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.
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.
This home is ranked 122nd out of 289 homes in Texas. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 32m per day | ▲ 23% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 52m per day | ▼ 9% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
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 44m per day | ▼ 14% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 41m per day | ▼ 10% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 29m per day | ▲ 38% State avg: 21m per day · National avg: 29m per day |
Lower than the Texas average: 63.5%River City Care Center is administrated by Tamara Raines.
Key information about the people who lead and staff this community.
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.
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.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 31 | 6 | This facility has 417% more total citations than a typical Texas nursing home (31 vs. TX avg 6).↑ 417% worse |
|
Citations per year
Average citations per year since 2023.
| 10.3 | 2 | This facility has 415% more citations per year than a typical Texas nursing home (10.3 vs. TX avg 2).↑ 415% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 10, 2025, identified deficiencies including failure to protect residents from abuse, medication storage issues, food safety violations, infection control lapses, and inadequate room size. Earlier inspections showed a pattern of similar issues, including resident abuse, inadequate supervision leading to elopement, medication errors, infection control problems, and insufficient room sizes. Complaint investigations were substantiated for abuse and neglect involving specific staff members, resulting in suspensions and termination, and for inadequate supervision related to resident elopement. Enforcement actions included identification of immediate jeopardy that was later removed, but no fines or license suspensions were listed in the available reports. The facility’s deficiencies have persisted over time with some corrective actions taken, but recent inspections continue to cite similar concerns.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Jul 2025
Texas average 25.9
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).
In line with Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
42% better than Texas average
11% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
38 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 0 | 27 | 5,150 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 17 | 0 | 17 | 2,560 | 92 | 100% | 8.1 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,179 | 82 | 89% | 8.4 |
| Registered Nurse | 9 | 0 | 9 | 1,128 | 84 | 91% | 8.5 |
| Nurse Practitioner | 2 | 0 | 2 | 668 | 65 | 71% | 8.8 |
| Speech Language Pathologist | 5 | 0 | 5 | 662 | 76 | 83% | 5.7 |
| RN Director of Nursing | 2 | 0 | 2 | 530 | 59 | 64% | 7.9 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Physical Therapy Aide | 3 | 0 | 3 | 456 | 68 | 74% | 5.2 |
| Qualified Social Worker | 2 | 0 | 2 | 388 | 62 | 67% | 5.8 |
| Dietitian | 2 | 0 | 2 | 290 | 36 | 39% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 117 | 18 | 20% | 6.5 |
| Physical Therapy Assistant | 4 | 0 | 4 | 106 | 30 | 33% | 3 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 93 | 26 | 28% | 3.4 |
| Nurse Aide in Training | 1 | 0 | 1 | 41 | 6 | 7% | 6.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 32 | 7 | 8% | 4.6 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
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)
71% lower than Texas averageTexas average: $80K
20% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 10, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 28, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.2
45% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
32.0%
98% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
20.4%
26% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.2%
10% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
61% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.5%
48% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.6%
21% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.2%
36% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
8.1%
In line with Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
6.3%
331% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
13% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for River City Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #287 / 297Payroll — State benchmarkedThis home is ranked 287th out of 297 homes in Texas. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
1.8 miles from city center
Estimated distance in miles from San Antonio's city center to River City Care Center's address, calculated via Google Maps.
Add your location
River City Care Center is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| Mystic Park Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | San Antonio (Far West Side) | 119 | 81.8% | +29% | 3.50 | -5% | -4% | $111.1k | 21 | 4.2 | 2 | 107 | A+ | 59 | Fox Sparrow Healthcare, Inc. | $14.5M | $6.7M | 46.5% | 676012 | ||||
| Buena Vida Nursing and Rehab Center San Antonio |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | San Antonio (East Side) | 222 | 27.6% | -57% | 3.48 | +31% | -4% | $227.9k | 44 | 4.4 | 3 | 66 | A+ | 26 | West Wharton County Hospital District | $6.7M | $3.2M | 47.3% | 455390 | ||||
| Westover Hills Rehabilitation and Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | San Antonio (Far West Side) | 124 | 81.0% | +28% | 3.87 | +6% | +7% | $35.8k | 29 | 2.6 | 2 | 107 | - | 32 | Sage Terrace Healthcare LLC | $15.3M | $7.9M | 51.7% | 676281 | ||||
| River City Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | San Antonio (Eastside Promise Neighborhood) | 92 | 45.7% | -28% | 3.63 | +37% | 0% | $23.1k | 32 | 5.3 | 2 | 41 | - | 68 | - | $4.4M | $2.1M | 48% | 675896 | ||||
| San Pedro Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | San Antonio (Monte Vista) | 150 | 12.7% | -80% | 3.63 | +2% | 0% | $53.9k | 43 | 3.9 | 5 | 19 | A+ | 79 | West Ashby Healthcare, Inc. | $12.1M | $6.1M | 50.8% | 455689 |
River City Care Center is in the Eastside Promise Neighborhood neighborhood of San Antonio.
The legal owner and operator of River City Care Center is San Antonio I Enterprises, L.L.C..
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.
According to TX state health department records, River City Care Center's license number is 307206.
According to TX state health department records, River City Care Center's license expires on January 1, 2029.
River City Care Center's occupancy is 46%.
Tamara Raines is the administrator of River City Care Center.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
