River Hills Health And Rehabilitation Center
2091 Bandera Hwy, Kerrville, TX 78028 · Kerr County
For-profit · 150 certified beds · 66% occupancy · (830) 257-9900
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.
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.
3.11 nurse hours per resident per day. 5% below the Texas median of 3.27.
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.
- 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 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
- Potential for harmTag F0761 · May 7, 2026ComplaintCorrected Jun 1, 2026
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
Showing the 10 most recent and serious of 58 findings. See the full inspection history on Medicare.gov.