Nursing home
River Hills Health and Rehabilitation Center
2091 Bandera Hwy, Kerrville, TX 78028 · Map
For profit - Individual · 150 certified beds
River Hills Health and Rehabilitation Center is a Medicare-certified nursing home in Kerrville, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.00 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jun 13, 2025 cited 18 deficiencies.
- 3 fines totaling $112,133In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How River Hills Health and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.00 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.14 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.89 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 68.9% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 18.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $112,133, 3 total penalties.
What inspectors found at River Hills Health and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 4, 2026 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Feb 4, 2026 · Full report (PDF) - Potential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Nov 26, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 16, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 13, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Pharmacy Service Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Develop 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 Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 13, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 13, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2091 Bandera Hwy
Kerrville, TX 78028 - CMS certification #
- 676114
- Ownership
- For profit - Individual
- Certified beds
- 150
- Avg residents/day
- 105.9
- Provider type
- Medicare and Medicaid
- First certified
- 2006-10-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around River Hills Health and Rehabilitation Center using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What River Hills Health and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
In addition to rehabilitative care, we also provide respite, palliative, and hospice care.
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
Our dedicated team of RNs, LPNs, and caregivers, along with medical professionals such as a medical director, physician assistants, and nurse practitioners, ensure around-the-clock medical support.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
In addition to rehabilitative care, we also provide respite, palliative, and hospice care.
(page, checked Oct 12, 2026) - Apartment types named: semi-private room.
We offer a range of room options, including private and semi-private, and our comprehensive therapy services are designed to meet your individual needs.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Peterson Regional Medical Center, Kerrville. 2.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Avir at Kerrville, Kerrville. 1.0 mile away, straight line.
- Nearest home health agency office
- Peterson Home Care, Kerrville. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- The Medicine Stop. 2.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78028 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Kerrville Dialysis, Kerrville, 2.2 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 32 Medicare hospices tell CMS they serve ZIP code 78028.
New Century Hospice Of San Antonio, office in Kerrville, 0.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Peterson Hospice, office in Kerrville, 2.3 miles away, straight line (CMS family survey rating 5 of 5 stars)
Methodist Healthcare Hill Country Hospice & Family Care, office in Fredericksburg, 22.7 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Becky Powers, MD, San Antonio. 40.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Kerrville, TX, risk to homes is greater than 53% of communities in Texas and 77% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is River Hills Health and Rehabilitation Center a good nursing home?
CMS gives River Hills Health and Rehabilitation Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is River Hills Health and Rehabilitation Center staffed?
River Hills Health and Rehabilitation Center reports 3.00 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has River Hills Health and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 18 deficiencies.
How many beds does River Hills Health and Rehabilitation Center have?
River Hills Health and Rehabilitation Center is certified for 150 beds.