The Rio at Mission Trails

6211 S New Braunfels Ave · San Antonio, TX · 78223 · 2105310569

124 certified beds Government - Hospital district Chain: Creative Solutions in Healthcare Hospital-based

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $96,694 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$96,694 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 72
Staffing 20% 57
Federal penalties 15% 43
Trend 10% 87
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.683.48 min · 4.1 strong
RN hours / resident-day0.280.55–0.75
Weekend hours / resident-day3.21≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)2 · $153,825

Inspection citations (30 in the current record)

  • Potential for harm · D April 17, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 19, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 17, 2026 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 31, 2026 · Quality of Life and Care

  • Potential for harm · D April 7, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 1, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E March 25, 2026

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected April 8, 2026 · Resident Rights

  • Potential for harm · D March 25, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 8, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E March 25, 2026

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected April 22, 2026 · Nursing and Physician Services

  • Potential for harm · D March 25, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 22, 2026 · Pharmacy Service

  • Potential for harm · E March 25, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 8, 2026 · Pharmacy Service

  • Potential for harm · E March 25, 2026

    Ensure that residents are free from significant medication errors.

    Corrected April 8, 2026 · Pharmacy Service

  • Potential for harm · D March 25, 2026

    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.

    Corrected April 8, 2026 · Pharmacy Service

  • No harm found · B March 25, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 22, 2026 · Resident Assessment and Care Planning

  • No harm found · B March 25, 2026

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected April 8, 2026 · Environmental

  • Potential for harm · D March 19, 2026 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected March 24, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 19, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 24, 2026 · Infection Control

  • Potential for harm · D April 10, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 10, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J February 24, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J February 24, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 28, 2025 · Quality of Life and Care

  • Potential for harm · E December 18, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected January 6, 2025 · Resident Rights

  • Potential for harm · D December 18, 2024

    Ensure each resident receives an accurate assessment.

    Corrected January 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 18, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 18, 2024

    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.

    Corrected January 6, 2025 · Pharmacy Service

  • Potential for harm · D December 18, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 6, 2025 · Nutrition and Dietary

  • Potential for harm · D December 18, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 21, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 24, 2025Fine$96,694
June 20, 2024Fine$57,131

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676297 · certified since October 12, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.