River City Care Center: Staffing, Turnover, and Inspection Record
River City Care Center is a 92-bed for-profit nursing home in San Antonio, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.95 nurse aide hours per resident per day, about the same as the Texas average of 2.00.
River City Care Center
921 Nolan StSan Antonio, TX 78202
Bexar County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At River City Care Center, nurse aides logged 1.95 hours per resident per day, about the same as the Texas average. With about 47 residents a day, that works out to roughly 91 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.95 | 2.00 | 2.32 |
| Licensed practical nurses | 0.83 | 0.95 | 0.86 |
| Registered nurses | 0.43 | 0.43 | 0.69 |
| All nursing staff | 3.22 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.81 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for River City Care Center in this release. 3 administrators left over the same period.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 10, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $18,503 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 10, 2025 | Fine | $9,113 |
| Feb 28, 2025 | Fine | $9,390 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. River City Care Center holds 1 of 5 overall; the Texas average is 2.6.
About River City Care Center
- Ownership: For profit - Individual
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: San Antonio I Enterprises LLC
- Medicare and Medicaid certified since: Nov 30, 2001
- Councils: resident council
- Area: urban
Nursing homes near River City Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| San Antonio North Nursing and Rehabilitation San Antonio | 1.7 | 118 | 1.66 | 2.67 | 55.9% | 1 | $17,268 |
| Memorial Medical Nursing and Rehabilitation San Antonio | 1.9 | 135 | 1.64 | 2.60 | 51.4% | 1 | $35,396 |
| San Pedro Manor San Antonio | 2.2 | 150 | 2.24 | 3.67 | 45.6% | 4 | $24,285 |
| Meridian Care Monte Vista San Antonio | 2.4 | 106 | 2.49 | 4.74 | 68.4% | 1 | $23,438 |
| St. Francis Nursing Home San Antonio | 2.6 | 107 | 2.24 | 3.34 | 22.9% | 4 | None |
| Parklane West Healthcare Center San Antonio | 2.8 | 124 | 2.24 | 3.74 | 63.4% | 1 | None |
| The Village at Incarnate Word San Antonio | 2.9 | 60 | 2.54 | 3.84 | 27.0% | 4 | None |
| The Sarah Roberts French Home San Antonio | 4.1 | 60 | 1.59 | 3.27 | — | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.