The Rio At Mission Trails has received an F grade based on CMS data, with a score of 38/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this San Antonio facility should carefully review its inspection history and quality metrics.
With 3.16 total nurse hours per resident per day, The Rio At Mission Trails falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 18 deficiencies at The Rio At Mission Trails, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement policies and procedures to prevent abuse, neglect, and theft..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.16 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.22 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.22 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.72 | 2.4 | Below Average |
| Weekend Total Nursing | 2.80 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0607 Severity DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Apr 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Apr 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Feb 23, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0695 Severity JProvide safe and appropriate respiratory care for a resident when needed.Feb 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0558 Severity EReasonably accommodate the needs and preferences of each resident.Dec 17, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.3% | 4.5% | Worse |
| Falls with major injury | 0.6% | 3.0% | Better |
| On antipsychotic medication | 4.4% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.2% | 14.0% | Better |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 16.5% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $153,825
How This Grade Was Calculated
This facility's grade of F is based on a score of 38 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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