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.
September 9, 2022
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 October 31, 2022.
September 9, 2022
Tag F0583Keep residents' personal and medical records private and confidential.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2022.
September 9, 2022
Tag F0687Provide appropriate foot care.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2022.
September 9, 2022
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 3, 2022.
September 9, 2022
Tag F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 31, 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.
Avir at Walnut Springs
Guadalupe Valley Nursing and Rehabilitation Center
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at River Bend Healthcare
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