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Nursing homeFAID #14658

The Rio At Mission Trails

6211 S New Braunfels Avenue, SAN ANTONIO, TX, 78223

(210) 531-0569

124 licensed beds

CMS rates The Rio At Mission Trails 1 out of 5 overall. Federal inspectors issued 42 citations across 17 inspections in the last three years, with $153,825 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · The Rio at Mission Trails

Address

6211 S New Braunfels Avenue

San Antonio, TX 78223

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Public record summary

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Bed capacity

124

CMS facility ID

676297

Care type

Nursing home

County

Bexar

Facility name

The Rio At Mission Trails

Street address

6211 S New Braunfels Avenue

City / state / ZIP

San Antonio, TX 78223

Phone

(210) 531-0569

Website

rioatmissiontrails.com

About this facility — The Rio At Mission Trails

The Rio At Mission Trails is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 124 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited The Rio At Mission Trails 42 times across 17 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $153,825 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Creative Solutions In Healthcare

Ownership type

Government - Hospital district

Registered owners & officers

Blake, Gary

Operational control — since 2022

Blake, Malisa

Operational control — since 2022

Huggins, Linda

Managing employee — since 2022

Mak, David

Officer — since 2021

San Antonio Ii Enterprises, Llc

Operational control — since 2022

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2011-10-12

CMS overall rating

1 of 5 stars

Health deficiencies

19 at the last standard inspection

Federal fines

$153,825 total

Last standard inspection

2026-03-25

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$263 per day (≈ $8,000/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

72% Medicaid · 3% Medicare · 25% private/other

Occupancy

58% (fiscal year 2024)

Vs. state median

5% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

124

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-08-04Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-08-20

2026-06-23Health inspectionComplaint-triggered2 citations

F-0585

D · No harm foundFrom a complaint

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.

Corrected 2026-07-13

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-07-13

14 earlier / fire-safety inspections (39 citations)

2026-05-07Health inspectionComplaint-triggered2 citations

F-0842

E · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-05-21

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-05-21

2026-04-17Health inspectionComplaint-triggered2 citations

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-04-19

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-05-31

2026-04-07Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-05-01

2026-03-25Health inspection9 citations

F-0585

E · No harm found

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.

Corrected 2026-04-08

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-04-08

F-0727

E · No harm found

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.

Corrected 2026-04-22

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-04-22

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-04-08

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2026-04-08

F-0761

D · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2026-04-08

F-0842

B · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-04-22

F-0919

B · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2026-04-08

2026-03-19Health inspectionComplaint-triggered2 citations

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2026-03-24

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-03-24

2025-04-10Health inspectionComplaint-triggered2 citations

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-03-03

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-03

2025-02-24Health inspectionComplaint-triggered2 citations

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-28

F-0695

J · Immediate jeopardyFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-28

2024-12-18Health inspection6 citations

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-01-06

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-01-06

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-06

F-0761

D · No harm found

Corrected 2025-01-06

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-01-06

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-06

2024-11-21Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-25

2024-07-14Health inspectionComplaint-triggered3 citations

F-0557

D · No harm foundFrom a complaint

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-07-16

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-07-16

F-0825

D · No harm foundFrom a complaint

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-07-16

2024-06-20Health inspectionComplaint-triggered1 citation

F-0925

J · Immediate jeopardyFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-06-28

2023-11-15Health inspection1 citation

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-11-16

2026-03-25Fire-safety inspection3 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-04-08

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-05-05

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-04-30

2024-12-18Fire-safety inspection4 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-01-06

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-01-06

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-06

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-01-06

Federal penalties

2025-02-24Fine$96,694

2024-06-20Fine$57,131

Total fines$153,825

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676297.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 68% of nursing homes in the state

State median: 33

Federal fines, 3 years

$153,825

More than 92% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.7

Higher than 82% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

43%

Higher than 29% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 14 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	10.6%	15.8%	13.5%	Better than state
Lose too much weight	0.0%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.4%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.0%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	8.9%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	16.7%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	6.0%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	18.0%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	3.8%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.38	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.92	1.97	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	20.9%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	5.2%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0842 5 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0585 2 inspections. 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.
F-0880 2 inspections. Provide and implement an infection prevention and control program.
F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0761 2 inspections. Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Children's Hospital of San Antonio, about 5.0 miles.
Baptist Medical Center, about 5.1 miles. CMS rating 3 of 5.
Brooke Army Medical Center (ft Sam Houston), about 7.0 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Highland Nursing Center, San Antonio, about 1.4 miles. CMS rating 1 of 5.
Windsor Mission Oaks, San Antonio, about 1.4 miles. CMS rating 3 of 5.
Pecan Valley Rehabilitation and Healthcare, San Antonio, about 2.3 miles. CMS rating 4 of 5.
Buena Vida Nursing and Rehab-san Antonio, San Antonio, about 2.4 miles. CMS rating 1 of 5.
Southeast Nursing & Rehabilitation Center, San Antonio, about 2.9 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

4.0116 ratings on Google

★★★★★Fernando Gonzalez · 2025-02-26 · via Google
“It is a very good place, recommended, with trained and above all very human staff. Thank you very much to everyone. Del Rio Mission Trails San Antonio. I have been very happy with all the results of the process that my daughter went through during all that time, the ability to speak with the directors and managers, and with the service in the cafeteria, but above all the importance of the parents …”

★Cortana Reyes · 2025-12-29 · via Google
“My father was just recently sent there from the ICU, not even a week later my father was ruched back to the ICU do to him not getting proper care and he had caught pneumonia and was rushed at 6am but THEY NEVER NOTIFIED ME THAT HE WAS RUSHED TO THE HOSPITAL. I was so scared when I had arrived to visit my father because he wasn’t in his room and all of this stuff was still there. And the nurses jus…”

★Ethan Battise · 2026-01-17 · via Google
“If a facility could receive zero stars, this would be it. This facility is clearly understaffed. A patient was released before even completing two full days because they did not have enough staff to provide care. That alone is alarming. I was also told there have been five resident falls, which raises serious concerns about supervision and staff training. A nursing home should prioritize patient s…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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Ownership & corporate history

Primary tier

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Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 42 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

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