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Nursing Home Reporter

RIVER HILLS HEALTH AND REHABILITATION CENTER

2091 BANDERA HWY, KERRVILLE, TX 78028

Provider #676114 · (830) 257-9900 · For profit - Individual · 150 beds

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Overall
1 of 5
Health inspection
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Deficiencies
0
Total fines
$0
Updated
2026-08-01

Staffing

Reported nurse hours per resident per day (HPPD) from CMS Care Compare.

RN hours
0.23
Total nurse hours
3.11
Weekend RN hours
0.10

Possible neglect indicators

Neutral CMS-derived signals — not a legal conclusion or case determination. See our Terms of Use.

  • Overall rating is 2 stars or lower
  • Health inspection rating is 2 stars or lower

Severity mix

Scope/severity codes across loaded citations.

  • D28
  • E19
  • J6
  • F3
  • C1

Complaint vs standard surveys

How citations were opened in the CMS deficiency file.

Complaint
0
Standard
57
Other
0

Inspection timeline

2026-06-19 · 1 citation

  • 0550 · D · Health
    Resident Rights Deficiencies

2026-05-07 · 3 citations

  • 0609 · D · Health
    Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • 0755 · D · Health
    Pharmacy Service Deficiencies
  • 0761 · D · Health
    Pharmacy Service Deficiencies

2026-02-04 · 2 citations

  • 0628 · D · Health
    Resident Rights Deficiencies
  • 0641 · D · Health
    Resident Assessment and Care Planning Deficiencies

2025-11-26 · 1 citation

  • 0882 · F · Health
    Infection Control Deficiencies

2025-09-16 · 1 citation

  • 0689 · D · Health
    Quality of Life and Care Deficiencies

2025-06-13 · 14 citations

  • 0656 · E · Health
    Resident Assessment and Care Planning Deficiencies
  • 0677 · E · Health
    Quality of Life and Care Deficiencies
  • 0690 · E · Health
    Quality of Life and Care Deficiencies
  • 0727 · E · Health
    Nursing and Physician Services Deficiencies
  • 0761 · E · Health
    Pharmacy Service Deficiencies
  • 0812 · E · Health
    Nutrition and Dietary Deficiencies
  • 0583 · D · Health
    Resident Rights Deficiencies
  • 0584 · D · Health
    Resident Rights Deficiencies
  • 0605 · D · Health
    Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • 0685 · D · Health
    Quality of Life and Care Deficiencies
  • 0689 · D · Health
    Quality of Life and Care Deficiencies
  • 0760 · D · Health
    Pharmacy Service Deficiencies
  • 0813 · D · Health
    Nutrition and Dietary Deficiencies
  • 0880 · D · Health
    Infection Control Deficiencies

2025-05-13 · 2 citations

  • 0558 · E · Health
    Resident Rights Deficiencies
  • 0641 · D · Health
    Resident Assessment and Care Planning Deficiencies

2025-02-08 · 4 citations

  • 0684 · J · Health
    Quality of Life and Care Deficiencies
  • 0755 · J · Health
    Pharmacy Service Deficiencies
  • 0760 · J · Health
    Pharmacy Service Deficiencies
  • 0770 · D · Health
    Administration Deficiencies

2024-12-21 · 5 citations

  • 0689 · J · Health
    Quality of Life and Care Deficiencies
  • 0727 · F · Health
    Nursing and Physician Services Deficiencies
  • 0655 · D · Health
    Resident Assessment and Care Planning Deficiencies
  • 0656 · D · Health
    Resident Assessment and Care Planning Deficiencies
  • 0657 · D · Health
    Resident Assessment and Care Planning Deficiencies

2024-09-09 · 4 citations

  • 0607 · E · Health
    Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • 0609 · E · Health
    Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • 0755 · D · Health
    Pharmacy Service Deficiencies
  • 0839 · D · Health
    Administration Deficiencies

2024-04-19 · 11 citations

  • 0812 · F · Health
    Nutrition and Dietary Deficiencies
  • 0583 · E · Health
    Resident Rights Deficiencies
  • 0801 · E · Health
    Nutrition and Dietary Deficiencies
  • 0849 · E · Health
    Administration Deficiencies
  • 0880 · E · Health
    Infection Control Deficiencies
  • 0921 · E · Health
    Environmental Deficiencies
  • 0641 · D · Health
    Resident Assessment and Care Planning Deficiencies
  • 0656 · D · Health
    Resident Assessment and Care Planning Deficiencies
  • 0758 · D · Health
    Pharmacy Service Deficiencies
  • 0759 · D · Health
    Pharmacy Service Deficiencies
  • 0813 · D · Health
    Nutrition and Dietary Deficiencies

2024-01-10 · 2 citations

  • 0580 · J · Health
    Resident Rights Deficiencies
  • 0684 · J · Health
    Quality of Life and Care Deficiencies

Penalties

  • Fine · 2025-02-08$49,392
  • Fine · 2024-12-21$47,467
  • Fine · 2024-01-10$15,274

Related topics

Worst homes in KERRVILLEWorst in Kerr CountyBed sores / pressure ulcersFallsWandering / elopementDehydration / nutritionWrongful deathKerr County reports
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