Starfile / Texas

RIVER HILLS HEALTH AND REHABILITATION CENTER

2091 BANDERA HWY, KERRVILLE, TX 78028 · CCN 676114

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$112,133

Number of fines

3

Number of penalties

3

Payment denials

0

Inspection citations (55)6 immediate jeopardy

1. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-11-26 · Health · corrected 2025-12-19

   Potential for more than minimal harm

2. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-16 · Health · corrected 2025-10-01

   Potential for more than minimal harm

3. DF0583Keep residents' personal and medical records private and confidential.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

4. DF0584Honor 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.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

5. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

6. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

7. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

8. DF0685Assist a resident in gaining access to vision and hearing services.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-13 · Health · corrected 2025-07-11

   Potential for more than minimal harm

10. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-13 · Health · corrected 2025-07-11

    Potential for more than minimal harm

11. EF0727Have 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.2025-06-13 · Health · corrected 2025-07-11

    Potential for more than minimal harm

12. DF0760Ensure that residents are free from significant medication errors.2025-06-13 · Health · corrected 2025-07-11

    Potential for more than minimal harm

13. EF0761Ensure 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.2025-06-13 · Health · corrected 2025-07-11

    Potential for more than minimal harm

14. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-13 · Health · corrected 2025-07-11

    Potential for more than minimal harm

15. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-06-13 · Health · corrected 2025-07-11

    Potential for more than minimal harm

16. DF0880Provide and implement an infection prevention and control program.2025-06-13 · Health · corrected 2025-07-11

    Potential for more than minimal harm

17. EF0558Reasonably accommodate the needs and preferences of each resident.2025-05-13 · Health · corrected 2025-06-03

    Potential for more than minimal harm

18. DF0641Ensure each resident receives an accurate assessment.2025-05-13 · Health · corrected 2025-06-03

    Potential for more than minimal harm

19. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-08 · Health · corrected 2025-02-09

    Immediate jeopardy

20. JF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-08 · Health · corrected 2025-02-09

    Immediate jeopardy

21. JF0760Ensure that residents are free from significant medication errors.2025-02-08 · Health · corrected 2025-02-09

    Immediate jeopardy

22. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-02-08 · Health · corrected 2025-02-09

    Potential for more than minimal harm

23. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-12-21 · Health · corrected 2024-12-22

    Potential for more than minimal harm

24. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-21 · Health · corrected 2024-12-22

    Potential for more than minimal harm

25. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-21 · Health · corrected 2024-12-22

    Potential for more than minimal harm

26. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-21 · Health · corrected 2024-12-22

    Immediate jeopardy

27. FF0727Have 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.2024-12-21 · Health · corrected 2024-12-22

    Potential for more than minimal harm

28. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-09-09 · Health · corrected 2024-09-30

    Potential for more than minimal harm

29. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-09 · Health · corrected 2024-09-30

    Potential for more than minimal harm

30. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-09 · Health · corrected 2024-09-30

    Potential for more than minimal harm

31. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-09-09 · Health · corrected 2024-09-30

    Potential for more than minimal harm

32. EF0583Keep residents' personal and medical records private and confidential.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

33. DF0641Ensure each resident receives an accurate assessment.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

34. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

35. DF0758Implement 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.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

36. DF0759Ensure medication error rates are not 5 percent or greater.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

37. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

38. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

39. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

40. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

41. EF0880Provide and implement an infection prevention and control program.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

42. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-04-19 · Health · corrected 2024-05-31

    Potential for more than minimal harm

43. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-10 · Health · corrected 2024-01-29

    Immediate jeopardy

44. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-10 · Health · corrected 2024-01-29

    Immediate jeopardy

45. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-07 · Health · corrected 2023-08-07

    Potential for more than minimal harm

46. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-07-07 · Health · corrected 2023-08-07

    Potential for more than minimal harm

47. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-23 · Health · corrected 2023-07-23

    Potential for more than minimal harm

48. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-30 · Health · corrected 2023-04-04

    Potential for more than minimal harm

49. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-04 · Health · corrected 2023-03-05

    Potential for more than minimal harm

50. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-04 · Health · corrected 2023-03-05

    Potential for more than minimal harm

51. EF0727Have 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.2023-03-04 · Health · corrected 2023-03-05

    Potential for more than minimal harm

52. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-04 · Health · corrected 2023-03-05

    Potential for more than minimal harm

53. EF0761Ensure 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.2023-03-04 · Health · corrected 2023-03-05

    Potential for more than minimal harm

54. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-04 · Health · corrected 2023-03-05

    Potential for more than minimal harm

55. CF0814Dispose of garbage and refuse properly.2023-03-04 · Health · corrected 2023-03-05

    Potential for minimal harm

Ownership

Other facilities in KERRVILLE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.