Nursing homes › Texas › San Antonio › River City Care Center
921 Nolan St, San Antonio, TX 78202 · (210) 226-6397 · 92 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 state. Group record: average rating 2.1/5, 22 abuse citation icons, 6 facilities on the Special Focus list, $8,191,964 in federal fines. This facility rates below its group average (2.1/5).
Total nurse staffing: 3.22 (Texas median: 3.27). RN hours: 0.43. Weekend total: 2.81.
In the downloaded CMS dataset: 37 deficiency citations, including 2 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-07-02 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-07-03 |
| 2026-05-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-05-30 |
| 2026-05-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-05-30 |
| 2026-05-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-30 |
| 2026-05-29 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | complaint | corrected 2026-05-30 |
| 2025-07-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-07-11 |
| 2025-07-10 | 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. | E | Health | corrected 2025-07-11 |
| 2025-07-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-07-11 |
| 2025-07-10 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-07-11 |
| 2025-07-10 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Health | No revisit needed |
| 2025-02-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-03-01 |
| 2024-05-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-05-10 |
| 2024-05-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2024-05-04 |
| 2024-05-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-05-04 |
| 2024-05-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-05-04 |
| 2024-05-03 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-05-04 |
| 2024-05-03 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2024-05-04 |
| 2024-05-03 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-05-04 |
| 2024-05-03 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-05-10 |
| 2024-05-03 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Health | corrected 2024-05-10 |
| 2024-05-03 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-05-04 |
| 2024-05-03 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-05-10 |
| 2024-05-03 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-05-10 |
| 2024-05-03 | 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. | D | Health | corrected 2024-05-04 |
| 2024-05-03 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-05-04 |
| 2024-05-03 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Health | corrected 2024-05-21 |
| 2024-05-03 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Health | corrected 2024-05-04 |
| 2024-04-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-04-13 |
| 2024-04-12 | 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. | D | complaint | corrected 2024-04-13 |
| 2023-12-13 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | complaint | corrected 2023-12-14 |
| 2023-03-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2023-04-28 |
| 2023-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-04-01 |
| 2023-03-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-04-01 |
| 2023-03-31 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-04-01 |
| 2023-03-31 | 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. | D | Health | corrected 2023-04-01 |
| 2023-03-31 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2023-04-01 |
| 2023-03-31 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Health | corrected 2023-04-01 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-10 | Fine | $9,113 |
| 2025-02-28 | Fine | $9,390 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2019 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2019 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2019 |
How to cite this page: CareRecords, “River City Care Center — compliance, penalty and ownership record” (CCN 675896), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/river-city-care-center-san-antonio-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675896. Corrections: data@carerecords.org.