Nursing Homes · Seguin, TX
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.
October 27, 2023
Tag F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 30, 2023.
October 27, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 17, 2023.
October 27, 2023
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 15, 2023.
October 27, 2023
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 30, 2023.
October 27, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 15, 2023.
October 27, 2023
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 15, 2023.
October 27, 2023
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 November 30, 2023.
October 6, 2023
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 October 13, 2023.
October 6, 2023
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 October 13, 2023.
September 9, 2022
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2022.
September 9, 2022
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 October 31, 2022.
September 9, 2022
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 October 31, 2022.
September 9, 2022
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 October 31, 2022.
September 9, 2022
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 October 31, 2022.
September 9, 2022
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 October 31, 2022.
September 9, 2022
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 September 10, 2022.
September 9, 2022
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 31, 2022.
September 9, 2022
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 October 31, 2022.
September 9, 2022
Tag F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2022.
September 9, 2022
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 October 11, 2022.
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.
Nursing Homes · Seguin, TX
Avir at Walnut Springs
Nursing Homes · Seguin, TX
Guadalupe Valley Nursing and Rehabilitation Center
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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