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
Data as of July 1, 2026
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 results; it also has a recent federal penalty, $9,246 in fines over the last 24 months, and reported nurse staffing below the federal benchmark (3.39 vs 4.1 hours per resident per day).
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 nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2026 — 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 ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — 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
- 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.