The Rio at Mission Trails
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 111 Google reviews
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What this means for your family
This facility is a strong candidate if your loved one requires specialized ventilator or respiratory therapy, as their expertise in this area is widely recognized. However, you must exercise extreme caution regarding basic hygiene and staffing; we strongly recommend conducting unannounced visits to ensure that residents are being cleaned regularly and that staff are attentive to call lights.
Google Reviews
Google Reviews
111 reviews on Google“Families considering The Rio at Mission Trails will find a facility with highly praised respiratory/ventilator care and a dedicated therapy team. However, there are significant and recurring reports of serious neglect, including issues with hygiene, medication management, and dangerous understaffing levels.”
Quality Themes
Tap a score for detailsStrengths
- Specialized ventilator and respiratory care
- Skilled rehabilitation and physical therapy
- Clean and modern building environment
- Engaging resident activities and social events
Concerns
- Severe neglect regarding hygiene and basic care (e.g., soiled diapers, unwashed residents) (mentioned by 4 reviewers)
- Inadequate staffing levels leading to safety risks and slow response times (mentioned by 4 reviewers)
- Poor communication from management regarding medical emergencies or changes in status (mentioned by 2 reviewers)
- Inconsistent medication management and monitoring of vital health metrics (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 114 analyzed
How They Respond to Reviews
The owner uses highly repetitive, templated responses that follow a nearly identical script for almost every negative review. While they acknowledge the reviewer by name, they fail to address any of the specific, serious allegations (such as medical neglect or staffing issues) mentioned in the reviews.
Questions for Your Tour
- 1We've heard great things about your specialized ventilator and respiratory care; can you tell us more about how your team manages complex respiratory needs?
- 2How does the care team ensure that personal hygiene and daily grooming needs are met consistently for every resident?
- 3What is your process for communicating important updates or changes in a resident's medical status to their family members?
- 4Could you walk us through your protocols for medication management and how you monitor vital health metrics throughout the day?
- 5What kind of social events or engaging activities do you have planned to help residents stay active and connected with each other?
- 6In the event of a medical emergency, what is the immediate response plan and how is the family notified?
Personalized based on this facility's data
Key Review Excerpts
“They have an amazing activities director who often puts together themed events to create a fun and inviting home for the residents.”
“My Mom came back with BLISTERS on her rear-end and noone knew what had happened. She was also left on a soiled diaper for a long time which was also unacceptable.”
“The Rio at Mission Trails is an amazing place for residents. I travel to most of the nursing homes in south Texas and this facility is up to with the best of them.”
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
14
measures
1
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents who lost too much weight
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 that triggered 9 deficiencies, particularly around abuse prevention, resident dignity, and daily care assistance. The most recurring issues involve resident assessment and care planning, abuse and neglect protections, and fire safety systems. While the facility has corrected most deficiencies, the repeated problems with protecting residents from harm and ensuring proper assessments suggest ongoing quality challenges that warrant careful consideration during any visit.
Mar 19, 2026Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 10, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 24, 2025Complaint2
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Dec 18, 2024Routine10
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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
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.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nov 21, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jul 14, 2024Complaint3
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Federal Penalties
Fine
Feb 24, 2025
$96,694
Fine
Jun 20, 2024
$57,131
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
SAN ANTONIO II ENTERPRISES, LLC
ALEJANDRO GARCIA
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 51 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
111 reviews from families & visitors
Official Website
Visit rioatmissiontrails.com
Medicare data downloads
Original nursing home datasets
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