NURSING HOME PUBLIC RECORD
CMS lists this provider in Kerrville, TX, with 150 certified beds, an overall rating of 1/5, and 68 citation rows in the current August 2026 release.
2091 Bandera Hwy · Kerrville, TX 78028 · Kerr County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for River Hills Health And Rehabilitation Center in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-13 | 22 | 2025-06-13 | 4 |
| Cycle 2 | 2024-04-19 | 26 | 2024-04-19 | 5 |
| Cycle 3 | 2023-03-04 | 9 | 2023-03-04 | 2 |
CMS reports 68 citation rows, including 6 with G–L codes and 6 with J–L codes.
6 rows carry G–L scope/severity codes; 6 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-07-07 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-06-01 · complaintProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-06-01 · complaintEnsure 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.
Correction field: Deficient, Provider has date of correction · 2026-06-01 · complaintProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaintEnsure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaintDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-12-19 · complaintEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-10-01 · complaintProvide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2025-07-11Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-07-11Honor 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.
Correction field: Deficient, Provider has date of correction · 2025-07-11Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-07-11 · complaintDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-07-11Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-07-11Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2025-07-11Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-07-11Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-07-11Have 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.
Correction field: Deficient, Provider has date of correction · 2025-07-11Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-07-11Ensure 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.
Correction field: Deficient, Provider has date of correction · 2025-07-11Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-07-11Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2025-07-11Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-07-11Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-07-11The August 2026 file contains 3 penalty rows and $112,133 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-02-08 | Fine | $49,392 | 0 |
| 2024-12-21 | Fine | $47,467 | 0 |
| 2024-01-10 | Fine | $15,274 | 0 |
CMS matched 15 ownership disclosure rows to River Hills Health And Rehabilitation Center; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 3.11 total nurse hours and 0.23 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 3 other published facility records near Kerrville, TX, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
