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
River Bend Healthcare
SEGUIN, TX · Medicare-certified · 115 beds
Needs attention
Government-run
1 of 5 overall
River Bend Healthcare in Seguin, TX has a 1-star overall rating, with 1-star staffing and 2-star health inspection ratings. Reported nurse staffing is 3.37 hours per resident per day versus the 4.1 federal benchmark, and the facility had $18,089 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3738 hrs/resident/day
Quality measures
Last inspection: November 25, 2025Penalties, last 24 months: $18,089recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3738.
Staffing detail
- Registered nurses
- 0.23
- Licensed practical nurses
- 1.06
- Nurse aides
- 2.08
- Weekend nursing
- 2.86
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.2%Worsening
Residents with a fall causing major injury
2.7%Improving
Residents with pressure ulcers (bedsores)
7.2%Worsening
Residents with a urinary tract infection
0.5%Improving
Residents who lost too much weight
7.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19%Improving
Residents whose ability to walk got worse
15.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
20.5%Improving
Short-stay residents newly given an antipsychotic
0.5%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
14.4%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
83.3%Steady
Long-stay residents given the pneumonia vaccine
91.3%Improving
Short-stay residents given the seasonal flu vaccine
46.5%Steady
Short-stay residents given the pneumonia vaccine
89%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 nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — 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 2 health deficiencies.
See what inspectors found
- 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 · $18,089 in total fines.
- $9,110
Federal fine
Oct 24, 2025
- $8,979
Federal fine
May 1, 2024
Operator & ownership
- Ownership
- Government - Hospital district
- Occupancy
- 65.9 residents on an average day (57% 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.