CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
River Hills Health and Rehabilitation Center is a 1-star Medicare and Medicaid certified nursing home in Kerrville, Texas with 150 certified beds. It has been operating since 2006. Its overall CMS rating is 1 out of 5.
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.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
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.
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 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.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
+ 28 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| UVALDE COUNTY HOSPITAL AUTHORITY | INDIRECT OWNERSHIP INTEREST | Organization | N/A | May 1, 2026 |
| AZIZ, WESAM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 1, 2026 |
| KEETCH, CHAD | CORPORATE DIRECTOR | Individual | N/A | Mar 1, 2011 |
| APOLINAR, ADAM | CORPORATE OFFICER | Individual | N/A | May 1, 2026 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | May 1, 2026 |
| CROWN MOUNTAIN HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2026 |
| AZIZ, WESAM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2026 |
| LOPEZ, ALAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 11, 2025 |
| BANDERA HWY HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | May 1, 2026 |
| CROWN MOUNTAIN HEALTHCARE LLC | ADP OF THE SNF | Organization | N/A | May 19, 2026 |
| ENSIGN SERVICES, INC. | ADP OF THE SNF | Organization | N/A | Feb 13, 2026 |
| STANDARD BEARER HEALTHCARE OP LP | ADP OF THE SNF | Organization | N/A | May 1, 2026 |
| THE ENSIGN GROUP, INC. | ADP OF THE SNF | Organization | N/A | May 1, 2026 |
| AZIZ, WESAM | ADP OF THE SNF | Individual | N/A | May 1, 2026 |
| LOPEZ, ALAN | ADP OF THE SNF | Individual | N/A | Mar 11, 2025 |
Compare CMS ratings and recorded fines for River Hills Health and Rehabilitation Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.