The Rio at Mission Trails: Staffing, Turnover, and Inspection Record
The Rio at Mission Trails is a 124-bed government-run nursing home in San Antonio, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 2.14 nurse aide hours per resident per day, 7% above the Texas average of 2.00, and 97.2% nursing staff turnover (Texas average 55.3%).
The Rio at Mission Trails
6211 S New Braunfels AveSan Antonio, TX 78223
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Rio at Mission Trails, nurse aides logged 2.14 hours per resident per day, 7% above the Texas average. With about 83 residents a day, that works out to roughly 178 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.14 | 2.00 | 2.32 |
| Licensed practical nurses | 1.32 | 0.95 | 0.86 |
| Registered nurses | 0.25 | 0.43 | 0.69 |
| All nursing staff | 3.71 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.12 | 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
97.2% of nursing staff at The Rio at Mission Trails left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 100.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 25, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 18 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $153,825 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 24, 2025 | Fine | $96,694 |
| Jun 20, 2024 | Fine | $57,131 |
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. The Rio at Mission Trails holds 1 of 5 overall; the Texas average is 2.6.
About The Rio at Mission Trails
- Ownership: Government - Hospital district
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Oct 12, 2011
- Located inside a hospital
- Councils: resident and family councils
- Area: urban
Nursing homes near The Rio at Mission Trails
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Highland Nursing Center San Antonio · staffing data not validated | 1.4 | 53 | — | — | 42.4% | 1 | None |
| Windsor Mission Oaks San Antonio | 1.4 | 150 | 1.60 | 2.74 | 23.2% | 3 | $10,842 |
| Pecan Valley Rehabilitation and Healthcare San Antonio | 2.3 | 124 | 1.98 | 3.41 | 45.2% | 4 | None |
| Buena Vida Nursing and Rehab-San Antonio San Antonio · SFF candidate · abuse citation | 2.4 | 222 | 1.63 | 2.93 | — | 1 | $174,889 |
| Southeast Nursing & Rehabilitation Center San Antonio | 2.9 | 116 | 2.18 | 3.59 | 35.4% | 2 | $10,631 |
| San Jose Nursing Center San Antonio | 3.2 | 55 | 1.97 | 3.16 | 33.3% | 3 | None |
| River City Care Center San Antonio · abuse citation | 4.4 | 92 | 1.95 | 3.22 | — | 1 | $18,503 |
| Normandy Terrace Nursing & Rehabilitation Center San Antonio · abuse citation | 4.5 | 320 | 1.85 | 3.01 | 95.8% | 1 | $287,359 |
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.