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HomeTexasRiver Hills Health and Rehabilitation Center

River Hills Health and Rehabilitation Center

2091 Bandera Hwy, Kerrville, TX 780288302579900WebsiteGoogle Maps
3.9on Google(51 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
4/5
Beds
150
certified
3 fine(s) totaling $112,133

How River Hills Health and Rehabilitation Center Compares in Texas

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.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.11 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.23 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
75.9%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 3.11 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.23 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
30
deficiency citations
Inspected Apr 19, 2024
Most recent cycle
21
deficiency citations
Inspected Jun 13, 2025
The most recent cycle recorded 9 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Kerr County 65+
14,760
27.9% of county
County Population
52,810
Kerr County

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.

Beds
150
Avg Residents/Day
99.2
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)
21
Weighted Score
228.0
Infection Citations
0

Deficiency Citations (58)

F0609Potential for Harm

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

Survey: May 7, 2026Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: May 7, 2026Corrected: 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: May 7, 2026Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Feb 4, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 4, 2026Corrected: NoCycle: 1
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
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
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
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
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
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
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
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

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
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: May 13, 2025Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 13, 2025Corrected: NoCycle: 2
F0684Immediate Jeopardy

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

Survey: Feb 8, 2025Corrected: NoCycle: 2
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: 2
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Feb 8, 2025Corrected: NoCycle: 2
F0770Potential for Harm

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

Survey: Feb 8, 2025Corrected: 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
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

+ 28 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 Aide1.83 hrs
National avg: 2.32 hrs
LPN1.04 hrs
National avg: 0.86 hrs
RN0.23 hrs
National avg: 0.69 hrs
Total Nursing3.11 hrs
National avg: 3.86 hrs
Weekend Total2.73 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
75.9%
RN Turnover
83.3%
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 (15)

NameRoleTypeOwnership %Since
UVALDE COUNTY HOSPITAL AUTHORITYINDIRECT OWNERSHIP INTERESTOrganizationN/AMay 1, 2026
AZIZ, WESAMMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 1, 2026
KEETCH, CHADCORPORATE DIRECTORIndividualN/AMar 1, 2011
APOLINAR, ADAMCORPORATE OFFICERIndividualN/AMay 1, 2026
BURNAM, SOONCORPORATE OFFICERIndividualN/AMay 1, 2026
CROWN MOUNTAIN HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2026
AZIZ, WESAMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2026
LOPEZ, ALANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 11, 2025
BANDERA HWY HEALTH HOLDINGS LLCADP OF THE SNFOrganizationN/AMay 1, 2026
CROWN MOUNTAIN HEALTHCARE LLCADP OF THE SNFOrganizationN/AMay 19, 2026
ENSIGN SERVICES, INC.ADP OF THE SNFOrganizationN/AFeb 13, 2026
STANDARD BEARER HEALTHCARE OP LPADP OF THE SNFOrganizationN/AMay 1, 2026
THE ENSIGN GROUP, INC.ADP OF THE SNFOrganizationN/AMay 1, 2026
AZIZ, WESAMADP OF THE SNFIndividualN/AMay 1, 2026
LOPEZ, ALANADP OF THE SNFIndividualN/AMar 11, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for River Hills Health and Rehabilitation Center and nearby alternatives.

All Texas facilities
River Hills Health and Rehabilitation Center
Kerrville, TXCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $112,133
Avir at Kerrville
Kerrville, TX1.0 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $20,293
Arbor View Nursing & Rehabilitation
Kerrville, TX1.8 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $154,617
Hilltop Village Nursing and Rehabilitation
Kerrville, TX4.6 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
Avir at Comfort
Comfort, TX13.5 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
Cedar Creek Nursing and Rehabilitation Center
Bandera, TX19.8 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
Avir at Bandera
Bandera, TX20.8 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $100,293
FacilityDistanceCMSHealthStaffingRecorded fines
River Hills Health and Rehabilitation Center
Kerrville, TX · Current facility
—1/51/51/5$112,133
Avir at Kerrville
Kerrville, TX
1.0 mi1/51/51/5$20,293
Arbor View Nursing & Rehabilitation
Kerrville, TX
1.8 mi1/51/51/5$154,617
Hilltop Village Nursing and Rehabilitation
Kerrville, TX
4.6 mi2/53/51/5None recorded
Avir at Comfort
Comfort, TX
13.5 mi5/54/54/5None recorded
Cedar Creek Nursing and Rehabilitation Center
Bandera, TX
19.8 mi2/53/51/5None recorded
Avir at Bandera
Bandera, TX
20.8 mi1/52/51/5$100,293

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.

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 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does River Hills Health and Rehabilitation Center 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 Hills Health and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has River Hills Health and Rehabilitation Center had any health inspection violations?▾
River Hills Health and Rehabilitation Center had 21 deficiency citations in its most recent health inspection (Jun 13, 2025). The current CMS dataset records 3 fine(s) totaling $112,133.
What are the staffing levels at River Hills Health and Rehabilitation Center?▾
River Hills Health and Rehabilitation Center provides 3.11 total nursing staff hours per resident per day, including 0.23 RN hours, 1.04 LPN hours, and 1.83 nurse aide hours. The total staff turnover rate is 75.9%.
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 99.2 residents per day, resulting in approximately 66% occupancy. The facility is For profit - Individual owned.
Are there other nursing homes near River Hills Health and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 3 in Kerrville. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about River Hills Health and Rehabilitation Center?▾
On Google Maps, River Hills Health and Rehabilitation Center has a rating of 3.9 out of 5 based on 51 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.