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HomeTexasRiver Bend Healthcare

River Bend Healthcare

1339 Eastwood Dr, Seguin, TX 781558303793900WebsiteGoogle Maps
3.0on Google(32 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
4/5
Beds
115
certified
2 fine(s) totaling $18,225

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Google users rate it 3.0/5 based on 32 reviews

• Has 115 certified beds with an average of 69.6 residents per day (61% occupancy)

• Last health inspection found 12 deficiencies (inspected Feb 13, 2026)

• Has been fined a total of $18,225 across 2 fine(s)

• Total nursing staff: 3.39 hours per resident per day

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Guadalupe County 65+
24,746
14.2% of county
County Population
173,828
Guadalupe County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

River Bend Healthcare is a 1-star Medicare and Medicaid certified nursing home in Seguin, Texas with 115 certified beds. It has been operating since 2011. The facility scored below average compared to Texas facilities.

Beds
115
Avg Residents/Day
69.6
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
Yes
First Approved
Mar 2, 2011
Sprinklers
Yes
Council
Resident
County
Guadalupe
Last Inspection
Feb 13, 2026
Deficiencies (Cycle 1)
12
Weighted Score
103.0
Infection Citations
0

Deficiency Citations (49)

F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0839Potential for Harm

Employ staff that are licensed, certified, or registered in accordance with state laws.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Feb 13, 2026Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Nov 25, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 25, 2025Corrected: NoCycle: 1
F0755Actual Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 24, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Oct 24, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0944Potential for Harm

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0946Potential for Harm

Provide training in compliance and ethics.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0849Potential for Harm

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.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Nov 13, 2024Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Jul 3, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 3, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 1, 2024Corrected: NoCycle: 3

+ 19 more deficiencies

Total Fines
$18,225
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineMay 1, 2024
$8,979
FineOct 24, 2025
$9,246

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.11 hrs
National avg: 2.32 hrs
LPN1.12 hrs
National avg: 0.86 hrs
RN0.16 hrs
National avg: 0.69 hrs
Total Nursing3.39 hrs
National avg: 3.86 hrs
Weekend Total2.94 hrs
National avg: 0.00 hrs
Physical Therapist0.16 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Nearby Nursing Homes

All Texas facilities

Guadalupe Valley Nursing and Rehabilitation Center

Seguin, TX · 148 beds

Non profit$75,450 in fines
Health
Staffing
Quality
1056 ft

Windsor Nursing and Rehabilitation Center of Segui

Seguin, TX · 122 beds

Government$24,499 in fines
Health
Staffing
Quality
1056 ft

Avir at Seguin

Seguin, TX · 134 beds

For profit$13,877 in finesAbuse
Health
Staffing
Quality
1584 ft

Avir at Walnut Springs

Seguin, TX · 113 beds

For profit
Health
Staffing
Quality
1.6 mi

Legend Oaks Healthcare and Rehabilitation - New Br

New Braunfels, TX · 126 beds

Government
Health
Staffing
Quality
13.1 mi

Avir at New Braunfels

New Braunfels, TX · 154 beds

For profit$163,819 in finesAbuse
Health
Staffing
Quality
13.5 mi

Frequently Asked Questions

What is the CMS rating for River Bend Healthcare?▾
River Bend Healthcare has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does River Bend Healthcare cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). River Bend Healthcare participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has River Bend Healthcare had any health inspection violations?▾
River Bend Healthcare had 12 deficiency citations in its most recent health inspection (Feb 13, 2026). The current CMS dataset records 2 fine(s) totaling $18,225.
What are the staffing levels at River Bend Healthcare?▾
River Bend Healthcare provides 3.39 total nursing staff hours per resident per day, including 0.16 RN hours, 1.12 LPN hours, and 2.11 nurse aide hours.
How many beds does River Bend Healthcare have?▾
River Bend Healthcare has 115 certified beds with an average of 69.6 residents per day, resulting in approximately 61% occupancy. The facility is Government - Hospital district owned.
Are there other nursing homes near River Bend Healthcare?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 4 in Seguin. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about River Bend Healthcare?▾
On Google Maps, River Bend Healthcare has a rating of 3.0 out of 5 based on 32 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.