River Hills Health and Rehabilitation Center

2091 Bandera Hwy, Kerrville, TX 78028

Phone: 8302579900

CMS ratings and facility information

River Hills Health and Rehabilitation Center is a Medicare-certified nursing facility in Kerrville, Kerr County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measures rating4 of 5
Certified beds150
OwnershipFor profit - Individual
CMS certification number676114

Staffing

Total nurse hours per resident day3.11
RN hours per resident day0.23
Nurse aide hours per resident day1.83
Total nursing staff turnover percent75.9
RN turnover percent83.3

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.56events_per_1000_resident_days20250101-20251231
Emergency-department visits3.66events_per_1000_resident_days20250101-20251231
Falls with major injury2.1percent2025Q2-2026Q1
Pressure ulcers4.19percent2025Q2-2026Q1
Urinary tract infections0.3percent2025Q2-2026Q1
Antipsychotic medication use3.76percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-06-130656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2025-06-130677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2025-06-130690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E
2025-06-130727Have 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.E
2025-06-130761Ensure 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.E
2025-06-130812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-06-130583Keep residents' personal and medical records private and confidential.D
2025-06-130584Honor 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.D
2025-06-130605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D
2025-06-130685Assist a resident in gaining access to vision and hearing services.D
2025-06-130689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-06-130760Ensure that residents are free from significant medication errors.D
2025-06-130813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D
2025-06-130880Provide and implement an infection prevention and control program.D
2024-04-190812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-04-190583Keep residents' personal and medical records private and confidential.E
2024-04-190801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E
2024-04-190849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.E
2024-04-190880Provide and implement an infection prevention and control program.E
2024-04-190921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2024-04-190641Ensure each resident receives an accurate assessment.D
2024-04-190656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-04-190758Implement 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.D
2024-04-190759Ensure medication error rates are not 5 percent or greater.D
2024-04-190813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D
2023-03-040657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2023-03-040727Have 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.E
2023-03-040755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-03-040761Ensure 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.E
2023-03-040812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-03-040684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-03-040814Dispose of garbage and refuse properly.C

Penalties

DateTypeAmount
2025-02-08Fine,392
2024-12-21Fine,467
2024-01-10Fine,274

Ownership records

NameTypeRole
UVALDE COUNTY HOSPITAL AUTHORITYOrganizationINDIRECT OWNERSHIP INTEREST
AZIZ, WESAMIndividualMANAGING CONTROL - GOVERNING BODY
KEETCH, CHADIndividualCORPORATE DIRECTOR
APOLINAR, ADAMIndividualCORPORATE OFFICER
BURNAM, SOONIndividualCORPORATE OFFICER
CROWN MOUNTAIN HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
AZIZ, WESAMIndividualOPERATIONAL/MANAGERIAL CONTROL
LOPEZ, ALANIndividualOPERATIONAL/MANAGERIAL CONTROL
BANDERA HWY HEALTH HOLDINGS LLCOrganizationADP OF THE SNF
CROWN MOUNTAIN HEALTHCARE LLCOrganizationADP OF THE SNF
ENSIGN SERVICES, INC.OrganizationADP OF THE SNF
STANDARD BEARER HEALTHCARE OP LPOrganizationADP OF THE SNF
THE ENSIGN GROUP, INC.OrganizationADP OF THE SNF
AZIZ, WESAMIndividualADP OF THE SNF
LOPEZ, ALANIndividualADP OF THE SNF

Compare nursing homes in Kerr County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.