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River Bend Healthcare

1339 Eastwood Dr, Seguin, TX 78155

Nursing Home Care

River Bend Healthcare is a senior care community located in Seguin, TX. It provides nursing home care for older adults in the Seguin area. To learn more or schedule a tour, call (830) 379-3900.

Operated by The Ensign Group, which runs 419 communities in our directory.

Employer rating 3.3 out of 5 39 reviews from their own employees on Indeed. See what they say.

With 115 beds, River Bend Healthcare is one of the larger communities in the area, senior care communities in Seguin average about 73 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. Communities in Seguin average about 2.0 stars. Its most recent standard health inspection was in February 2026 and recorded 12 deficiencies.

Residents receive about 3.4 hours of nursing care per day on average, including 0.2 hours from a registered nurse.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 49 problems at River Bend Healthcare. 2 findings involved harm to a resident. 16 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $18,225.

Findings from the most recent inspection cycle

  • Caused harm to a resident, 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.

    Inspected October 2025, after a complaint. Corrected by December 30, 2024.

  • 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.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Ensure 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.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, a pattern Administration

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected February 2026. Corrected by March 15, 2026.

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  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Dispose of garbage and refuse properly.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Inspected November 2025, after a complaint. Corrected by December 22, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected November 2025, after a complaint. Corrected by December 22, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected October 2025, after a complaint. Corrected by November 21, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

River Bend Healthcare offers nursing home care.

Facility details

  • Beds / units 115
  • Nursing hours per resident/day 3.4
  • Last health inspection February 2026

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