River City Care Center
Nursing home in San Antonio, Texas, CMS certification number 675896
921 Nolan St, San Antonio, TX 78202 · Bexar County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 92
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 10, 2025
- Deficiencies at that inspection
- 10
- Fines in 3 years
- $18,668 (2)
Does River City Care Center take Medicare and Medicaid?
Yes to both. River City Care Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours River City Care Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.19
- Registered nurse hours
- 0.34
- Licensed practical nurse hours
- 0.91
- Nurse aide hours
- 1.94
- Weekend total hours
- 2.81
- Nursing staff turnover
- 54.1%
- Registered nurse turnover
- 66.7%
- Administrators who left
- 3
Health inspections and complaints
Inspectors last made a standard visit on July 10, 2025 and cited 10 deficiencies, plus 6 from complaint visits.
The visit before, on May 3, 2024, found 16.
CMS shows an abuse icon for River City Care Center. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined River City Care Center 2 times in the past 3 years, for $18,668 in total.
Beds and residents
On an average day 49.9 residents live here, about 54% of its 92 certified beds.
- Certified beds
- 92
- Average residents per day
- 49.9
- Certified since
- November 30, 2001
- Resident or family council
- Resident
Who owns River City Care Center
- Legal business name
- San Antonio I Enterprises LLC
- Ownership type
- For profit - Individual
- Chain
- 150 homes nationally under Creative Solutions in Healthcare, 2.3-star chain average
Other nursing homes near River City Care Center
- San Antonio North Nursing and Rehabilitation501 Ogden, San Antonio 78212
- Memorial Medical Nursing and Rehabilitation307 W Cypress St, San Antonio 78212
- San Pedro Manor515 W Ashby Pl, San Antonio 78212
- Meridian Care Monte Vista616 W Russell Pl, San Antonio 78212
- St. Francis Nursing Home630 W Woodlawn Ave, San Antonio 78212
See also all nursing homes in San Antonio.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 58 in San Antonio, or see how assisted living and nursing homes differ.
Is this your facility?
If you run River City Care Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about River City Care Center
What is the CMS star rating of River City Care Center?
1 out of 5 stars overall.
Does River City Care Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at River City Care Center?
10 cited at the last standard visit.
Who owns River City Care Center?
San Antonio I Enterprises LLC, for profit - individual.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.