RIVER CITY CARE CENTER
921 NOLAN ST, SAN ANTONIO, TX 78202 · CCN 675896
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 92
- Avg residents/day
- 41.4
- Phone
- 2102266397
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-10 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2024-05-03 | 19 | 9.4 | 9.8 | +9.6 worse |
| 3 | 2023-03-31 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.14 | 38.7% |
| RN staffing (reported) | 0.54 | 20.0% |
| Total nurse staffing (adjusted) | 3.35 | — |
Fines & penalties
- Total fines
- $23,410
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (32)2 immediate jeopardy
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-10 · Health · corrected 2025-07-11
Immediate jeopardy
- EF0761Ensure 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.2025-07-10 · Health · corrected 2025-07-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-10 · Health · corrected 2025-07-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-10 · Health · corrected 2025-07-11
Potential for more than minimal harm
- CF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-07-10 · Health
Potential for minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-28 · Health · corrected 2025-03-01
Immediate jeopardy
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- DF0578Honor 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.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-03 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0693Ensure 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.2024-05-03 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-03 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-05-03 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0761Ensure 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.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-03 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- CF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-05-03 · Health · corrected 2024-05-04
Potential for minimal harm
- DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-05-03 · Health · corrected 2024-05-21
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-12 · Health · corrected 2024-04-13
Potential for more than minimal harm
- DF0761Ensure 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.2024-04-12 · Health · corrected 2024-04-13
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2023-12-13 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-31 · Health · corrected 2023-04-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-31 · Health · corrected 2023-04-01
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-03-31 · Health · corrected 2023-04-01
Potential for more than minimal harm
- DF0761Ensure 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.2023-03-31 · Health · corrected 2023-04-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-31 · Health · corrected 2023-04-01
Potential for more than minimal harm
- CF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-03-31 · Health · corrected 2023-04-01
Potential for minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-03-31 · Health · corrected 2023-04-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-01-01 |
| BLAKE, GARY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2019-01-01 |
| BLAKE, MALISA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2019-01-01 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 |
| HUGGINS, LINDA | Individual | W-2 MANAGING EMPLOYEE | — | 2019-01-01 |
Other facilities in SAN ANTONIO
| Name | Overall | Beds |
|---|---|---|
| LAKESIDE NURSING AND REHABILITATION CENTER | ★★★★★ | 118 |
| THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER | ★★★★★ | 91 |
| LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER - | ★★★★★ | 126 |
| THE HEIGHTS ON HUEBNER | ★★★★★ | 120 |
| ST. FRANCIS NURSING HOME | ★★★★☆ | 107 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.