River Hills Health And Rehabilitation Center
Nursing home · 2091 BANDERA HWY, Kerrville, TX 78028 · Kerr County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 150
- State license
- 102667
- Medicare CCN
- 676114
- Licensed entity
- UVALDE COUNTY HOSPITAL AUTHORITY
- Ownership
- For profit - Individual
- Phone
- (830) 257-9900
- Nurse staffing
- 3.11 hours per resident per day; 75.9% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 1★ · Quality 4★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Feb 8, 2025 — Fine ($49,392)
- Dec 21, 2024 — Fine ($47,467)
- Jan 10, 2024 — Fine ($15,274)
Inspection findings
-
Jun 19, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jul 7, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 7, 2026 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jun 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jun 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0761 Pharmacy Service Deficiencies
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.
Corrected Jun 1, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 4, 2026 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0628 Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Feb 6, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Feb 6, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 26, 2025 Health · 1 finding
-
Not serious
Scope/severity F
Complaint
F0882 Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected Dec 19, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
-
Sep 16, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 1, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 13, 2025 Fire Safety · 18 findings
-
Not serious
Scope/severity E
E0032 Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Corrected Jul 11, 2025 · CMS fire safety
-
Not serious
Scope/severity D
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0685 Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0727 Nursing and Physician Services Deficiencies
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.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0813 Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Jul 11, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Jul 11, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Jul 11, 2025 · CMS fire safety
-
Not serious
Scope/severity E
-
May 13, 2025 Health · 2 findings
-
Not serious
Scope/severity E
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Jun 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Jun 3, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Feb 8, 2025 Health · 4 findings
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Feb 9, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Feb 9, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Feb 9, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0770 Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected Feb 9, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Dec 21, 2024 Health · 5 findings
-
Not serious
Scope/severity D
Complaint
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Dec 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Dec 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Dec 22, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 22, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0727 Nursing and Physician Services Deficiencies
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.
Corrected Dec 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Sep 9, 2024 Health · 4 findings
-
Not serious
Scope/severity E
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Sep 30, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Sep 30, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Sep 30, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0839 Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected Sep 30, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Apr 19, 2024 Fire Safety · 16 findings
-
Not serious
Scope/severity F
E0004 Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Corrected May 17, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected May 22, 2024 · CMS fire safety
-
Not serious
Scope/severity E
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0801 Nutrition and Dietary Deficiencies
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.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0813 Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0849 Administration Deficiencies
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.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 19, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Apr 22, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Apr 19, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Jan 10, 2024 Health · 2 findings
-
Serious
Scope/severity J
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jan 29, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jan 29, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Mar 4, 2023 Health · 9 findings
-
Not serious
Scope/severity E
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Mar 5, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 5, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0727 Nursing and Physician Services Deficiencies
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.
Corrected Mar 5, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 5, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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.
Corrected Mar 5, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 5, 2023 · CMS health inspection
-
Not serious
Scope/severity C
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Mar 5, 2023 · CMS health inspection
-
Not serious
Scope/severity D
K0222 Egress Deficiencies
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.
Corrected Mar 5, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Mar 10, 2023 · CMS fire safety
-
Not serious
Scope/severity E
Owners and managers (as published by CMS)
- APOLINAR, ADAM — corporate officer, NOT APPLICABLE, since 05/01/2026
- AZIZ, WESAM — managing control - governing body, NOT APPLICABLE, since 05/01/2026
- AZIZ, WESAM — adp of the snf, NOT APPLICABLE, since 05/01/2026
- AZIZ, WESAM — operational/managerial control, NOT APPLICABLE, since 05/01/2026
- BURNAM, SOON — corporate officer, NOT APPLICABLE, since 05/01/2026
- KEETCH, CHAD — corporate director, NOT APPLICABLE, since 03/01/2011
- LOPEZ, ALAN — adp of the snf, NOT APPLICABLE, since 03/11/2025
- LOPEZ, ALAN — operational/managerial control, NOT APPLICABLE, since 03/11/2025
- BANDERA HWY HEALTH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 05/01/2026
- CROWN MOUNTAIN HEALTHCARE LLC — operational/managerial control, NOT APPLICABLE, since 05/01/2026
- CROWN MOUNTAIN HEALTHCARE LLC — adp of the snf, NOT APPLICABLE, since 05/19/2026
- ENSIGN SERVICES, INC. — adp of the snf, NOT APPLICABLE, since 02/13/2026
- STANDARD BEARER HEALTHCARE OP LP — adp of the snf, NOT APPLICABLE, since 05/01/2026
- THE ENSIGN GROUP, INC. — adp of the snf, NOT APPLICABLE, since 05/01/2026
- UVALDE COUNTY HOSPITAL AUTHORITY — indirect ownership interest, NOT APPLICABLE, since 05/01/2026
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.