Nursing HomeInspections

River Hills Health and Rehabilitation Center

Nursing home in Kerrville, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (830) 257-9900Send a messageMap ↗

Public-record details

Address
2091 Bandera Hwy, Kerrville, TX 78028
Phone
(830) 257-9900
Listed under
For-profit
Medicare CCN
676114
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
150
Average residents per day
99
Ownership
For-profit, individual
Legal business name
Uvalde County Hospital Authority
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 2006
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676114. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 13, 2025. CMS lists 57 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 4, 2023 to Jun 19, 2026): 26 from complaint inspections, 6 at the “actual harm” level or higher, including 6 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 19, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 7, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 7, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 4, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 4, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 26, 2025Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · complaint inspection		F
Potential for more than minimal harm, widespread
Sep 16, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 13, 2025Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 13, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 13, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 13, 2025Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 57. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $112,133 in the last three years.

Feb 8, 2025Fine: $49,392
Dec 21, 2024Fine: $47,467
Jan 10, 2024Fine: $15,274

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.11 hours
Registered nurse (RN) time per resident per day
0.23 hours
Nurse aide time per resident per day
1.83 hours
Total nurse staffing on weekends
2.73 hours
Nursing staff turnover (yearly)
76%
RN turnover (yearly)
83%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Kerrville

Hilltop Village Nursing and Rehabilitation1400 Hilltop Rd · Kerrville, TX 78028 · (830) 895-3200 · For-profit51 health citations in 3 inspection cycles · last standard inspection Aug 27, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)Arbor View Nursing & Rehabilitation1213 Water St · Kerrville, TX 78028 · (830) 896-2411 · For-profit77 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · $154,617 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse iconAvir at Kerrville1555 Bandera Hwy · Kerrville, TX 78028 · (830) 412-2366 · For-profit67 health citations in 3 inspection cycles · last standard inspection Jun 27, 2025 · $20,467 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 4 in Kerrville →