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UPDATED JUL 2026

Nursing Homes · Medicare certified

River Hills Health And Rehabilitation Center

2091 Bandera Hwy · Kerrville, TX 78028 · 150 certified beds

8302579900

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

49

Inspection history (56)

  • February 8, 2025 · J

    Citation F0684

    Federal surveyors cited this nursing home on 2025-02-08 under CMS tag F0684 (CMS scope/severity J: isolated, immediate jeopardy) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-02-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-08.GOV
  • February 8, 2025 · J

    Citation F0760

    Federal surveyors cited this nursing home on 2025-02-08 under CMS tag F0760 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-02-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-08.GOV
  • February 8, 2025 · D

    Citation F0770

    Federal surveyors cited this nursing home on 2025-02-08 under CMS tag F0770 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely, quality laboratory services/tests to meet the needs of residents. The deficiency was recorded as corrected on 2025-02-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-08.GOV
  • February 8, 2025 · J

    Citation F0755

    Federal surveyors cited this nursing home on 2025-02-08 under CMS tag F0755 (CMS scope/severity J: isolated, immediate jeopardy) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-02-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-08.GOV
  • December 21, 2024 · D

    Citation F0657

    Federal surveyors cited this nursing home on 2024-12-21 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-21.GOV
  • December 21, 2024 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2024-12-21 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-21.GOV
  • December 21, 2024 · F

    Citation F0727

    Federal surveyors cited this nursing home on 2024-12-21 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-21.GOV
  • December 21, 2024 · J

    Citation F0689

    Federal surveyors cited this nursing home on 2024-12-21 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-21.GOV
  • December 21, 2024 · D

    Citation F0655

    Federal surveyors cited this nursing home on 2024-12-21 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-21.GOV
  • September 9, 2024 · D

    Citation F0839

    Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0839 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Employ staff that are licensed, certified, or registered in accordance with state laws. The deficiency was recorded as corrected on 2024-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-09.GOV
  • September 9, 2024 · E

    Citation F0607

    Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0607 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-09.GOV
  • September 9, 2024 · D

    Citation F0755

    Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-09.GOV
  • September 9, 2024 · E

    Citation F0609

    Federal surveyors cited this nursing home on 2024-09-09 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-09.GOV
  • April 19, 2024 · D

    Citation F0759

    Federal surveyors cited this nursing home on 2024-04-19 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2024-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-19.GOV
  • April 19, 2024 · D

    Citation F0813

    Federal surveyors cited this nursing home on 2024-04-19 under CMS tag F0813 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a policy regarding use and storage of foods brought to residents by family and other visitors. The deficiency was recorded as corrected on 2024-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-19.GOV
  • April 19, 2024 · D

    Citation F0641

    Federal surveyors cited this nursing home on 2024-04-19 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-19.GOV
  • April 19, 2024 · E

    Citation F0921

    Federal surveyors cited this nursing home on 2024-04-19 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-19.GOV
  • April 19, 2024 · D

    Citation F0758

    Federal surveyors cited this nursing home on 2024-04-19 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement 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…. The deficiency was recorded as corrected on 2024-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-19.GOV
  • April 19, 2024 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2024-04-19 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-19.GOV
  • April 19, 2024 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2024-04-19 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-19.GOV

Penalties

Total fines on file: $112,133

Staffing

Latest: 3.16 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q43.16 hrs/resident/day
  2. 2026-06-013.16 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Individual

  1. Parent organization: Uvalde County Hospital Authority

    parent · PAC 7315832722

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · TX$6,003/mo
See full TX cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · TX$5,627/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Kerrville, with their own public records.

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

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