The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: G
Nursing home report
Remarkable Healthcare of Seguin
Registered name: River Bend Healthcare
Seguin, TX · Medicare-certified · 115 beds
Needs attention
Government-runChain member
Data as of September 1, 2026
1 of 5 overall
Remarkable Healthcare of Seguin has an overall rating of 1 out of 5 stars, with very low staffing (1 out of 5 stars) and nurse staffing below the federal benchmark at 3.39 hours per resident per day versus 4.1. It also has a recent federal penalty and $9,246 in fines over the last 24 months, while its quality measures are rated 4 out of 5 stars.
Facility ratings
Health inspections
Staffing
3.3921 hrs/resident/day
Quality measures
Last inspection: February 13, 2026Penalties, last 24 months: $9,246recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3921.
Staffing detail
- Registered nurses
- 0.16
- Licensed practical nurses
- 1.12
- Nurse aides
- 2.12
- Weekend nursing
- 2.94
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.6%13.3%Worsening
Residents with a fall causing major injury
2%0%Improving
Residents with pressure ulcers (bedsores)
3.8%1.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.8%2.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.1%2.2%Improving
Residents whose ability to walk got worse
—12.1%—
Long-stay residents on antianxiety or sleep medication
16.7%16.7%No change
Short-stay residents newly given an antipsychotic
2.3%1.7%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.5%14%Worsening
Residents with depressive symptoms
0%1.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—83.3%—
Long-stay residents given the pneumonia vaccine
100%94.5%Worsening
Short-stay residents given the seasonal flu vaccine
—46.5%—
Short-stay residents given the pneumonia vaccine
85.9%94.7%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure its staff were properly licensed, certified, or registered as required by state law. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 839 — 42 CFR §483.70 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,246 was recorded.
- PENALTY
A federal fine of $9,110 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,979 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $18,225 in total fines.
- $9,246
Federal fine
Oct 24, 2025
- $8,979
Federal fine
May 1, 2024
Operator & ownership
Recent ownership change · Mar 1, 2024
Now operated by River Bend Healthcare, previously Remarkable Healthcare of Seguin.
- Ownership
- Government - Hospital district
- Chain
- Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
- Occupancy
- 69.6 residents on an average day (61% of 115 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 15 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.