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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.

  • December 4, 2024

    Tag F0805

    Ensure 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 F0946

    Provide 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 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 December 30, 2024.

  • December 4, 2024

    Tag F0757

    Ensure 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 F0880

    Provide 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 F0558

    Reasonably 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 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 October 3, 2024.

  • July 3, 2024

    Tag F0602

    Protect 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 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 July 20, 2024.

  • May 1, 2024

    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 May 5, 2024.

  • May 1, 2024

    Tag F0689

    Ensure 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 F0609

    Timely 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 F0810

    Provide 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 F0808

    Ensure 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 F0910

    Ensure 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 F0759

    Ensure 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 F0842

    Safeguard 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 F0695

    Provide 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 F0686

    Provide 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 F0561

    Honor 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.

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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