RIVERVIEW NURSING & REHABILITATION

1102 RIVER RD, BOERNE, TX 78006 · CCN 675371 · 96 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2024-08-19 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-03-08 IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-01-13 IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-01-13 IMMEDIATE JEOPARDY (tag F0580, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2023-09-01 IMMEDIATE JEOPARDY (tag F0604, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2023-09-01 IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-09-01 IMMEDIATE JEOPARDY (tag F0740, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
2023-09-01 IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.05

state median 2.67

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.12

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

32

with residents present

Nursing staff turnover

68%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $156,748 in fines.

DateTypeAmount
2024-08-19Fine$78,025
2024-03-08Fine$17,128
2024-01-13Fine$20,391
2023-09-01Fine$41,204

Ownership

Ownership type: For profit - Limited Liability company. Part of the AVIR HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 29 · Immediate jeopardy: 8

Survey dateTagCategorySeverityCorrected
2026-05-08F0584Resident Rights DeficienciesEnot recorded
2026-05-08F0925Environmental DeficienciesEnot recorded
2025-03-07F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-03-07F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-03-07F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2025-03-07F0684Quality of Life and Care DeficienciesDnot recorded
2025-03-07F0804Nutrition and Dietary DeficienciesDnot recorded
2025-03-07F0812Nutrition and Dietary DeficienciesEnot recorded
2025-03-07F0813Nutrition and Dietary DeficienciesDnot recorded
2025-03-07F0814Nutrition and Dietary DeficienciesCnot recorded
2025-03-07F0880Infection Control DeficienciesDnot recorded
2025-03-07F0908Environmental DeficienciesEnot recorded
2025-03-07F0921Environmental DeficienciesEnot recorded
2024-10-18F0558Resident Rights DeficienciesDnot recorded
2024-10-18F0689Quality of Life and Care DeficienciesDnot recorded
2024-10-18F0690Quality of Life and Care DeficienciesDnot recorded
2024-10-18F0695Quality of Life and Care DeficienciesDnot recorded
2024-10-18F0755Pharmacy Service DeficienciesEnot recorded
2024-10-18F0812Nutrition and Dietary DeficienciesEnot recorded
2024-10-18F0921Environmental DeficienciesEnot recorded
2024-08-19F0689Quality of Life and Care DeficienciesJnot recorded
2024-04-26F0550Resident Rights DeficienciesEnot recorded
2024-04-26F0578Resident Rights DeficienciesDnot recorded
2024-04-26F0584Resident Rights DeficienciesEnot recorded
2024-04-26F0812Nutrition and Dietary DeficienciesEnot recorded
2024-04-26F0849Administration DeficienciesEnot recorded
2024-04-26F0925Environmental DeficienciesDnot recorded
2024-03-08F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-03-08F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-01-13F0580Resident Rights DeficienciesJnot recorded
2024-01-13F0684Quality of Life and Care DeficienciesJnot recorded
2023-09-01F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2023-09-01F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2023-09-01F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-09-01F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-09-01F0689Quality of Life and Care DeficienciesKnot recorded
2023-09-01F0740Quality of Life and Care DeficienciesKnot recorded
2023-09-01F0745Quality of Life and Care DeficienciesFnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “RIVERVIEW NURSING & REHABILITATION, BOERNE” at medicare.gov/care-compare.