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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasRiver Hills Health and Rehabilitation Center

River Hills Health and Rehabilitation Center

2091 Bandera Hwy, Kerrville, TX 780288302579900
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
5/5
Beds
150
certified
3 fine(s) totaling $112,133

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 150 certified beds with an average of 105.9 residents per day (71% occupancy)

• Last health inspection found 22 deficiencies (inspected Jun 13, 2025)

• Has been fined a total of $112,133 across 3 fine(s)

• Total nursing staff: 3.00 hours per resident per day

• Staff turnover rate: 68.9% (high)

River Hills Health and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Kerrville, Texas with 150 certified beds. It has been operating since 2006. The facility scored below average compared to Texas facilities.

Beds
150
Avg Residents/Day
105.9
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 1, 2006
Sprinklers
Yes
Council
Resident
County
Kerr
Last Inspection
Jun 13, 2025
Deficiencies (Cycle 1)
22
Weighted Score
331.0
Infection Citations
6

Deficiency Citations (61)

F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Sep 16, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: May 13, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 13, 2025Corrected: NoCycle: 1
F0684Immediate Jeopardy

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

Survey: Feb 8, 2025Corrected: NoCycle: 1
F0755Immediate Jeopardy

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

Survey: Feb 8, 2025Corrected: NoCycle: 1
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Feb 8, 2025Corrected: NoCycle: 1
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Feb 8, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Jun 13, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Jun 13, 2025Corrected: NoCycle: 1
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: Jun 13, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 13, 2025Corrected: NoCycle: 1
F0685Potential for Harm

Assist a resident in gaining access to vision and hearing services.

Survey: Jun 13, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Jun 13, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jun 13, 2025Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Jun 13, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jun 13, 2025Corrected: NoCycle: 1
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: Jun 13, 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: Jun 13, 2025Corrected: NoCycle: 1
F0813Potential for Harm

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey: Jun 13, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 13, 2025Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Jun 13, 2025Corrected: 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: Dec 21, 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 21, 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 21, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Dec 21, 2024Corrected: NoCycle: 2
F0727Potential for Harm

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.

Survey: Dec 21, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Sep 9, 2024Corrected: NoCycle: 2
F0609Potential for Harm

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

Survey: Sep 9, 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: Sep 9, 2024Corrected: NoCycle: 2

+ 31 more deficiencies

Total Fines
$112,133
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineJan 10, 2024
$15,274
FineDec 21, 2024
$47,467
FineFeb 8, 2025
$49,392

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

Nurse Aide1.89 hrs
National avg: 2.35 hrs
LPN0.97 hrs
National avg: 0.86 hrs
RN0.14 hrs
National avg: 0.68 hrs
Total Nursing3.00 hrs
National avg: 3.89 hrs
Weekend Total2.65 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
68.9%
RN Turnover
100.0%
Administrators Left
0

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

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
MARTIN, CHRISTOPHER5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Apr 1, 2017
RANKIN, DEREK5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual50%Apr 1, 2017
LOPEZ, ALANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 11, 2025
HERNANDEZ, LAURENCORPORATE DIRECTORIndividualN/AMay 19, 2025
LOCKHART, CHRISTOPHERCORPORATE DIRECTORIndividualN/AMay 1, 2024
APOLINAR, ADAMCORPORATE OFFICERIndividualN/AAug 1, 2022
CONTRERAS, TERRICORPORATE OFFICERIndividualN/AApr 29, 2019

Nearby Nursing Homes

All Texas facilities

Avir at Kerrville

Kerrville, TX · 130 beds

For profit$26,313 in fines
Health
Staffing
Quality
1.0 mi

Arbor View Nursing & Rehabilitation

Kerrville, TX · 179 beds

For profit$248,481 in finesAbuse
Health
Staffing
Quality
1.8 mi

Hilltop Village Nursing and Rehabilitation

Kerrville, TX · 150 beds

For profitAbuse
Health
Staffing
Quality
4.6 mi

Frequently Asked Questions

What is the CMS rating for River Hills Health and Rehabilitation Center?▾
River Hills Health and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated below average.
Has River Hills Health and Rehabilitation Center had any health inspection violations?▾
River Hills Health and Rehabilitation Center had 22 deficiency citations in its most recent health inspection (Jun 13, 2025). The facility has been fined a total of $112,133 across 3 fine(s). It also has 6 infection control citation(s).
What are the staffing levels at River Hills Health and Rehabilitation Center?▾
River Hills Health and Rehabilitation Center provides 3.00 total nursing staff hours per resident per day, including 0.14 RN hours, 0.97 LPN hours, and 1.89 nurse aide hours. The total staff turnover rate is 68.9%.
How many beds does River Hills Health and Rehabilitation Center have?▾
River Hills Health and Rehabilitation Center has 150 certified beds with an average of 105.9 residents per day, resulting in approximately 71% occupancy. The facility is For profit - Individual owned.
Are there other nursing homes near River Hills Health and Rehabilitation Center?▾
Yes, there are 3 other nursing homes in Kerrville, Texas with an average rating of 1.3/5. You can compare all facilities on the Kerrville nursing homes page.