River Bend Healthcare
1339 Eastwood Dr, Seguin, TX 78155 · Guadalupe County
Government · 115 certified beds · 61% occupancy · (830) 379-3900
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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.
3.39 nurse hours per resident per day. 4% above the Texas median of 3.27.
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.
- 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.