Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

The Rio at Mission Trails

San Antonio, TX · 124 certified beds · Last Life Safety survey March 25, 2026

CMS Certification Number 676297 · first certified October 2011

Ownership

Operated by CREATIVE SOLUTIONS IN HEALTHCARE · Government - Hospital district

Ownership changed April 1, 2022 (change of ownership)from SAN ANTONIO II ENTERPRISES, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within TX

7 citations — more than 44% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was March 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	7
Median facility in TX	7
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 15, 2023	0
December 18, 2024	4
March 25, 2026	3

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2026-03-25
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2026-03-25
K-0353	Inspect, test, and maintain automatic sprinkler systems.	1	2026-03-25
K-0920	Ensure proper usage of power strips and extension cords.	1	2024-12-18
K-0923	Have proper medical gas storage and administration areas.	1	2024-12-18

What the citations cover

Citations by CMS category

Smoke Deficiencies 5
Gas, Vacuum, and Electrical Systems Deficiencies 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 25, 2026 — 3 citations

Citations issued on March 25, 2026
Tag	What the surveyor checks	Status
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (April 8, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 5, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (April 30, 2026)

December 18, 2024 — 4 citations

Citations issued on December 18, 2024
Tag	What the surveyor checks	Status
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (January 6, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (January 6, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 6, 2025)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (January 6, 2025)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.