MyLivingChoice

River City Care Center

921 Nolan St

4.5(127 ratings)· San Antonio average: 4.3

River City Care Center, photo 11 / 5

Quick Facts

Total units
92
Medicare rating
1 of 5

CMS Care Compare

Ownership
For profit, Individual
Certified beds
92
Recent renovation
Facility fully renovated with new decor
Leadership change
New leadership recently took over operations
Pricing transparency
No published pricing available online

What Families Think

River City Care Center is a skilled nursing and long-term care community in San Antonio with a 4.5-star rating from 127 Google reviews. Families frequently praise the recent renovation, attentive nursing staff, and hands-on leadership, including visits from the Director of Nursing during rounds. Several reviewers also note noticeable improvements in facility upkeep and morale under new leadership.

The Good

  • Recently renovated building with updated rooms
  • Director of Nursing personally engages with visiting families
  • Staff described as kind, attentive, and family-like
  • Regular activities and monthly resident events
  • Rehabilitation equipment noted by multiple reviewers
  • Clean, pleasant-smelling common areas

The Bad

  • One report of housekeeping quality being inconsistent before recent improvements
  • No published pricing information available

AI-generated from reviews and community data.

River City Care Center is a senior living community in San Antonio, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.5 out of 5 across 127 reviews.

About River City Care Center

River City Care Center is a skilled nursing and long-term care facility in San Antonio, Texas, licensed for 92 residents. The community serves patients recovering from hospital stays and those requiring ongoing medical care.

Family experiences here diverge notably. Positive reviewers consistently praise the staff's warmth and attentiveness, one family noted staff were "friendly and so kind", and highlight good food quality and recent facility improvements. Several families report clean, well-maintained spaces and appreciate the structured activities and monthly events. However, a smaller but vocal group describe significant concerns: persistent odors, communication gaps about residents' medical status and care plans, cold meals, small rooms, and instances where residents felt their needs went unaddressed. One family's experience suggested a lack of therapeutic engagement during a short stay.

River City Care Center holds a 4.5-star rating across 127 Google reviews. The split between five-star and one-star reviews suggests experiences may vary considerably depending on assignment, timing, or individual circumstances. Families considering placement may want to discuss specific care protocols, room assignments, and communication procedures during the admission process.

Types of Care at River City Care Center

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Chapel / Religious Services
  • Gathering / Activity Spaces
  • Housekeeping
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Birthday / Holiday Parties
  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Reviews of River City Care Center

4.5overall · 127 ratings combined

4.5★ on Google (127)

Thai Tea

Dec 2025

via Google

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

Mark Canales

Nov 2025

via Google

Had a great experience can’t wait to see what the future holds!

Tim K

Jul 2025

via Google

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!

David Vanmeter

Mar 2025

via Google

My grandfather got transferred from this facility to another facility and they lost all his clothes. Then when I call up there they told me he didn’t have clothes there even though I personally brought his clothes and marked all of them with his initials.

Mindy Mapp I

Mar 2025

via Google

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!

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Government Inspection History

7 inspection visits in the last three years, 45 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

May 29, 2026Health Complaint4 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 30, 2026

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 30, 2026

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 30, 2026

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 30, 2026

Jul 10, 2025Fire Safety StandardHealth ComplaintHealth Standard10 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jul 11, 2025

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025

  • Have proper medical gas storage and administration areas.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025

  • Have properly installed electrical wiring and gas equipment.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025

  • Properly select, install, inspect, or maintain portable fire extinguishes.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadNo revisit needed

  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Severity C of L: potential for minimal harm, widespreadNo revisit needed

Feb 28, 2025Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Mar 1, 2025

May 3, 2024Fire Safety StandardHealth Standard17 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 10, 2024

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2024

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2024

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2024

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 4, 2024

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 10, 2024

  • Honor 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2024

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2024

  • Ensure 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 10, 2024

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2024

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 10, 2024

  • Ensure medication error rates are not 5 percent or greater.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 10, 2024

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2024

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 4, 2024

  • Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 21, 2024

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadCorrected May 2, 2024

  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Severity C of L: potential for minimal harm, widespreadCorrected May 4, 2024

Apr 12, 2024Health Complaint2 citations
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 13, 2024

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 13, 2024

Dec 13, 2023Health Complaint1 citation
  • Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 14, 2023

Mar 31, 2023Fire Safety StandardHealth Standard10 citations
  • Have generator or other power source capable of supplying service within 10 seconds.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 5, 2023

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 1, 2023

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 28, 2023

  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 1, 2023

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 1, 2023

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 1, 2023

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 1, 2023

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 1, 2023

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadCorrected Apr 1, 2023

  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Severity C of L: potential for minimal harm, widespreadCorrected Apr 1, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does River City Care Center offer?

River City Care Center offers Skilled Nursing / Long Term Care.

Where is River City Care Center located?

River City Care Center is located at 921 Nolan St in San Antonio, Texas.

What do families say about River City Care Center?

River City Care Center is a skilled nursing and long-term care community in San Antonio with a 4.5-star rating from 127 Google reviews. Families frequently praise the recent renovation, attentive nursing staff, and hands-on leadership, including visits from the Director of Nursing during rounds. Several reviewers also note noticeable improvements in facility upkeep and morale under new leadership.

How did River City Care Center do on recent health and safety inspections?

River City Care Center had 7 government inspection visits in the last three years, with 45 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit River City Care Center?

Submit the Request Information form on this page to connect with River City Care Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at River City Care Center? Claim this listing to update photos, pricing, and details. It's free.

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