Ellery Care
F

River Hills Health And Rehabilitation Center

2091 Bandera Hwy, Kerrville, TX 78028 · Kerr County

For-profit · 150 certified beds · 66% occupancy · (830) 257-9900

Deciding as a family?

River Hills Health And Rehabilitation Center reviews: what the government record shows

The U.S. government (CMS) rates River Hills Health And Rehabilitation Center 1 out of 5 stars overall, much below average. Its nurse staffing is 5% below the Texas median. Inspectors cited it for 6 immediate-jeopardy findings in recent inspection cycles.

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
3.11 hrs/resident/day (-5% vs TX median)
Antipsychotic drug use
3.8% of long-stay residents (TX median 8.3%)
Falls with major injury
2.1% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$112,133
Inspection findings
57 cited, 6 immediate-jeopardy
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.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Nurse staffing of 3.11 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 6 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $112,133 in federal fines in roughly the last three years.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·Can we see the most recent inspection report and the plan of correction?

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 Hills Health And Rehabilitation Center

Is River Hills Health And Rehabilitation Center a good nursing home?

River Hills Health And Rehabilitation Center in Kerrville, 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 Hills Health And Rehabilitation Center staffed?

River Hills Health And Rehabilitation Center reports 3.11 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has River Hills Health And Rehabilitation Center been fined or flagged for abuse?

River Hills Health And Rehabilitation Center has paid approximately $112,133 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

3.11 nurse hours per resident per day. 5% below the Texas median of 3.27.

Total nurse
3.11 hrs
RN
0.23 hrs
LPN
1.04 hrs
Aide
1.83 hrs

Nursing staff turnover: 75.9% · RN turnover: 83.3%

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.

57
total findings
6
immediate jeopardy
0
caused actual harm
26
from complaints
  • Potential for harmTag F0882 · Nov 26, 2025ComplaintCorrected Dec 19, 2025

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Infection Control Deficiencies

  • Potential for harmTag F0656 · Jun 13, 2025Corrected Jul 11, 2025

    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 F0677 · Jun 13, 2025Corrected Jul 11, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0690 · Jun 13, 2025Corrected Jul 11, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0727 · Jun 13, 2025Corrected Jul 11, 2025

    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.

    Nursing and Physician Services Deficiencies

  • Potential for harmTag F0761 · Jun 13, 2025Corrected Jul 11, 2025

    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.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0812 · Jun 13, 2025Corrected Jul 11, 2025

    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 F0550 · Jun 19, 2026ComplaintCorrected Jul 7, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies

  • Potential for harmTag F0609 · May 7, 2026ComplaintCorrected Jun 1, 2026

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0755 · May 7, 2026ComplaintCorrected Jun 1, 2026

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

    Pharmacy Service Deficiencies

Showing the 10 most recent and serious of 57 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.

3.8%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.

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
2.1%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
4.2%
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
$112,133
Number of fines
3
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 for-profit (for profit - individual). It is independently operated, not part of a multi-facility chain.