Nursing Home in San Antonio, TX · CMS Data August 2026

The Rio at Mission Trails

How Does the Rio at Mission Trails Rate?

The Rio at Mission Trails is a 124-bed government-owned nursing home in San Antonio, TX. CMS rates it 1 out of 5 stars overall (August 2026), with 2 for health inspections, 1 for staffing and 4 for quality measures. Residents got an average of 3.7 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on March 25, 2026, cited 18 health deficiencies.

CMS overall rating: 1 of 5
Nursing per resident per day: 3.7 hours
Deficiencies at last inspection: 18
Certified beds: 124

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

6211 S New Braunfels Ave
San Antonio, TX 78223

1 of 5 CMS overall · Much below average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

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Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for The Rio at Mission Trails
Rating	Stars	CMS label
Overall rating	1 of 5	Much below average
Health inspections	2 of 5	Below average
Staffing	1 of 5	Much below average
Quality measures	4 of 5	Above average
Quality for long-stay residents	5 of 5	Much above average
Quality for short-stay residents	3 of 5	Average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at The Rio at Mission Trails and the national median
Measure	This home	National median
Total nursing hours per resident per day	3.7 hours	3.7 hours
Registered nurse hours per resident per day	0.2 hours	0.6 hours
Nurse aide hours per resident per day	2.1 hours	2.2 hours
Total nursing hours per resident on weekends	3.1 hours	3.3 hours
Nursing staff turnover (past year)	97%	45%
Registered nurse turnover (past year)	100%	42%

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for The Rio at Mission Trails
Last standard health inspection	March 25, 2026
Health deficiencies cited at that inspection	18
Deficiencies from complaint inspections (same rating cycle)	9
Fines in the past 3 years	2 totaling $153,825
Payment denials in the past 3 years	0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at The Rio at Mission Trails who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for The Rio at Mission Trails
Residents who	This home	National median	Compared
Received an antipsychotic medication	4.6%	13%	Lower than the national median
Received an antianxiety or hypnotic medication	18%	18%	Lower than the national median
Had a fall with major injury	1.7%	2.8%	Lower than the national median
Have pressure ulcers	5.8%	4.2%	Higher than the national median
Lost too much weight	0.0%	4.7%	Lower than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	0.4%	3.6%	Lower than the national median
Needed more help with daily activities over time	9.3%	13%	Lower than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about The Rio at Mission Trails
Certified beds	124
Average residents per day	83
Ownership	Government - Hospital district
Legal business name	WEST WHARTON COUNTY HOSPITAL DISTRICT
Chain or affiliated group	CREATIVE SOLUTIONS IN HEALTHCARE (149 homes)
Certified for	Medicare and Medicaid
First certified	October 2011
Location	Inside a hospital
Councils	Resident council and family council

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Texas's State Long-Term Care Ombudsman (800-252-2412) can answer questions about residents' rights. See all nursing homes and senior care in Texas.