The nursing home failed to ensure residents were free from significant medication errors. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
RIVER HILLS HEALTH AND REHABILITATION CENTER
KERRVILLE, TX · Medicare-certified · 150 beds
Needs attention
For-profit
1 of 5 overall
River Hills Health and Rehabilitation Center in Kerrville, TX has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings, while quality measures are 4 stars. It reports nurse staffing below the federal benchmark (3.16 vs 4.1 hours per resident per day) and had $96,859 in fines in the last 24 months, plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.157 hrs/resident/day
Quality measures
Last inspection: February 4, 2026Penalties, last 24 months: $96,859recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.157.
Staffing detail
- Registered nurses
- 0.23
- Licensed practical nurses
- 1.08
- Nurse aides
- 1.85
- Weekend nursing
- 2.73
Hours per resident per day.
Total staff turnover: 77%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.7%Worsening
Residents with a fall causing major injury
2%Worsening
Residents with pressure ulcers (bedsores)
5.2%Improving
Residents with a urinary tract infection
0.3%Worsening
Residents who lost too much weight
2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.3%Worsening
Residents whose ability to walk got worse
4.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.3%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.9%Improving
Residents with new or worsening incontinence
21.1%Steady
Residents with depressive symptoms
0.7%Improving
Long-stay residents given the seasonal flu vaccine
96.9%Steady
Long-stay residents given the pneumonia vaccine
98.3%Steady
Short-stay residents given the seasonal flu vaccine
86.3%Steady
Short-stay residents given the pneumonia vaccine
97.2%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited January 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
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
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $49,392 was recorded.
- PENALTY
A federal fine of $47,467 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $112,133 in total fines.
- $49,392
Federal fine
Feb 8, 2025
- $47,467
Federal fine
Dec 21, 2024
- $15,274
Federal fine
Jan 10, 2024
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 100 residents on an average day (67% of 150 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.