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    Nursing home · SAN ANTONIO, TX

    RIVER CITY CARE CENTER

    921 NOLAN ST, SAN ANTONIO, TX 78202

    CMS certification number: 675896 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    Request care assistance2102266397Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    92

    Residents / day

    49.9

    Ownership

    For profit - Individual

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Individual
    County
    Bexar
    Certified beds
    92
    Average residents per day
    49.9
    First certified
    November 30, 2001

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    2 / 5
    Staffing
    1 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Bexar, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    2.51
    n=61
    State peers
    2.76

    Nurse hours / resident / day

    This home
    3.19
    County peers
    3.45
    n=60
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    2.81
    County peers
    2.97
    n=60
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    54.10
    County peers
    47.66
    n=58
    State peers
    50.80
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 11.9% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 54.1% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    9
    Health citations
    37
    Resident measures
    17
    Ownership records
    4
    Penalties
    2
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.18715
    Reported RN Staffing Hours per Resident per Day
    0.33732
    Reported LPN Staffing Hours per Resident per Day
    0.91006
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.93978
    Total number of nurse staff hours per resident per day on the weekend
    2.80730
    Registered Nurse hours per resident per day on the weekend
    0.30144
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02257
    Total nursing staff turnover
    54.1
    Registered Nurse turnover
    66.7
    Number of administrators who have left the nursing home
    3
    Chain Name
    CREATIVE SOLUTIONS IN HEALTHCARE
    Number of Facilities in Chain
    150
    Chain Average Overall 5-star Rating
    2.3
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    Y
    Chain ID
    169
    Latitude
    29.4276
    Location
    921 NOLAN ST,SAN ANTONIO,TX,78202
    ZIP Code
    78202
    City/Town
    SAN ANTONIO
    Longitude
    -98.47
    QM Rating
    4
    Abuse Icon
    Y
    Chain Name
    CREATIVE SOLUTIONS IN HEALTHCARE
    County/Parish
    Bexar
    Provider Name
    RIVER CITY CARE CENTER
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Individual
    Number of Fines
    2
    Processing Date
    2026-10-01
    Staffing Rating
    1
    Provider Address
    921 NOLAN ST
    Telephone Number
    2102266397
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    SAN ANTONIO I ENTERPRISES LLC
    Long-Stay QM Rating
    4
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.44561
    Chain Average QM Rating
    3.4
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    2
    Number of Certified Beds
    92
    Provider SSA County Code
    130
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    66.7
    Total Number of Penalties
    2
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.02507
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    54.1
    Chain Average Staffing Rating
    1.4
    Number of Facilities in Chain
    150
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    675896
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    18668.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    119
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    133.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    49.9
    Chain Average Overall 5-star Rating
    2.3
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    175
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.7
    Rating Cycle 1 Health Deficiency Score
    119
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    175
    Rating Cycle 1 Standard Survey Health Date
    2025-07-10
    Rating Cycle 2 Standard Health Survey Date
    2024-05-03
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.32648
    Case-Mix RN Staffing Hours per Resident per Day
    0.70898
    Reported RN Staffing Hours per Resident per Day
    0.33732
    Adjusted LPN Staffing Hours per Resident per Day
    0.88083
    Case-Mix LPN Staffing Hours per Resident per Day
    0.88347
    Reported LPN Staffing Hours per Resident per Day
    0.91006
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    10
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    20
    Rating Cycle 1 Number of Standard Health Deficiencies
    5
    Rating Cycle 2 Number of Standard Health Deficiencies
    16
    Reported Licensed Staffing Hours per Resident per Day
    1.24737
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    6
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.87748
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.40621
    Number of administrators who have left the nursing home
    3
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.93978
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.08480
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.99866
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    4
    Reported Total Nurse Staffing Hours per Resident per Day
    3.18715
    Registered Nurse hours per resident per day on the weekend
    0.30144
    Date First Approved to Provide Medicare and Medicaid Services
    2001-11-30
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02257
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.71714
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.51911
    Total number of nurse staff hours per resident per day on the weekend
    2.80730

    COMMUNITY EXPERIENCE

    Reviews of RIVER CITY CARE CENTER

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026