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River Hills Health And Rehabilitation Center

2091 Bandera Hwy, Kerrville, TX 780288302579900Ownership: For profit - IndividualCertified beds: 150Avg. daily residents: 99County: Kerr

The complete public record on River Hills Health And Rehabilitation Center, a Medicare & Medicaid–certified nursing home in Kerrville, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
River Hills Health And Rehabilitation Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 76% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $112,133 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.11 total nurse staff hours per resident per day
below the state average (3.39)
0.23 RN hours per resident per day
below the state average (0.43)
2.73 weekend nurse staff hours per resident per day
75.9% total nursing staff turnover
above the state average (55.3)
83.3% RN turnover

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

June 13, 2025 most recent standard health inspection
22 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
28 health deficiencies in the two prior cycles combined
$112,133 in federal fines across 3 penalties (last 3 years)
above the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

57 citations on record across recent inspections, 6 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 19, 20260550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. ComplaintD · Potential for more than minimal harm
May 7, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
May 7, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. ComplaintD · Potential for more than minimal harm
May 7, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all… ComplaintD · Potential for more than minimal harm
February 4, 20260628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. ComplaintD · Potential for more than minimal harm
February 4, 20260641Ensure each resident receives an accurate assessment. ComplaintD · Potential for more than minimal harm
November 26, 20250882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. ComplaintF · Potential for more than minimal harm
September 16, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
June 13, 20250656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E · Potential for more than minimal harm
June 13, 20250677Provide care and assistance to perform activities of daily living for any resident who is unable.E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.