The nursing home failed to protect residents from abuse and neglect by others. Cited March 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
RIVERVIEW NURSING & REHABILITATION
BOERNE, TX · Medicare-certified · 96 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Riverview Nursing & Rehabilitation in Boerne, TX has a 1-star overall rating and 1-star health inspection rating, with 3-star staffing and quality ratings. It reports 3.17 nurse hours per resident per day, below the federal benchmark of 4.1, and has had $78,025 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1701 hrs/resident/day
Quality measures
Last inspection: May 8, 2026Penalties, last 24 months: $78,025recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1701.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 0.81
- Nurse aides
- 2.08
- Weekend nursing
- 2.90
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 40%
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
8%40.7%Worsening
Residents with a fall causing major injury
1.8%3.1%Worsening
Residents with pressure ulcers (bedsores)
2.4%2.2%No change
Residents with a urinary tract infection
0%3.2%Worsening
Residents who lost too much weight
6%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6%37.9%Worsening
Residents whose ability to walk got worse
2.8%10.4%Worsening
Long-stay residents on antianxiety or sleep medication
56%27.1%Improving
Short-stay residents newly given an antipsychotic
—5.4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
3.1%15.5%Worsening
Residents with depressive symptoms
0%0%No change
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
—100%—
Long-stay residents given the pneumonia vaccine
100%73.4%Worsening
Short-stay residents given the pneumonia vaccine
75%66.7%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited September 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: K
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited September 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — 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
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $78,025 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $156,748 in total fines.
- $78,025
Federal fine
Aug 19, 2024
- $17,128
Federal fine
Mar 8, 2024
- $20,391
Federal fine
Jan 13, 2024
- $41,204
Federal fine
Sep 1, 2023
Operator & ownership
Recent ownership change · Apr 1, 2025
Now operated by Avir at Boerne, previously Riverview Nursing & Rehabilitation.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
- Occupancy
- 67.7 residents on an average day (71% of 96 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.