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River City Care Center

📍 921 Nolan St, San-antonio, TX 78202 📞 (210) 226-6397 🛏️ 100 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2025 1 penalties totaling $14,020

$14,020
Feb 28, 2025

Fine

2022 2 penalties totaling $53,124

$32,100
Sep 22, 2022

Fine

$21,024
Sep 22, 2022

Fine

2020 2 penalties totaling $230,569

$115,285
Jul 24, 2020

Fine

$115,284
Jul 24, 2020

Fine

2019 2 penalties totaling $121,291

$121,291
Jan 21, 2019

Fine

$0
Jan 21, 2019

Payment Denial

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Health Violations by Year

2025 1 violations

Tag 0689 J Feb 28, 2025

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

✓ Corrected: Mar 1, 2025

2024 18 violations

Tag 0550 E May 3, 2024

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

✓ Corrected: May 4, 2024
Tag 0578 D May 3, 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.

✓ Corrected: May 4, 2024
Tag 0644 D May 3, 2024

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

✓ Corrected: May 4, 2024
Tag 0656 E May 3, 2024

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

✓ Corrected: May 4, 2024
Tag 0690 D May 3, 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.

✓ Corrected: May 10, 2024
Tag 0693 D May 3, 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.

✓ Corrected: May 10, 2024
Tag 0695 D May 3, 2024

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

✓ Corrected: May 4, 2024
Tag 0698 D May 3, 2024

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

✓ Corrected: May 10, 2024
Tag 0755 E May 3, 2024

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

✓ Corrected: May 4, 2024
Tag 0759 D May 3, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 10, 2024
Tag 0761 D May 3, 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.

✓ Corrected: May 4, 2024
Tag 0812 F May 3, 2024

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

✓ Corrected: May 10, 2024
Tag 0842 D May 3, 2024

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

✓ Corrected: May 4, 2024
Tag 0880 E May 3, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: May 4, 2024
Tag 0912 C May 3, 2024

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

✓ Corrected: May 4, 2024
Tag 0949 D May 3, 2024

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

✓ Corrected: May 21, 2024
Tag 0657 D Apr 12, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 13, 2024
Tag 0761 D Apr 12, 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.

✓ Corrected: Apr 13, 2024
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2023 8 violations

Tag 0810 D Dec 13, 2023

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

✓ Corrected: Dec 14, 2023
Tag 0684 E Mar 31, 2023

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

✓ Corrected: Apr 28, 2023
Tag 0689 D Mar 31, 2023

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

✓ Corrected: Apr 1, 2023
Tag 0690 D Mar 31, 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.

✓ Corrected: Apr 1, 2023
Tag 0761 D Mar 31, 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.

✓ Corrected: Apr 1, 2023
Tag 0812 E Mar 31, 2023

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

✓ Corrected: Apr 1, 2023
Tag 0912 C Mar 31, 2023

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

✓ Corrected: Apr 1, 2023
Tag 0921 D Mar 31, 2023

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

✓ Corrected: Apr 1, 2023

2022 7 violations

Tag 0684 J Sep 22, 2022

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

✓ Corrected: Sep 23, 2022
Tag 0726 D Sep 22, 2022

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Sep 23, 2022
Tag 0732 F Sep 22, 2022

Post nurse staffing information every day.

✓ Corrected: Sep 23, 2022
Tag 0908 F Sep 22, 2022

Keep all essential equipment working safely.

✓ Corrected: Sep 23, 2022
Tag 0676 D May 11, 2022

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: May 12, 2022
Tag 0585 D Feb 9, 2022

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Feb 10, 2022
Tag 0880 E Feb 9, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 10, 2022
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2021 2 violations

Tag 0680 E Apr 29, 2021

Ensure the activities program is directed by a qualified professional.

✓ Corrected: Apr 30, 2021
Tag 0695 D Apr 29, 2021

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

✓ Corrected: Apr 30, 2021

2020 28 violations

Tag 0761 E Oct 7, 2020

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.

