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Medicare-certifiedSkilled Nursing

River Hills Health and Rehabilitation Center

(830) 257-9900

About River Hills Health and Rehabilitation Center

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.

Community at a glance

Capacity

150 residents

Location

Kerrville, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

2091 BANDERA HWY, Kerrville, Texas 78028

(830) 257-9900

Medicare inspection record

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.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 6 minutesBelow the Texas average
Registered nurse time per resident, per day14 minutesBelow the Texas average
Nursing staff who left in the past year76%Above the Texas average

Inspections

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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 7, 2026

May 7, 2026 · Complaint investigation · 3 citations

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

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 1, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 1, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 1, 2026
February 4, 2026 · Complaint investigation · 2 citations+
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 6, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 6, 2026
November 26, 2025 · Complaint investigation · 1 citation+
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected Dec 19, 2025
September 16, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 1, 2025
June 13, 2025 · Standard inspection · 14 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 11, 2025
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 11, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 11, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 11, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jul 11, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 11, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 11, 2025
  • Assist a resident in gaining access to vision and hearing services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 11, 2025
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 11, 2025
  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 11, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 11, 2025
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 11, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 11, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 11, 2025
May 13, 2025 · Complaint investigation · 2 citations+
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 3, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 3, 2025
February 8, 2025 · Complaint investigation · 4 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Feb 9, 2025
  • Ensure that residents are free from significant medication errors.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Feb 9, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 9, 2025
  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Feb 9, 2025
December 21, 2024 · Complaint investigation · 5 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Dec 22, 2024
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Dec 22, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 22, 2024
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 22, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 22, 2024
September 9, 2024 · Complaint investigation · 4 citations+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 30, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 30, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Sep 30, 2024
  • Employ staff that are licensed, certified, or registered in accordance with state laws.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Sep 30, 2024
April 19, 2024 · Standard inspection · 11 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 31, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected May 31, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 31, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected May 31, 2024
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 31, 2024
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected May 31, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 31, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 31, 2024
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 31, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 31, 2024
  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 31, 2024
January 10, 2024 · Complaint investigation · 2 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 29, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Jan 29, 2024

Fines and payment denials

3 fines totaling $112,133 in the last three years.

  • February 8, 2025Fine: $49,392
  • December 21, 2024Fine: $47,467
  • January 10, 2024Fine: $15,274

About the home, per Medicare

Ownership
For profit - Individual
Legal business name
Uvalde County Hospital Authority
Medicare-certified beds
150
Average residents per day
99
Accepts
Medicare and Medicaid
First certified
October 1, 2006
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
676114

Location

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2091 BANDERA HWYKerrville, TX 78028

12 other communities within 10 miles

Senior living near Kerrville

Questions about River Hills Health and Rehabilitation Center

How did River Hills Health and Rehabilitation Center do on its last inspection?+

State inspectors visited on June 13, 2025 and cited 22 health deficiencies, 9 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at River Hills Health and Rehabilitation Center?+

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.

Has River Hills Health and Rehabilitation Center been fined by Medicare?+

Yes. Medicare fined River Hills Health and Rehabilitation Center 3 times in the last three years, totaling $112,133.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in Kerrville Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026