Nursing Homes · Medicare certified
River Bend Healthcare
1339 Eastwood Dr. · Seguin, TX 78155 · 115 certified beds
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About River Bend Healthcare
River Bend Healthcare is a nursing home in Seguin, Texas. Its capacity is 115 beds, below the Guadalupe County median of 120 for nursing homes. It is run by a for-profit operator and is part of The Ensign Group. It is Medicare certified. Its public inspection record shows 65 citations, the most recent on February 13, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.39 hours per resident per day. It is one of 5 nursing homes listed in Seguin. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (65)
Records from September 2022 to February 2026.
February 13, 2026
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2026.
February 13, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2026.
February 13, 2026
Tag F0803Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2026.
February 13, 2026
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2026.
February 13, 2026
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2026.
February 13, 2026
Tag F0814Dispose of garbage and refuse properly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2026.
February 13, 2026
Tag F0839Employ staff that are licensed, certified, or registered in accordance with state laws.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2026.
February 13, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 15, 2026.
November 25, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 22, 2025.
November 25, 2025
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 22, 2025.
October 24, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity G: isolated, actual harm. Corrected December 30, 2024.
October 24, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.
December 4, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
Penalties (2)
Total fines: $18,225
October 24, 2025 · Fine
CMS recorded a civil money penalty of $9,246 against this nursing home on October 24, 2025.
May 1, 2024 · Fine
CMS recorded a civil money penalty of $8,979 against this nursing home on May 1, 2024.
Staffing
3.39 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of The Ensign Group, a chain of 347 nursing homes.
Average CMS star ratings across the chain: 3.3 overall, 2.8 for health inspections, 2.8 for staffing, 4.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Seguin.
Avir at Walnut Springs
Guadalupe Valley Nursing and Rehabilitation Center
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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