Avir at Kerrville
Medicare-certified1555 Bandera Hwy, Kerrville, TX 78028
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River Hills Health and Rehabilitation Center brings specialized skilled nursing and rehabilitation care to Kerrville, Texas families facing recovery challenges. Our team focuses on personalized healing plans that help seniors regain strength and independence during critical transitions.
Capacity
150 residents
Location
Kerrville, TX
Status
Listed in a public registry
2091 BANDERA HWY, Kerrville, Texas 78028
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 June 13, 2025, state inspectors cited 22 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 6 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined River Hills Health and Rehabilitation Center 3 times in the last three years, $112,133 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 6 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 14 minutesBelow the Texas average |
| Nursing staff who left in the past year | 76%Above the Texas average |
50 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 19, 2026 · Complaint investigation · 1 citation
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 7, 2026 · Complaint investigation · 3 citations
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure each resident receives an accurate assessment.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide and implement an infection prevention and control program.
Assist a resident in gaining access to vision and hearing services.
Keep residents' personal and medical records private and confidential.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that residents are free from significant medication errors.
Reasonably accommodate the needs and preferences of each resident.
Ensure each resident receives an accurate assessment.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are free from significant medication errors.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Employ staff that are licensed, certified, or registered in accordance with state laws.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Provide and implement an infection prevention and control program.
Keep residents' personal and medical records private and confidential.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Ensure each resident receives an accurate assessment.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
3 fines totaling $112,133 in the last three years.
2091 BANDERA HWYKerrville, TX 78028
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State inspectors visited on June 13, 2025 and cited 22 health deficiencies, 9 of them from complaint investigations. The Texas average is 9.4.
Nurses and aides spend 3 hours 6 minutes with each resident per day, including 14 minutes from registered nurses. 76% of nursing staff left over the past year.
Yes. Medicare fined River Hills Health and Rehabilitation Center 3 times in the last three years, totaling $112,133.
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.