Nursing Home Alerts

River Hills Health and Rehabilitation Center

2091 Bandera Hwy, Kerrville, TX 78028

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River Hills Health and Rehabilitation Center is a nursing home in Kerrville, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. Health inspection on August 21, 2026

    14 citations

    CMS lists this as a standard inspection.

    Show the 14 citations
    • Citation F0887. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    • Citation F0565. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS has cited this home for F0755 4 times since 2024.

    • Citation F0801. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

      CMS has cited this home for F0801 2 times since 2024.

    • Citation F0809. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS has cited this home for F0812 3 times since 2024.

    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS has cited this home for F0880 3 times since 2024.

    • Citation F0908. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep all essential equipment working safely.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS has cited this home for F0550 2 times since 2026.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS has cited this home for F0690 2 times since 2025.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS has cited this home for F0760 3 times since 2025.

    • Citation F0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS has cited this home for F0921 2 times since 2024.

    See this home on CMS Care Compare

  2. Fire safety inspection on August 21, 2026

    9 citations

    CMS lists this as a standard inspection.

    Show the 9 citations
    • Citation E0020. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish policies and procedures including evacuation.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS has cited this home for E0039 2 times since 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS has cited this home for K0918 2 times since 2024.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS has cited this home for K0353 2 times since 2024.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS has cited this home for K0372 2 times since 2025.

    • Citation K0712. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS has cited this home for K0712 2 times since 2025.

    See this home on CMS Care Compare

  3. Health inspection on June 19, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on July 7, 2026.

    See this home on CMS Care Compare

  4. Health inspection on May 7, 2026

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on June 1, 2026.

      CMS has cited this home for F0609 2 times since 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on June 1, 2026.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on June 1, 2026.

      CMS has cited this home for F0761 2 times since 2025.

    See this home on CMS Care Compare

  5. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  6. CMS update of February 25, 2026

    • Fine

      CMS changed the fine from February 8, 2025 from $48,695 to $49,392.

  7. Health inspection on February 4, 2026

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0628. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      CMS lists it as corrected on February 6, 2026.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on February 6, 2026.

      CMS has cited this home for F0641 3 times since 2024.

    See this home on CMS Care Compare

  8. CMS update of January 14, 2026

    • Fine

      CMS changed the fine from February 8, 2025 from $74,915 to $48,695.

  9. Health inspection on November 26, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0882. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

      CMS lists it as corrected on December 19, 2025.

    See this home on CMS Care Compare

  10. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

    • Special Focus Facility

      CMS no longer lists this home as a Special Focus Facility candidate.

  11. Health inspection on September 16, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on October 1, 2025.

      CMS has cited this home for F0689 3 times since 2024.

    See this home on CMS Care Compare

  12. CMS update of July 30, 2025

    • Special Focus Facility

      CMS now lists this home as a Special Focus Facility candidate.

    • Ownership

      CMS no longer lists a chain for this home.

    • Health citation

      CMS removed citation F0758 from the health inspection on April 19, 2024.

    • Fine

      CMS changed the fine from December 21, 2024 from $46,660 to $47,468.

  13. Health inspection on June 13, 2025

    14 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 14 citations
    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on July 11, 2025.

      CMS has cited this home for F0656 3 times since 2024.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on July 11, 2025.

    • Citation F0690. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on July 11, 2025.

    • Citation F0727. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

      CMS lists it as corrected on July 11, 2025.

      CMS has cited this home for F0727 2 times since 2024.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on July 11, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on July 11, 2025.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on July 11, 2025.

      CMS has cited this home for F0583 2 times since 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on July 11, 2025.

    • Citation F0605. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on July 11, 2025.

    • Citation F0685. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

      CMS lists it as corrected on July 11, 2025.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on July 11, 2025.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on July 11, 2025.

    • Citation F0813. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on July 11, 2025.

      CMS has cited this home for F0813 2 times since 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 11, 2025.

    See this home on CMS Care Compare

  14. Fire safety inspection on June 13, 2025

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on July 11, 2025.

    • Citation E0032. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide primary/alternate means for communication.

      CMS lists it as corrected on July 11, 2025.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on July 11, 2025.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on July 11, 2025.

    See this home on CMS Care Compare

  15. CMS update of May 28, 2025

    • Fine

      CMS changed the fine from December 21, 2024 from $71,785 to $46,660.

  16. Health inspection on May 13, 2025

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0558. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on June 3, 2025.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on June 3, 2025.

    See this home on CMS Care Compare

  17. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  18. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  19. Health inspection on February 8, 2025

    4 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $49,392 on February 8, 2025.

    Show the 4 citations
    • Citation F0684. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on February 9, 2025.

      CMS has cited this home for F0684 2 times since 2024.

    • Citation F0755. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on February 9, 2025.

    • Citation F0760. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on February 9, 2025.

    • Citation F0770. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.

      CMS lists it as corrected on February 9, 2025.

    See this home on CMS Care Compare

  20. Health inspection on December 21, 2024

    5 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $47,467 on December 21, 2024.

    Show the 5 citations
    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on December 22, 2024.

    • Citation F0727. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

      CMS lists it as corrected on December 22, 2024.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on December 22, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on December 22, 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on December 22, 2024.

    See this home on CMS Care Compare

  21. Health inspection on September 9, 2024

    4 citations

    CMS lists this as a complaint inspection.

    Show the 4 citations
    • Citation F0607. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on September 30, 2024.

    • Citation F0609. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on September 30, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on September 30, 2024.

    • Citation F0839. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Employ staff that are licensed, certified, or registered in accordance with state laws.

      CMS lists it as corrected on September 30, 2024.

    See this home on CMS Care Compare

  22. CMS update of August 29, 2024

    • Fine

      CMS changed the fine from January 10, 2024 from $14,901 to $15,274.

  23. CMS update of June 26, 2024

    • Fine

      CMS changed the fine from January 10, 2024 from $15,770 to $14,901.

  24. CMS update of May 29, 2024

    • Ownership

      CMS lists this home under a new chain.

  25. CMS update of April 25, 2024

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  26. Health inspection on April 19, 2024

    11 citations

    CMS lists this as a standard inspection.

    Show the 11 citations
    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0583. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0801. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0849. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0921. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0813. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on May 31, 2024.

    See this home on CMS Care Compare

  27. Fire safety inspection on April 19, 2024

    5 citations

    CMS lists this as a standard inspection.

    Show the 5 citations
    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on May 17, 2024.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on May 22, 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on April 19, 2024.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on April 19, 2024.

    • Citation K0741. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on April 22, 2024.

    See this home on CMS Care Compare

  28. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  29. Health inspection on January 10, 2024

    2 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $15,274 on January 10, 2024.

    Show the 2 citations
    • Citation F0580. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on January 29, 2024.

    • Citation F0684. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on January 29, 2024.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(830) 257-9900
Last standard health inspection
August 21, 2026 (2 months ago)
Certified beds
150
Residents per day, on average
99.6
Ownership type
Government - Hospital district
Legal business name
Uvalde County Hospital Authority
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

More health citations than the Texas average (64 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was River Hills Health and Rehabilitation Center last inspected?

CMS lists August 21, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does River Hills Health and Rehabilitation Center have?

CMS lists 64 health citations since January 10, 2024. CMS also calls these deficiencies.

Has River Hills Health and Rehabilitation Center been fined?

CMS lists 3 fines in the past three years, $112,133 in total.

What is the CMS star rating of River Hills Health and Rehabilitation Center?

Its CMS overall star rating is 1 of 5.

Is River Hills Health and Rehabilitation Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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