River City Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 127 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
Below average in Texas · Below recommended RN staffing · Below chain average · $23,410 in fines · Abuse citation
What this means for your family
This facility is a much better option than it was in previous years, thanks to significant renovations and new leadership. The staff is currently highly praised for their compassion, but families should verify that weekend staffing levels meet their expectations and keep a close eye on the management of personal belongings.
Google Reviews
Google Reviews
127 reviews on Google“Families will find a facility that has undergone a significant transformation, with recent reviews heavily praising a beautiful, modern renovation and a much more professional, compassionate nursing staff. While historical reviews from 2020 and earlier highlight severe issues with neglect and facility conditions, the most recent feedback indicates a strong turnaround in cleanliness and care quality.”
Quality Themes
Tap a score for detailsStrengths
- Extensive recent building renovations
- Compassionate and attentive nursing staff
- Clean and well-maintained environment
- Engaging resident activities and events
Concerns
- Inconsistent staffing quality on weekends (mentioned by 2 reviewers)
- Occasional issues with personal property/clothing management (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 168 analyzed
How They Respond to Reviews
The owner relies heavily on repetitive, templated scripts to respond to negative reviews, primarily directing users to a single Customer Care Line. While they occasionally address specific claims (like HVAC or ownership changes), the vast majority of responses use nearly identical phrasing.
Questions for Your Tour
- 1I noticed the facility has had some extensive recent renovations; could you show me some of the newly updated areas where residents spend their time?
- 2Since we want to ensure consistent care, how does the nursing team manage transitions and staffing levels during the weekend shifts?
- 3What specific systems do you have in place to help residents keep track of their personal belongings and clothing to prevent anything from getting lost?
- 4Could you tell me more about the types of engaging activities and social events planned for the residents each week?
- 5In the event of a medical emergency during the night, what is the protocol for getting immediate physician or specialist oversight?
- 6We appreciate how much the community values your staff's compassion; how do you support your nursing team to maintain that high level of attentive care?
Personalized based on this facility's data
Key Review Excerpts
“The building is very clean and everyone is very welcoming. The new Activity Director was popping popcorn and showing the residents a retro movie which they were thoroughly enjoying.”
“My brother just became a member of the River City Care community and our experience thus far has been so positive! The staff is friendly and so kind. My brother feels respected and cared for by all who encounter him and he is in LOVE with the dining experience!!!”
“They made me work hard at getting better and turned a worst case scenerio( 1 -2 months), into 2 weeks and going home. My thanks to each and every one of you.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
3
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing complaints about serious issues including abuse protection and safety hazards, though all violations have been reported as corrected. The most recurring problems involve medication management (appearing in 5 instances), food safety and nutrition services, and facility safety issues like fire safety systems and room size requirements. While the facility addresses violations when cited, the repeated issues across multiple surveys and the fact that families have filed formal complaints about care quality suggest potential ongoing challenges with consistent safety and care standards.
Jul 10, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jul 10, 2025Routine9
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Feb 28, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 3, 2024Routine17
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Apr 12, 2024Complaint4
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies
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.
Dec 13, 2023Complaint1
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Federal Penalties
Fine
Jul 10, 2025
$14,020
Fine
Feb 28, 2025
$9,390
Ownership & Operations
Who Operates This Facility
San Antonio I Enterprises, LLC
for profit
CREATIVE SOLUTIONS IN HEALTHCARE, INC
FABIANA LOZANO
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 100 of 148
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
127 reviews from families & visitors
Official Website
Visit riverccc.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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