Nursing homes › Texas › The Rio at Mission Trails
6211 S New Braunfels Ave, San Antonio, TX 78223 · 2105310569 · 124 certified beds
Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 3.71 (Texas median: 3.27). RN hours: 0.25. Weekend total: 3.12. Nursing staff turnover: 97%.
All-time on record: 32 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-07 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2026-05-21 |
| 2026-05-07 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-05-21 |
| 2026-04-17 | 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 2026-04-19 |
| 2026-04-17 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2026-05-31 |
| 2026-04-07 | 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 2026-05-01 |
| 2026-03-25 | 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. | E | Health | corrected 2026-04-08 |
| 2026-03-25 | 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. | E | Health | corrected 2026-04-22 |
| 2026-03-25 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-04-08 |
| 2026-03-25 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2026-04-08 |
| 2026-03-25 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2026-04-08 |
| 2026-03-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-04-22 |
| 2026-03-25 | 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 2026-04-08 |
| 2026-03-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Health | corrected 2026-04-22 |
| 2026-03-25 | Make sure that a working call system is available in each resident's bathroom and bathing area. | B | Health | corrected 2026-04-08 |
| 2026-03-19 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2026-03-24 |
| 2026-03-19 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-03-24 |
| 2025-04-10 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-03-03 |
| 2025-04-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-03-03 |
| 2025-02-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-02-28 |
| 2025-02-24 | Provide safe and appropriate respiratory care for a resident when needed. | J | complaint | corrected 2025-02-28 |
| 2024-12-18 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2025-01-06 |
| 2024-12-18 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-01-06 |
| 2024-12-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-01-06 |
| 2024-12-18 | 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 2025-01-06 |
| 2024-12-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-01-06 |
| 2024-12-18 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-01-06 |
| 2024-11-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-25 |
| 2024-07-14 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2024-07-16 |
| 2024-07-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-07-16 |
| 2024-07-14 | Provide or get specialized rehabilitative services as required for a resident. | D | complaint | corrected 2024-07-16 |
| 2024-06-20 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | J | complaint | corrected 2024-06-28 |
| 2023-11-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-11-16 |
| Date | Type | Amount |
|---|---|---|
| 2025-02-24 | Fine | $96,694 |
| 2024-06-20 | Fine | $57,131 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MAK, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 05/17/2021 |
| SAN ANTONIO II ENTERPRISES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2022 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2022 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676297. Corrections: data@carerecords.org.