The Rio At Mission Trails is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2011-10-12. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 531-0569 or your local Medicaid office to verify current eligibility.

The Rio At Mission Trails holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (1★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 72.0/100, placing it #7351 of 14703 facilities nationally and #495 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Rio At Mission Trails receives a reported average of 3 hours 10 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 13 minutes; Licensed Practical Nurse (LPN) — 1 hour 13 minutes; Nurse Aide — 1 hour 43 minutes. On weekends, total nurse staffing is 2 hours 48 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 51.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $153,825. 84 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $153,825, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 82.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Rio At Mission Trails ranks 7351st out of 14,703 facilities (composite score: 72.0/100), placing it in the above average nationwide. Within TX, it ranks 495th out of 1,177 nursing homes. In San Antonio, it ranks 27th out of 58 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #12,228 nationally and RN hours rank #13,625 nationally (#984 in TX). Our composite quality score of 72.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Antonio, visit: https://nursinghomesnearme.org/texas/san-antonio/