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Nursing Homes · Medicare certified

River Bend Healthcare

1339 Eastwood Dr. · Seguin, TX 78155 · 115 certified beds

(830) 379-3900

NPI 1245099423 (opens in a new tab)

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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

1.0

Staffing

1.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (65)

Records from September 2022 to February 2026.

  • February 13, 2026

    Tag F0657

    Develop 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 F0880

    Provide 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 F0803

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 15, 2026.

  • February 13, 2026

    Tag F0558

    Reasonably 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 F0656

    Develop 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 F0814

    Dispose 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 F0839

    Employ 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 F0812

    Procure 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 F0684

    Provide 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 F0655

    Create 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 F0755

    Provide 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 F0580

    Immediately 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 F0695

    Provide 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 F0641

    Ensure 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 F0657

    Develop 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 F0944

    Conduct 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 F0755

    Provide 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 F0849

    Arrange 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 F0761

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.

  • December 4, 2024

    Tag F0812

    Procure 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.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

Texas median$5,627/mo

Nearby alternatives

Other licensed providers in Seguin.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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