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River City Care Center, San Antonio, Texas
- 37
- Citations from health inspectionsTexas average: 28 a home
- 2
- Residents harmed or put in dangerTexas average: 2.3 a home
- $18,503
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Eight inspection visits produced 37 citations. Residents were in immediate danger in two findings. Federal fines came to $18,503 (two fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 3.22 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.43 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- Not sent to CMS
- Beds that are certified
- 92
- Ownership
- Individual (for profit)
- Chain
- Creative Solutions in Healthcare, with 149 homes
- Street address
- 921 Nolan St, San Antonio, Texas 78202
- County
- Bexar
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated July 2, 2026
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated May 29, 2026
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated July 10, 2025
- F912 Minimum Bedroom Size per Resident: minimal risk to residents, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Feb. 28, 2025
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
16 citations dated May 3, 2024
- F949 Behavioral Health Training for Staff: risk of harm, no one found hurt, one or a few residents.
- F912 Minimum Bedroom Size per Resident: minimal risk to residents, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.
Two citations dated April 12, 2024
One citation dated Dec. 13, 2023
- F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated March 31, 2023
- F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents.
- F912 Minimum Bedroom Size per Resident: minimal risk to residents, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| July 10, 2025 | Fine | $9,113 |
| Feb. 28, 2025 | Fine | $9,390 |
Ownership and Management of the Home
- The home is run by Creative Solutions in Healthcare Inc. (operational or managerial control).
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 675896. Other homes in San Antonio.