Nursing home report
Registered name: RIVER HILLS HEALTH AND REHABILITATION CENTER
KERRVILLE, TX · Medicare-certified · 150 beds
River Hills in Kerrville, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings but 4-star quality measures. It reports 3.11 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $96,859 in fines over the last 24 months, and a recent federal penalty, with cited issues involving pharmacy services, medication errors, and following care orders.
Health inspections
Staffing
3.1068 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1068.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 755 — 42 CFR §483.45 — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
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.
F-Tag 684 — 42 CFR §483.25 — 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.
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.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
A federal fine of $49,392 was recorded.
A federal fine of $47,467 was recorded.
On record with Medicare: 3 fines · $112,133 in total fines.
Federal fine
Feb 8, 2025
Federal fine
Dec 21, 2024
Federal fine
Jan 10, 2024
Now operated by Uvalde County Hospital Authority, previously Southwest Ltc Kerrville LTD..
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.
