River Hills Health and Rehabilitation Center

Nursing Home

2091 Bandera Hwy
Kerrville, TX 78028 · Kerr County
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Call (830) 257-9900

Official website not yet verified

Overall Medicare rating★★★★★
Overall: state avg 2.8 · U.S. 3.0
Health inspections★★★★★
Staffing★★★★★
Staffing: state avg 1.9 · U.S. 3.0
Quality measures★★★★★

Source: CMS Care Compare (data as of October 1, 2026)

View Safety Report

Safety at a glance

6Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles
64Total health citations, last 3 inspection cycles
$112,133Federal fines, last 3 years (3 fines)

Most recent standard inspection: August 21, 2026.

Most recent serious findings

J
Ensure that residents are free from significant medication errors.
February 8, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.
J
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
February 8, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
February 8, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

View the full Safety Report →

Availability

Availability Unknown

This facility has not confirmed current availability. We never estimate vacancies. Please call (830) 257-9900 to ask about openings and waiting lists.

We'll show the answer here once the facility provides it.

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Nurse staffing

Total nurse hours per resident per day
3.18 hours · state avg 3.42, U.S. 3.90
Registered nurse (RN) hours per resident per day
0.21 hours
Total nurse hours on weekends
2.73 hours · state avg 2.99
Nursing staff turnover (yearly)
72.5% · state avg 50.8%
RN turnover (yearly)
66.7%
Administrators who left (yearly)
Not Available

Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).

Source: CMS Provider Information (data as of October 1, 2026)

Paying for care

Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.

In Texas, Medicaid long-term care is provided through STAR+PLUS (incl. STAR+PLUS HCBS).

Ways to pay for care in Texas →

Pricing

Published price: Not Yet Verified

What families report paying

No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.

Yearly price increases

No increase reports yet. Shown after 5 reports.

We'll show the answer here once the facility provides it.

Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.

Family Cameras & Video Access

Family-installed room cameras
Not Verified
Facility-provided room cameras
Not Verified
Authorized remote family viewing
Not Verified
Live video visitation
Not Verified
We'll show the answer here once the facility provides it.

We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.

Applying & contacting

Online admission application
Not yet checked
Online waiting-list form
Not yet checked
Online inquiry form
Not yet checked
Online tour scheduling
Not yet checked
We'll show the answer here once the facility provides it.

Application checklist & links Applying to several facilities? Add each one to your compare list and open the apply page.

Ownership

Ownership type
Government - Hospital district
Chain / affiliation
Not Available
Legal business name
Uvalde County Hospital Authority
Owner or managerRoleShare
APOLINAR, ADAMCORPORATE OFFICER—
AZIZ, WESAMADP OF THE SNF—
AZIZ, WESAMMANAGING CONTROL - GOVERNING BODY—
AZIZ, WESAMOPERATIONAL/MANAGERIAL CONTROL—
BANDERA HWY HEALTH HOLDINGS LLCADP OF THE SNF—
BURNAM, SOONCORPORATE OFFICER—
CROWN MOUNTAIN HEALTHCARE LLCADP OF THE SNF—
CROWN MOUNTAIN HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROL—
ENSIGN SERVICES, INC.ADP OF THE SNF—
KEETCH, CHADCORPORATE DIRECTOR—
LOPEZ, ALANADP OF THE SNF—
LOPEZ, ALANOPERATIONAL/MANAGERIAL CONTROL—

Source: CMS Provider Information (data as of October 1, 2026)

About this listing

CMS Certification Number
676114
Certified beds
150
Average residents per day
99.6
Medicare / Medicaid
Medicare and Medicaid
Continuing care retirement community
No
First certified
October 1, 2006
Last confirmed by official source
October 1, 2026

Read full inspection narratives at Medicare Care Compare or ProPublica Nursing Home Inspect.

Nearby facilities

Avir At Kerrville

1555 Bandera Hwy, Kerrville, TX 78028 · 1.0 miles away
Nursing Home130 certified bedsAccepts MedicaidMedicare certified(830) 412-2366
Availability Unknown
Overall (Medicare)★★★★★
Health inspections★★★★★
Staffing★★★★★
Serious citations*4
View details

Arbor View Nursing & Rehabilitation

1213 Water St, Kerrville, TX 78028 · 1.8 miles away
Nursing Home179 certified bedsAccepts MedicaidMedicare certified(830) 896-2411
Availability Unknown
Overall (Medicare)★★★★★
Health inspections★★★★★
Staffing★★★★★
Serious citations*6
View details
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