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.
December 4, 2024
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0946Provide training in compliance and ethics.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
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 December 30, 2024.
December 4, 2024
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
December 4, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 30, 2024.
November 13, 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 October 3, 2024.
July 3, 2024
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 20, 2024.
July 3, 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 July 20, 2024.
May 1, 2024
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 May 5, 2024.
May 1, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected May 5, 2024.
May 1, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 5, 2024.
February 15, 2024
Tag F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 1, 2024.
February 15, 2024
Tag F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 1, 2024.
January 6, 2024
Tag F0910Ensure resident rooms meet each resident's needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 1, 2024.
October 27, 2023
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 15, 2023.
October 27, 2023
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 31, 2023.
October 27, 2023
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 30, 2023.
October 27, 2023
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 31, 2023.
October 27, 2023
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 30, 2023.
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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