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River Bend Healthcare is a government - hospital district nursing home in SEGUIN, TX with 115 certified beds.
Capacity
115 residents
Location
Seguin, TX
Status
Listed in a public registry
1339 EASTWOOD DR, Seguin, Texas 78155
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 13, 2026, state inspectors cited 12 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 24 minutes with each resident a day, about the same as the Texas average.
Medicare fined River Bend Healthcare 2 times in the last three years, $18,225 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 24 minutes |
| Registered nurse time per resident, per day | 10 minutesBelow the Texas average |
47 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 13, 2026 · Standard inspection · 8 citations
Provide and implement an infection prevention and control program.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Employ staff that are licensed, certified, or registered in accordance with state laws.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Dispose of garbage and refuse properly.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Reasonably accommodate the needs and preferences of each resident.
November 25, 2025 · Complaint investigation · 2 citations
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide training in compliance and ethics.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure each resident receives an accurate assessment.
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.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Reasonably accommodate the needs and preferences of each resident.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide and implement an infection prevention and control program.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Protect each resident from the wrongful use of the resident's belongings or money.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Ensure resident rooms meet each resident's needs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure medication error rates are not 5 percent or greater.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Assess the resident when there is a significant change in condition
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2 fines totaling $18,225 in the last three years.
1339 EASTWOOD DRSeguin, TX 78155
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State inspectors visited on February 13, 2026 and cited 12 health deficiencies, 4 of them from complaint investigations. The Texas average is 9.4.
Nurses and aides spend 3 hours 24 minutes with each resident per day, including 10 minutes from registered nurses.
Yes. Medicare fined River Bend Healthcare 2 times in the last three years, totaling $18,225.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.