The Rio at Mission Trails
Nursing home in San Antonio, Texas, CMS certification number 676297
6211 S New Braunfels Avenue, San Antonio, TX 78223 · Bexar County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 124
- Certified for
- Medicare and Medicaid
- Last standard inspection
- March 25, 2026
- Deficiencies at that inspection
- 19
- Fines in 3 years
- $153,825 (2)
Does The Rio at Mission Trails take Medicare and Medicaid?
Yes to both. The Rio at Mission Trails 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 | 5 of 5 |
| Short-stay quality | 4 of 5 |
Nurse staffing hours and turnover
These are the hours The Rio at Mission Trails 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
- 3.73
- Registered nurse hours
- 0.34
- Licensed practical nurse hours
- 1.19
- Nurse aide hours
- 2.19
- Weekend total hours
- 3.23
- Nursing staff turnover
- 43.1%
- Registered nurse turnover
- 80%
- Administrators who left
- 2
Health inspections and complaints
Inspectors last made a standard visit on March 25, 2026 and cited 19 deficiencies, plus 10 from complaint visits.
The visit before, on December 18, 2024, found 6.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined The Rio at Mission Trails 2 times in the past 3 years, for $153,825 in total.
Beds and residents
On an average day 77.2 residents live here, about 62% of its 124 certified beds.
- Certified beds
- 124
- Average residents per day
- 77.2
- Certified since
- October 12, 2011
- Inside a hospital
- Yes
- Resident or family council
- Both
Who owns The Rio at Mission Trails
- Legal business name
- West Wharton County Hospital District
- Ownership type
- Government - Hospital district
- Chain
- 150 homes nationally under Creative Solutions in Healthcare, 2.3-star chain average
Other nursing homes near The Rio at Mission Trails
- Highland Nursing Center5819 Pecan Valley Dr, San Antonio 78223
- Windsor Mission Oaks3030 S Roosevelt Ave, San Antonio 78214
- Pecan Valley Rehabilitation and Healthcare3838 E Southcross Blvd, San Antonio 78222
- Buena Vida Nursing and Rehab-San Antonio5027 Pecan Grove, San Antonio 78222
- Southeast Nursing & Rehabilitation Center4302 East Southcross Blvd, San Antonio 78222
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 The Rio at Mission Trails, 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 The Rio at Mission Trails
What is the CMS star rating of The Rio at Mission Trails?
1 out of 5 stars overall.
Does The Rio at Mission Trails accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at The Rio at Mission Trails?
19 cited at the last standard visit.
Who owns The Rio at Mission Trails?
West Wharton County Hospital District, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.