Nursing home / skilled nursing
The Rio At Mission Trails
Nursing home / skilled nursing in San Antonio, Texas
| Provider details | |
|---|---|
| Address | 6211 S New Braunfels Avenue |
| City | San Antonio |
| State | Texas |
| ZIP code | 78223 |
| County | Bexar |
| Phone | 210-531-0569 |
| Website | http://rioatmissiontrails.com/ |
| CMS certification number (CCN) | 676297 |
| Ownership | Government - Hospital district |
| Certified beds | 124 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | October 12, 2011 |
| Located in a hospital | Y |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services |
The Rio At Mission Trails is in 6211 S New Braunfels Avenue, San Antonio, TX 78223. Phone: 210-531-0569. Ownership: Government - Hospital district. CMS rates it 1 out of 5 stars overall (health inspection 2, staffing 1, quality measures 4). CMS inspection and staffing detail: total weighted health survey score 129.000; 2 federal fines totaling $153825.00; total nursing staff turnover 43.1%.
More about this provider
| The Rio at Mission Trails presents itself as a San Antonio skilled care facility where 'Caring. It's what we do best,' dedicated to comprehensive skilled care, compassionate staff and an intentional home-like experience, with personalized care plans, a White Glove cleanliness program, nutritious regional meals, and specialized wound care, orthopedic rehabilitation and neurological care. | |
| Services and programs | Comprehensive skilled care with personalized care plans. Specialized Clinical Services: Wound Care (pressure ulcers, diabetic ulcers and foot wounds, surgical incisions and post-operative wounds, venous and arterial ulcers, traumatic injuries and skin tears, infected and non-healing wounds); Orthopedic Rehab (strength, mobility and independence after surgery or injury, including total hip and knee replacements, fractures, joint repairs and post-fall injuries, with pain management, mobility restoration, strength and balance training); Neurological Care (skilled nursing and therapy for stroke and Parkinson's, mobility, balance, cognitive support and safe swallowing). Also featured: White Glove Program for cleanliness standards and nutritious meals featuring regional favorites. |
| Who it serves | Residents needing comprehensive skilled care; the site's service sections name post-surgical and post-injury orthopedic patients, joint replacement and fracture patients, patients deconditioned after extended hospital stays, post-stroke patients, and patients with Parkinson's disease, multiple sclerosis, traumatic brain injuries, cognitive or memory impairments, and swallowing difficulties (dysphagia). |
| Visiting and contact details | The Rio at Mission Trails, 6211 S New Braunfels Ave, San Antonio, TX; Main Phone: 210.531.0569; E-Fax: 682.258.0783; Email: Inforioatmissiontrails@csnhc.com. The site invites families to call 210.531.0569 to discuss a loved one's needs and also lists a Customer Care Line at 866.391.6123. |
| Website | http://rioatmissiontrails.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 1 of 5 |
| Health inspection rating | 2 of 5 |
| Staffing rating | 1 of 5 |
| Quality measure rating | 4 of 5 |
| Long-stay quality rating | 5 of 5 |
| Short-stay quality rating | 4 of 5 |
| RN staffing hours per resident per day | 0.34 |
| Total nurse staffing hours per resident per day | 3.73 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 88 |
| Total Weighted Health Survey Score | 129.000 |
| Rating Cycle 2/3 Total Health Score | 252 |
| Rating Cycle 1 Health Deficiency Score | 88 |
| Rating Cycle 2/3 Health Deficiency Score | 252 |
| Rating Cycle 1 Standard Survey Health Date | 2026-03-25 |
| Rating Cycle 1 Total Number of Health Deficiencies | 19 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 15 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 9 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 10 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 9 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 2.15135 |
| Registered Nurse turnover | 80.0 |
| Nursing Case-Mix Index Ratio | 1.52551 |
| Total nursing staff turnover | 43.1 |
| Reported LPN Staffing Hours per Resident per Day | 1.19422 |
| Reported Licensed Staffing Hours per Resident per Day | 1.53454 |
| Number of administrators who have left the nursing home | 2 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.19061 |
| Registered Nurse hours per resident per day on the weekend | 0.32009 |
| Total number of nurse staff hours per resident per day on the weekend | 3.23297 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 2 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Total Amount of Fines in Dollars | 153825.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 169 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| Chain Average QM Rating | 3.4 |
| Chain Average Staffing Rating | 1.4 |
| Number of Facilities in Chain | 150 |
| Chain Average Overall 5-star Rating | 2.3 |
| Chain Average Health Inspection Rating | 2.7 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Both |
| Average Number of Residents per Day | 77.2 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Bexar County
- Army Residence Community — San Antonio
- Avir At Heritage — San Antonio
- Avir At San Antonio — San Antonio
Common questions about The Rio At Mission Trails
Where is The Rio At Mission Trails located?
The Rio At Mission Trails is at 6211 S New Braunfels Avenue, San Antonio, Texas 78223.
What care and services does The Rio At Mission Trails offer?
The Rio At Mission Trails offers skilled nursing, rehab services, skilled nursing care, rehabilitation services.
Is The Rio At Mission Trails Medicare-certified?
Yes. The Rio At Mission Trails is certified for both Medicare and Medicaid.
What is The Rio At Mission Trails's quality rating?
CMS gives The Rio At Mission Trails an overall star rating of 1 out of 5.
How do I contact The Rio At Mission Trails?
Call The Rio At Mission Trails at 210-531-0569.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.