✓ Corrected: Oct 8, 2020
Tag 0641 B Sep 18, 2020

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 19, 2020
Tag 0695 D Aug 5, 2020

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

✓ Corrected: Aug 6, 2020
Tag 0580 K Jul 24, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 25, 2020
Tag 0583 D Jul 24, 2020

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jul 25, 2020
Tag 0584 E Jul 24, 2020

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jul 25, 2020
Tag 0600 K Jul 24, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 25, 2020
Tag 0607 K Jul 24, 2020

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jul 25, 2020
Tag 0690 D Jul 24, 2020

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

✓ Corrected: Jul 25, 2020
Tag 0726 E Jul 24, 2020

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jul 25, 2020
Tag 0755 D Jul 24, 2020

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

✓ Corrected: Jul 25, 2020
Tag 0842 D Jul 24, 2020

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

✓ Corrected: Jul 25, 2020
Tag 0880 K Jul 24, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 25, 2020
Tag 0921 E Jul 24, 2020

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

✓ Corrected: Jul 25, 2020
Tag 0577 C Mar 13, 2020

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

✓ Corrected: Mar 14, 2020
Tag 0582 D Mar 13, 2020

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Mar 14, 2020
Tag 0641 D Mar 13, 2020

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 14, 2020
Tag 0656 D Mar 13, 2020

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

✓ Corrected: Mar 14, 2020
Tag 0657 D Mar 13, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 14, 2020
Tag 0695 D Mar 13, 2020

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

✓ Corrected: Mar 14, 2020
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2019 26 violations

Tag 0600 D Aug 28, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 29, 2019
Tag 0607 D Aug 28, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 29, 2019
Tag 0623 E Aug 28, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Aug 29, 2019
Tag 0584 E Jul 19, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jul 22, 2019
Tag 0600 G Jul 19, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 22, 2019
Tag 0607 G Jul 19, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jul 22, 2019
Tag 0636 D Jul 19, 2019

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Jul 22, 2019
Tag 0655 D Jul 19, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jul 22, 2019
Tag 0679 D Jul 19, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Jul 22, 2019
Tag 0740 G Jul 19, 2019

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Jul 22, 2019
Tag 0812 E Jul 19, 2019

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

✓ Corrected: Jul 22, 2019
Tag 0880 D Jul 19, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 22, 2019
Tag 0607 D Apr 5, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Apr 6, 2019
Tag 0609 D Apr 5, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 6, 2019
Tag 0755 D Apr 5, 2019

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

✓ Corrected: Apr 6, 2019
Tag 0842 E Mar 8, 2019

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

✓ Corrected: Mar 9, 2019
Tag 0585 E Jan 21, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Jan 23, 2019
Tag 0600 K Jan 21, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jan 23, 2019
Tag 0607 K Jan 21, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jan 23, 2019
Tag 0656 K Jan 21, 2019

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

✓ Corrected: Jan 23, 2019

2018 17 violations

Tag 0607 E Aug 6, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Sep 27, 2018
Tag 0609 E Aug 6, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 27, 2018
Tag 0558 E Jul 27, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Sep 10, 2018
Tag 0641 E Jul 27, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 10, 2018
Tag 0656 E Jul 27, 2018

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

✓ Corrected: Sep 10, 2018
Tag 0689 E Jul 27, 2018

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

✓ Corrected: Sep 10, 2018
Tag 0695 E Jul 27, 2018

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

✓ Corrected: Sep 10, 2018
Tag 0726 E Jul 27, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Sep 10, 2018
Tag 0761 E Jul 27, 2018

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.

✓ Corrected: Sep 10, 2018
Tag 0812 F Jul 27, 2018

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

✓ Corrected: Sep 10, 2018
Tag 0849 B Jul 27, 2018

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Sep 10, 2018
Tag 0880 E Jul 27, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 10, 2018
Tag 0883 D Jul 27, 2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Sep 10, 2018
Tag 0912 B Jul 27, 2018

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

✓ Corrected: Sep 10, 2018
Tag 0921 E Jul 27, 2018

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

✓ Corrected: Sep 10, 2018
Tag 0943 C Jul 27, 2018

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

✓ Corrected: Sep 10, 2018
Tag 0947 C Jul 27, 2018

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Sep 10, 2018
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2017 10 violations

Tag 0225 B Aug 11, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Oct 11, 2017
Tag 0328 D Jun 9, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Jul 15, 2017
Tag 0371 F Jun 9, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jul 15, 2017
Tag 0372 C Jun 9, 2017

Dispose of garbage and refuse properly.

✓ Corrected: Jul 15, 2017
Tag 0425 F Jun 9, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Jul 15, 2017
Tag 0431 E Jun 9, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Jul 15, 2017
Tag 0441 D Jun 9, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Jun 10, 2017
Tag 0458 C Jun 9, 2017

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

✓ Corrected: Jul 15, 2017
Tag 0465 E Jun 9, 2017

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

✓ Corrected: Jul 15, 2017
Tag 0468 E Jun 9, 2017

Put firmly secured handrails on each side of hallways.

✓ Corrected: Jul 15, 2017
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