The Rio at Mission Trails

    6211 S New Braunfels Ave, San Antonio, TX 78223
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Kind, attentive, family-like nursing care

    I'm very pleased with the care my loved one receives - staff are consistently kind, attentive, and family-like, with excellent nursing, therapy (PT/OT) and 24/7 respiratory support when needed. The facility is clean, welcoming, offers engaging activities and good meals, and management communicates promptly and goes above and beyond for residents' comfort.

    Loved one of resident
    Sep 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.84·(139)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.4
    • Meals

      3.9
    • Amenities

      3.3
    • Value

      1.0

    Pros

    • Compassionate and attentive caregiving staff
    • Strong rehabilitation services (physical and occupational therapy)
    • 24/7 respiratory and ventilator-capable care
    • Clean, well-maintained building and spacious rooms
    • Engaging activities and social programming
    • Responsive reception and welcoming admissions process
    • Accessible nursing leadership and Director-of-Nursing availability
    • Friendly and personable dietary and housekeeping teams
    • Positive family-like culture and resident community
    • High kitchen/food-safety inspection performance

    Cons

    • Inconsistent staffing levels and shift coverage
    • Variable staff competence and professionalism
    • Gaps in clinical communication with families and between shifts
    • Inconsistent medication administration and clinical follow-up
    • Gaps in personal-care routines (bathing, linen changes, repositioning)
    • Variable sanitation and housekeeping practices across units
    • Weak discharge planning and equipment-provision processes
    • Safety and monitoring deficiencies that increase fall risk
    • Leadership instability and perceptions of favoritism/nepotism
    • Allegations of property loss and financial-procurement concerns

    Summary of reviews

    The Rio at Mission Trails elicits strongly mixed impressions. A substantial portion of feedback highlights high-quality rehabilitation services, attentive respiratory care, a clean and spacious facility, and an active social program; many families cite compassionate caregivers, approachable admissions staff, and visible nursing leadership as strengths. Several reviewers specifically praise the therapy department, respiratory staff, and the facility’s activity calendar and dietary team, which are described as contributing to recovery and quality of life for residents.

    Concurrently, a pattern of operational concerns appears across reviews. The most consistent themes relate to staffing and care continuity: reviewers describe inconsistent staffing levels, missed or delayed routine care tasks (bathing, linen changes, repositioning), and gaps in medication administration and clinical follow-up. Communication breakdowns are also prominent — families report difficulty obtaining timely updates, inconsistent handoffs between shifts (including off-hours), and occasions when discharge planning or provision of essential equipment was incomplete.

    Facility condition and services are described in divergent terms. Many accounts commend the facility’s cleanliness, maintenance, and spacious rooms, and the dining and kitchen operations receive favorable notes, including high inspection scores. Other accounts, however, identify sanitation concerns in specific units or time periods and inconsistent housekeeping performance. Activities and social programming are frequently noted as strong points, with regular events, group socials, and therapeutic programming contributing to resident engagement.

    Management and culture show variability over time and between reviewers. Some families report responsive administration, accessible nursing leadership, and a family-like atmosphere; others report leadership instability, poor staff morale, and concerns about favoritism or retaliatory behavior. Serious individual allegations appear in the feedback — including concerns following resident deaths and accusations of property loss — which elevate the need for careful review but do not form a uniform operational pattern.

    For prospective families: the facility offers notable strengths in rehabilitation, respiratory care, dining, and social programming, and some leadership and clinical teams are described as highly responsive. At the same time, the documented variability in staffing, clinical communication, personal-care routines, sanitation practices, and discharge processes indicates the importance of direct, current verification. Recommended steps include asking for current staffing ratios, recent quality-survey or inspection results, examples of discharge planning processes, how the facility handles off-hour coordination and medication administration, and speaking directly with the DON or administrator about any recent changes in leadership or ownership prior to placement.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of The Rio at Mission Trails

    The Rio at Mission Trails is located at 6211 S New Braunfels Ave, San Antonio, TX, 78223.

    About The Rio at Mission Trails

    The Rio at Mission Trails sits in San Antonio, Texas, and offers a wide range of services for older adults, and you'll find that it's open 24 hours, which means there's always someone around, day or night, to help with things. The place has 124 certified beds and about 85 residents each day, so there's room for many folks, but not so many that you feel lost or crowded. Certified nurses spend an average of 3.85 hours per resident each day, but the nurse turnover rate is 49.2%, which is something some families might want to consider when thinking about stability. The San Antonio II Enterprises, LLC has managed the facility since April 2022, and it operates under Creative Solutions In Healthcare, which means it shares resources and experience from a larger support network.

    What stands out at The Rio at Mission Trails is how they're always aiming to create a home-like feeling, and they work to do this with a skilled and compassionate care team. The community provides quite a few care options, like skilled nursing, rehabilitative care, ventilator care, assisted living, home health, and memory care in spaces made to prevent wandering and reduce confusion, which is especially helpful for folks dealing with memory conditions like dementia. There's also in-house dialysis, vent care, rehab-to-home programs, therapy for physical, occupational, and speech recuperation, along with wound care and nursing restorative programs. Specialized help is available for people who need recovery from surgery, stroke, heart issues, or diabetes, and experts can also help with dentistry, podiatry, optometry, and hospice when it's needed. People who've served in the military can access veterans' affairs services here as well.

    The dining program promises nutritious meals made with quality ingredients, and there are amenities like housekeeping, laundry, religious services, and a beauty and barber shop. The staff manages medication, and transport is offered for those who need help getting to appointments. Families and residents can use online portals for both care updates and payments, and there's an online portal where families can check on their loved ones' health and wellness. Activities are planned to keep residents engaged and involved, and the Customer Care Line gives a way for concerns and advice to be shared at any time.

    Some modern touches stand out, too, because the facility connects with social media and digital tools like Messenger, Meta Pay, Meta Store, Meta Quest, Ray-Ban Meta, Meta AI, and InstagramThreads, which might matter for families who want to stay in touch in new ways. This mix of high-acuity care, therapy, and digital features, along with a focus on personalized care plans and keeping things home-like, is reflected in its 4.4-star rating from 61 reviews. While reviews may shift over time, and no place is perfect, this is a facility that tries to cover a lot of ground for those needing skilled, ongoing, and attentive support.

    People often ask...

    The Rio at Mission Trails offers assisted living, memory care, and skilled nursing.

    There are 32 photos of The Rio at Mission Trails on Mirador.

    The full address for this community is 6211 S New Braunfels Ave, San Antonio, TX 78223.

    No, The Rio at Mission Trails does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RpKssAAF
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity124 residents
    LicenseeWest Wharton County Hospital District
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    1

    Reports

    14

    Citations

    0

    Complaints

    0

    Years

    25 Mar 2026Inspection
    Identified multiple deficiencies in resident care, safety systems, medication management, and record-keeping.
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    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Rio at Mission Trails. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Rio at Mission Trails directly. There is no cost for this service. We are compensated by the community you select.

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