Overview
The Rio at Mission Trails has a Medicare overall rating of 1 out of 5, below the Texas average of 2.8. It ranks 37th of 58 nursing homes in San Antonio. It scores best on quality of care (4 of 5) and lowest on staffing (1 of 5).
Residents receive about 3.7 hours of nursing care per day, more than at 82% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.3 hours come from registered nurses.
Its most recent standard inspection, on March 25, 2026, found 19 health deficiencies, more than the Texas average of 9.6. 10 of them came from complaint investigations. Medicare records 2 fines totaling $153,825 in the past three years.
The Rio at Mission Trails is a government-run facility with 124 certified beds, caring for about 77 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2011. It is located inside a hospital.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 64%
Top 72%
Top 76%
Family reviews
No reviews yet. If your family has experience with The Rio at Mission Trails, your review helps others decide.
Inspections and penalties
- Most recent standard inspection
- March 25, 2026
- Health deficiencies cited
- 19
- Complaint-related deficiencies
- 10
- Fines in the last 3 years
- 2 totaling $153,825
- Payment denials
- 0
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.73 hrs
- Registered nurses (RN)0.34 hrs
- Licensed practical nurses (LPN)1.19 hrs
- Nurse aides2.19 hrs
- Physical therapists0.13 hrs
Facility details
- Ownership
- Government - Hospital district
- Certified beds
- 124
- Average residents per day
- 77
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- October 12, 2011
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes