River City Care Center
River City Care Center
4.5 (127 reviews)
Skilled Nursing Facility • 100 Licensed Beds
921 Nolan St, San Antonio, TX
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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River City Care Center

Skilled Nursing Facility • 100 Licensed Beds
921 Nolan St,
San Antonio, TX
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

River City Care Center – Medicare Certified Since 2001

River City Care Center is a Medicare and Medicaid certified skilled nursing facility located in San Antonio, Texas. This facility has been serving the community for 25 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 100 certified beds with a current occupancy rate of 45% (averaging 41 residents per day), which is low. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.21 hours of total nursing care per resident per day (1.65 hours from CNAs, 1.12 hours from LPNs, 0.44 hours from RNs). Physical therapy staffing is 0.03 hours per resident per day.

Medicare Quality Ratings: According to CMS, River City Care Center has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 3 stars, quality measures: 4 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How River City Care Center compares to 100 facilities in San Antonio-New Braunfels, TX

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
2
2.5
Quality Measures
Clinical outcomes & safety
4
3.7
Health Inspections
State survey results
2
2.5
Staffing
Nurse-to-resident ratio
3
2
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.44 hrs
0.39 hrs
LPN/LVN Hours
Licensed practical nurses
1.12 hrs
1.03 hrs
CNA Hours
Certified nursing assistants
1.65 hrs
1.93 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.21 hrs
3.36 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
3.2 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
3.1 %
CNA Agency Use
% of CNA hours from contractors
0 %
4.3 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
28 %
48 %
Occupancy Rate
Percentage of beds filled
45 %
69 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$213
$306
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 100 facilities in San Antonio-New Braunfels, TX.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
2/5
Quality Measures
4/5
Health Inspections
2/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 100 other nursing homes in San Antonio-New Braunfels, TX

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
River City Care Center
San Antonio-New Braunfels, TX Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

River City Care Center
San Antonio-New Braunfels, TX Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

River City Care Center
San Antonio-New Braunfels, TX Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

River City Care Center
San Antonio-New Braunfels, TX Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
99
minutes/day
CNAs
Certified Nursing Assistants
67
minutes/day
LVNs
Licensed Vocational Nurses
27
minutes/day
RNs
Registered Nurses
2
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LVNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
River City Care Center
San Antonio-New Braunfels, TX Average (69%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$213
per resident per day
Compared to 99 facilities in your area
Below local median ($306)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-22% -5% Below
Net Income
Annual profit or loss
$440,878 $201,104 Above
Staff Cost per Resident
Daily salary expense per resident
$130/day $132/day Lower
Occupancy Rate
Bed utilization percentage
45% 67% Lower
Est. Daily Rate
Average revenue per patient day
$213/day $306/day Lower
Total Beds
Licensed bed capacity
100 120 Smaller

Local comparisons based on 99 skilled nursing facilities in the San Antonio-New Braunfels, TX metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$3,046,083
Operating Expenses
Total operating costs
$3,719,714
Total Salaries
Staff compensation
$1,901,992

Payer Mix

Medicare
2%
Medicaid
72%
Private Pay & Other
26%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
14,659
Medicare
Short-term skilled nursing
2%
Medicaid
Long-term care residents
72%
Private Pay / Other
Self-pay, insurance, VA
26%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
185.56
days
Medicare Stays
79.25
days
Medicaid Stays
349.37
days
Total Admissions
91
Total Discharges
79
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in SAN ANTONIO

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Reviews

4.5 (127 reviews)
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Thai Tea's profile photo
Thai Tea a week ago

Great place we went to visit my relative on Saturday. River City Care Center is really clean plus it smelled nice in all area. It is a very structured community for my dad and the staff were nice but also, very accommodating, not only to my dad but our family members that visited. Holly the DON was onsite this weekend working on the floor but still made time for us in the dining area, during our visit to get to know us, as a family unit. The housekeeping has improved dramatically over last 3/4 months, as well. KUDOS to staff for a job well done! Thank you bunches! Sincerely, Delilah

Tim K's profile photo
Tim K 5 months ago

Came to the facility to see my aunt and was very impressed by all the positive changes in the facility. You can tell new leadership is working on making this the true gem this neighborhood needs. 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. I can’t wait to watch the place grow!

Hollie Garcia's profile photo
Hollie Garcia 9 months ago

River City Care Center is great! The staff have been amazing. They were very informative when my sisters and I first called to inquire about a place for our dad. The staff is so kind, caring for our dad and friendly to us. I appreciate the events they host for the residents each month and holiday. If you are looking for a place for an elder parent, I highly recommend River City Care Center. Thank you all for the kindness you have shown our dad and us. God bless the staff!

Jenna B. Lehman's profile photo
Jenna B. Lehman 3 years ago

The facility is absolutely stunning, brand new and renovated entirely, The rooms are gorgeous and have beautiful decor! Nursing staff/CNA’s are on top of it all. Great place ! Food is also really delicious They have a nice outdoor area and the surrounding community is very invoked. Nice place!

Mindy Mapp I's profile photo
Mindy Mapp I 8 months ago

River City Care Center was amazing! Everyone from the Director of Nursing, Floor Nurses, Physical Therapy, Occupational Therapy, kitchen staff and the custodians were absolutely kind, caring, compassionate and professional. The Center is very clean at all times. Thank you to the discharge coordinator for your assistance getting mom back home. Thank you to everyone on staff at River City and God Bless you all!

View All 127 Google Reviews

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