All states › Texas › San Antonio › The Rio at Mission Trails
6211 S New Braunfels Avenue San Antonio, TX 78223 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 676297 · See this home on Medicare Care Compare
Is The Rio at Mission Trails a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Rio at Mission Trails as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.73 hours per resident per day at The Rio at Mission Trails, above the Texas median of 3.30 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 3.23 hours, 13% below its all-week average. 43.1% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.
About this nursing home
Paying for care at The Rio at Mission Trails: Medicare and Medicaid
The Rio at Mission Trails is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on March 25, 2026 and found 9 deficiencies, plus 10 from complaint inspections in the same period. In total, inspectors issued 35 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 35 citations at The Rio at Mission Trails across 14 inspection dates, 19 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 24, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (12) and pharmacy service (5). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, February 24, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 4, 2026 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 23, 2026 · 2 citations · includes complaint inspection
DHonor 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 7, 2026 · 2 citations · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
April 17, 2026 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
April 7, 2026 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
March 25, 2026 · 9 citations
EHonor 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.
EHave 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.
EEnsure medication error rates are not 5 percent or greater.
EEnsure that residents are free from significant medication errors.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
BMake sure that a working call system is available in each resident's bathroom and bathing area.
March 19, 2026 · 2 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
DProvide and implement an infection prevention and control program.
April 10, 2025 · 2 citations · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
February 24, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JProvide safe and appropriate respiratory care for a resident when needed.
December 18, 2024 · 6 citations
EReasonably accommodate the needs and preferences of each resident.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 21, 2024 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
July 14, 2024 · 3 citations · includes complaint inspection
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide or get specialized rehabilitative services as required for a resident.
June 20, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
November 15, 2023 · 1 citation
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Questions to ask on a tour of The Rio at Mission Trails
- Inspectors cited the home at the immediate-jeopardy level on February 24, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 10, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $153,825 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 24, 2025 | Fine | $96,694 |
| Jun 20, 2024 | Fine | $57,131 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near The Rio at Mission Trails
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.7 mi
- 0.8 mi
- 5.0 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.