San Antonio, TX · 80 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Usually has openings
One of San Antonio's top-rated skilled nursing communities.
Est. $5,070–$7,610/mo
View full evaluation →Skilled NursingCMS verified
The Rio at Mission Trails
6211 S New Braunfels Ave, San Antonio, TX 78223 · Bexar County
39
Use CautionHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Photos via google places, facility website.
Availability outlookUsually has openings
Typically 67% full — availability is generally good.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A below-average federal rating — worth a careful look in San Antonio
The Rio at Mission Trails is a government-owned skilled nursing facility in San Antonio, TX, with 124 certified beds and an average of about 83 residents per day. It operates as part of the Creative Solutions in Healthcare network.
Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 1/5 on staffing, 5/5 on quality measures.
Staff provide about 3.68 total nurse hours per resident each day (0.28 of them from registered nurses), below the national benchmark of roughly 3.9 hours. On the safety record, CMS notes 14 health deficiencies at its most recent standard survey, and 2 federal fines totaling $153,825 in the recent record.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 2-star overall CMS rating
- •Below-average health-inspection rating
- •Below-average nurse staffing (3.68 hrs/resident/day)
- •14 deficiencies at last survey
- •$153,825 in federal fines
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated San Antonio options — our advisors can help you compare.
At a glance
- Certified beds
- 124
- Avg. residents/day
- 83
- Ownership
- Government - Hospital district
- Part of a chain
- Creative Solutions in Healthcare
- Continuing care
- No
- CMS provider #
- 676297
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $5,070–$7,610/mo (median $6,130) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local San Antonio prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 3.68
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.28
- National avg ≈ 0.75
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 14
- Federal fines
- 2 ($153,825)
- Total penalties
- 2
- Last standard survey
- 2026-03-25
- Sprinkler system
- Yes
- Resident & family council
- Both
What inspectors found
The most recent findings from federal health inspections (30 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-04-17Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2026-04-17Severity D — potential for harmFrom a complaintQuality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
2026-04-07Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2026-03-25Severity E — potential for harmResident Rights Deficiencies
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.
2026-03-25Severity E — potential for harmNursing and Physician Services Deficiencies
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.
2026-03-25Severity E — potential for harmPharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
2026-03-25Severity E — potential for harmPharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
2026-03-25Severity D — potential for harmResident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-02-24 | Fine | $96,694 |
| 2024-06-20 | Fine | $57,131 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ 24-hour staff
Location
6211 S New Braunfels Ave, San Antonio, TX
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for The Rio at Mission Trails.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about The Rio at Mission Trails
How much does The Rio at Mission Trails cost?
The Rio at Mission Trails does not publish exact rates. Comparable skilled nursing in the San Antonio, TX area typically runs $5,070–$7,610 per month (median $6,130, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is The Rio at Mission Trails's Medicare rating?
Medicare (CMS) rates The Rio at Mission Trails 2 out of 5 stars overall, including 2/5 for health inspections, 1/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.
How is the staffing at The Rio at Mission Trails?
Staff provide about 3.68 total nurse hours per resident per day (national benchmark ≈ 3.9). These figures are reported to the federal government and updated regularly.
What did inspectors find at The Rio at Mission Trails?
The Rio at Mission Trails has 30 health citations on its recent federal inspection record (last standard survey: 2026-03-25). The full citation-by-citation detail, with severity levels, is published on this page.
Does The Rio at Mission Trails have availability?
Typically 67% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does The Rio at Mission Trails offer?
The Rio at Mission Trails in San Antonio, TX offers skilled nursing and is licensed for 124 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Antonio.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for The Rio at Mission Trails — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogle
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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