Nursing HomeInspections

River Bend Healthcare

Nursing home in Seguin, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (830) 379-3900Send a messageMap ↗

Public-record details

Address
1339 Eastwood Dr, Seguin, TX 78155
Phone
(830) 379-3900
Listed under
Government-owned
Medicare CCN
676274
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
115
Average residents per day
70
Ownership
Government, hospital district
Legal business name
Legal Business Name Not Available
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 2, 2011
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676274. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 13, 2026. CMS lists 49 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 6, 2023 to Feb 13, 2026): 16 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 13, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 13, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 13, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Feb 13, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Feb 13, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Feb 13, 2026Ensure 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.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Feb 13, 2026Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration		E
Potential for more than minimal harm, pattern
Feb 13, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Nov 25, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 25, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 24, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 24, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 49. 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 2 fines totalling $18,225 in the last three years.

Oct 24, 2025Fine: $9,246
May 1, 2024Fine: $8,979

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
3.39 hours
Registered nurse (RN) time per resident per day
0.16 hours
Nurse aide time per resident per day
2.11 hours
Total nurse staffing on weekends
2.94 hours

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 Seguin

Avir at Walnut Springs1637 N King St · Seguin, TX 78155 · (830) 379-3784 · For-profit14 health citations in 3 inspection cycles · last standard inspection Nov 18, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Guadalupe Valley Nursing and Rehabilitation Center1210 Eastwood Dr · Seguin, TX 78155 · (830) 379-9308 · Nonprofit52 health citations in 3 inspection cycles · last standard inspection Mar 27, 2026 · $75,450 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Windsor Nursing and Rehabilitation Center of Segui1219 Eastwood Dr · Seguin, TX 78155 · (830) 379-7777 · Government-owned33 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · $24,499 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Avir at Seguin1215 Ashby · Seguin, TX 78155 · (830) 379-1606 · For-profit47 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · $13,877 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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