River Hills Health And Rehabilitation Center
Nursing Home Facility
2091 Bandera Hwy, Kerrville, TX 78028
River Hills Health And Rehabilitation Center is a senior care community located in Kerrville, TX. It provides nursing home care and senior living for older adults in the Kerrville area. To learn more or schedule a tour, call (830) 257-9900.
Operated by The Ensign Group, which runs 419 communities in our directory.
With 150 beds, River Hills Health And Rehabilitation Center is one of the larger communities in the area, senior care communities in Kerrville average about 74 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in June 2025 and recorded 22 deficiencies.
Residents receive about 3.1 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 76%, which is high and can affect continuity of care.
The community is located in Kerr County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 57 problems at River Hills Health And Rehabilitation Center. 6 findings involved harm to a resident, including 6 that put residents in immediate danger. 26 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 3 times, a total of $112,133.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, widespread
Infection Control
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Show 14 more
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Assist a resident in gaining access to vision and hearing services.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
River Hills Health And Rehabilitation Center offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 150
- Nursing hours per resident/day 3.1
- Annual staff turnover 76%
- Last health inspection June 2025
Resident & family reviews
No one has shared a review of River Hills Health And Rehabilitation Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.