Ellery Care
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River Bend Healthcare

1339 Eastwood Dr, Seguin, TX 78155 · Guadalupe County

Government · 115 certified beds · 61% occupancy · (830) 379-3900

Deciding as a family?

River Bend Healthcare reviews: what the government record shows

The U.S. government (CMS) rates River Bend Healthcare 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
1 of 5 stars
Nurse staffing
3.39 hrs/resident/day (+4% vs TX median)
Antipsychotic drug use
11.7% of long-stay residents (TX median 8.3%)
Falls with major injury
1.9% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$18,225
Inspection findings
49 cited
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Strengths

  • ✓Nurse staffing of 3.39 hrs/resident/day is at or above the Texas median of 3.27.

Concerns

  • !CMS rates it just 1 of 5 stars overall.

Questions to ask on your visit

  • ·What does a typical day look like for a resident with my parent's needs?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about River Bend Healthcare

Is River Bend Healthcare a good nursing home?

River Bend Healthcare in Seguin, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is River Bend Healthcare staffed?

River Bend Healthcare reports 3.39 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.

Has River Bend Healthcare been fined or flagged for abuse?

River Bend Healthcare has paid approximately $18,225 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.39 nurse hours per resident per day. 4% above the Texas median of 3.27.

Total nurse
3.39 hrs
RN
0.16 hrs
LPN
1.12 hrs
Aide
2.11 hrs

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

49
total findings
0
immediate jeopardy
2
caused actual harm
16
from complaints
  • Actual harmTag F0755 · Oct 24, 2025ComplaintCorrected Dec 30, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0656 · Feb 13, 2026Corrected Mar 15, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0803 · Feb 13, 2026Corrected Mar 15, 2026

    Ensure 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.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0839 · Feb 13, 2026Corrected Mar 15, 2026

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Administration Deficiencies

  • Potential for harmTag F0880 · Feb 13, 2026Corrected Mar 15, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0558 · Feb 13, 2026Corrected Mar 15, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Resident Rights Deficiencies

  • Potential for harmTag F0657 · Feb 13, 2026Corrected Mar 15, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0812 · Feb 13, 2026Corrected Mar 15, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0814 · Feb 13, 2026Corrected Mar 15, 2026

    Dispose of garbage and refuse properly.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0655 · Nov 25, 2025ComplaintCorrected Dec 22, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Resident Assessment and Care Planning Deficiencies

Showing the 10 most recent and serious of 49 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

11.7%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is below the national median but above the Texas median, roughly middle of the pack for the state.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
1.9%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
5.8%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$18,225
Number of fines
2
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is government (government - hospital district). It is independently operated, not part of a multi-facility chain.