River City Care Center
Nursing Home Facility
921 Nolan St, San Antonio, TX 78202
River City Care Center is a senior care community located in San Antonio, TX. It provides nursing home care and senior living for older adults in the San Antonio area. To learn more or schedule a tour, call (210) 226-6397.
Operated by Creative Solutions in Healthcare, which runs 121 communities in our directory.
With 92 beds, River City Care Center is smaller than most nearby options, senior care communities in San Antonio average about 176 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Federal reporting puts occupancy at about 51% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the San Antonio average of roughly 65%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Antonio average about 2.3 stars. Its most recent standard health inspection was in July 2025 and recorded 10 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.4 hours from a registered nurse.
The community is located in Bexar County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 37 problems at River City Care Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 10 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $18,503.
Findings from the most recent inspection cycle
-
Put residents in immediate danger, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
-
Could cause more than minimal harm, a pattern
Pharmacy Service
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.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Show 2 more
-
Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
-
Minimal harm or the potential for it, widespread
Environmental
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
River City Care Center offers nursing home care and senior living.
Facility details
- Organization type For profit - Individual
- Beds / units 92
- Occupancy 51%
- Nursing hours per resident/day 3.2
- Last health inspection July 2025
Resident & family reviews
No one has shared a review of River City Care Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.