RIVER HILLS HEALTH AND REHABILITATION CENTER

2091 BANDERA HWY, KERRVILLE, TX 78028 · CCN 676114 · 150 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality4 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 6 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-02-08 IMMEDIATE JEOPARDY (tag F0755, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2025-02-08 IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2025-02-08 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.
2024-12-21 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.
2024-01-10 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.
2024-01-10 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.

Staffing, from payroll records

Nursing hours / resident / day

2.45

state median 2.67

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.07

registered nurses only

Contract (agency) staff

35%

share of all nursing hours

Days with zero RN hours reported

41

with residents present

Nursing staff turnover

76%

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

3 enforcement action(s), totaling $112,133 in fines.

DateTypeAmount
2025-02-08Fine$49,392
2024-12-21Fine$47,467
2024-01-10Fine$15,274

Ownership

Ownership type: For profit - Individual.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 51 · Immediate jeopardy: 6

Survey dateTagCategorySeverityCorrected
2026-05-07F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-05-07F0755Pharmacy Service DeficienciesDnot recorded
2026-05-07F0761Pharmacy Service DeficienciesDnot recorded
2026-02-04F0628Resident Rights DeficienciesDnot recorded
2026-02-04F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-11-26F0882Infection Control DeficienciesFnot recorded
2025-09-16F0689Quality of Life and Care DeficienciesDnot recorded
2025-06-13F0583Resident Rights DeficienciesDnot recorded
2025-06-13F0584Resident Rights DeficienciesDnot recorded
2025-06-13F0605Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-06-13F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-06-13F0677Quality of Life and Care DeficienciesEnot recorded
2025-06-13F0685Quality of Life and Care DeficienciesDnot recorded
2025-06-13F0689Quality of Life and Care DeficienciesDnot recorded
2025-06-13F0690Quality of Life and Care DeficienciesEnot recorded
2025-06-13F0727Nursing and Physician Services DeficienciesEnot recorded
2025-06-13F0760Pharmacy Service DeficienciesDnot recorded
2025-06-13F0761Pharmacy Service DeficienciesEnot recorded
2025-06-13F0812Nutrition and Dietary DeficienciesEnot recorded
2025-06-13F0813Nutrition and Dietary DeficienciesDnot recorded
2025-06-13F0880Infection Control DeficienciesDnot recorded
2025-05-13F0558Resident Rights DeficienciesEnot recorded
2025-05-13F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-08F0684Quality of Life and Care DeficienciesJnot recorded
2025-02-08F0755Pharmacy Service DeficienciesJnot recorded
2025-02-08F0760Pharmacy Service DeficienciesJnot recorded
2025-02-08F0770Administration DeficienciesDnot recorded
2024-12-21F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-21F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-21F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-12-21F0689Quality of Life and Care DeficienciesJnot recorded
2024-12-21F0727Nursing and Physician Services DeficienciesFnot recorded
2024-09-09F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-09-09F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-09-09F0755Pharmacy Service DeficienciesDnot recorded
2024-09-09F0839Administration DeficienciesDnot recorded
2024-04-19F0583Resident Rights DeficienciesEnot recorded
2024-04-19F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-19F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-19F0758Pharmacy Service DeficienciesDnot recorded
2024-04-19F0759Pharmacy Service DeficienciesDnot recorded
2024-04-19F0801Nutrition and Dietary DeficienciesEnot recorded
2024-04-19F0812Nutrition and Dietary DeficienciesFnot recorded
2024-04-19F0813Nutrition and Dietary DeficienciesDnot recorded
2024-04-19F0849Administration DeficienciesEnot recorded
2024-04-19F0880Infection Control DeficienciesEnot recorded
2024-04-19F0921Environmental DeficienciesEnot recorded
2024-01-10F0580Resident Rights DeficienciesJnot recorded
2024-01-10F0684Quality of Life and Care DeficienciesJnot recorded
2023-07-07F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-07-07F0757Pharmacy Service DeficienciesDnot recorded
2023-03-04F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2023-03-04F0684Quality of Life and Care DeficienciesDnot recorded
2023-03-04F0727Nursing and Physician Services DeficienciesEnot recorded
2023-03-04F0755Pharmacy Service DeficienciesEnot recorded
2023-03-04F0761Pharmacy Service DeficienciesEnot recorded
2023-03-04F0812Nutrition and Dietary DeficienciesEnot recorded
2023-03-04F0814Nutrition and Dietary DeficienciesCnot 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 “RIVER HILLS HEALTH AND REHABILITATION CENTER, KERRVILLE” at medicare.gov/care-compare.