The Rio at Mission Trails

Nursing Home · San Antonio, TX

CMS overall rating 1/5 Government - Hospital district

CMS certification number676297

Contact & location

6211 S New Braunfels Ave
San Antonio, TX 78223
Bexar County
Phone
(210) 531-0569
ZIP code
78223 – all care providers

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Facility details

Certified beds
124
Residents per day
82.9 (67% occupied)
Ownership
Government - Hospital district
Legal name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare (149 facilities, avg 2.1★)
Medicare certified since
October 12, 2011
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.71 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.25 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.32 (state 0.95 · U.S. 0.86)
Nurse aides
2.14 (state 2.00 · U.S. 2.32)
Weekend total
3.12 (state 2.98 · U.S. 3.42)
Nursing staff turnover
97.2 (state 55.3 · U.S. 45.8)%
RN turnover
100.0 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
March 25, 2026
Health deficiencies (last cycle)
18.0 (state 9.3 · U.S. 9.3)
From complaints
9
Citations on record (3 years)
34 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-23 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.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-13
2026-06-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-13
2026-05-07 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-21
2026-05-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-21
2026-04-17 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-19
2026-04-17 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-31
2026-04-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-01
2026-03-25 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.
F0585 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-08
2026-03-25 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.
F0727 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-22
2026-03-25 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-08
2026-03-25 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-08
2026-03-25 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-08
2026-03-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-22
2026-03-25 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-08
2026-03-25 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2026-04-22
2026-03-25 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2026-04-08
2026-03-19 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-24
2026-03-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-24
2025-04-10 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-03
2025-04-10 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-03
2025-02-24 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-02-28
2025-02-24 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-02-28
2024-12-18 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-06
2024-12-18 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-06
2024-12-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-06
2024-12-18 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-06
2024-12-18 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-06
2024-12-18 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-06
2024-11-21 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-25
2024-07-14 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-16
2024-07-14 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-16
2024-07-14 Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-16
2024-06-20 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-06-28
2023-11-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $153,825 in fines.

DateTypeAmount
2025-02-24Fine$96,694
2024-06-20Fine$57,131

Ownership & management

NameRoleSince
Mak, David (individual)Corporate Officer · NOT APPLICABLE
Blake, Gary (individual)Operational/managerial Control · NOT APPLICABLE
Blake, Malisa (individual)Operational/managerial Control · NOT APPLICABLE
San Antonio II Enterprises, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Huggins, Linda (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of The Rio at Mission Trails?

The Rio at Mission Trails has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does The Rio at Mission Trails have?

It has 124 certified beds and cares for about 83 residents per day.

Has The Rio at Mission Trails been fined?

Yes. CMS lists 2 penalties totaling $153,825 in the last three years.

Who owns The Rio at Mission Trails?

It is part of Creative Solutions in Healthcare and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Rio at Mission Trails?

(210) 531-0569. The facility is located at 6211 S New Braunfels Ave, San Antonio, TX 78223.

Other nursing homes in San Antonio

Compare all nursing homes in San Antonio, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.