Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected, date of correction 7 Jul 2026
RIVER HILLS HEALTH AND REHABILITATION CENTER
Nursing home · 2091 BANDERA HWY, Kerrville, TX 78028 · Kerr County · (830) 257-9900Medicare and Medicaid certified
57
health deficiencies
across 13 surveys
across 13 surveys
6
at actual harm or worse
6 immediate jeopardy
6 immediate jeopardy
$112,133
in federal fines
3 penalties
3 penalties
CMS star ratings
Medicare’s Care Compare ratings, 1 to 5 stars, as published. Health inspection is the one built from the deficiencies below.
★★★★★
Overall
★★★★★
Health inspection
★★★★★
Staffing
★★★★★
Quality measures
How it compares in Kerr County
4.4 health deficiencies per survey, against a county median of 4.9. Lower is better.
Fewer deficiencies per survey than 67 out of 100 nursing homes in Kerr County. Per survey, not raw count, because a home surveyed ten times will always have more findings on paper than one surveyed twice.
Deficiencies by level of harm
| Immediate jeopardy | 6 | |
| Actual harm | 0 | |
| Potential for harm | 50 | |
| No harm | 1 |
CMS grades every deficiency by scope and severity, A to L. A to C is no harm, D to F potential for harm, G to I actual harm, J to L immediate jeopardy. Fire safety is surveyed separately: 11 fire safety deficiencies on record.
What the surveyors found
The most recent deficiency is open to read. The full record of 57, with dates, severity and corrections, is in the report.
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
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.
Read all 57 deficiencies
Every finding as CMS published it, the survey date, the harm level, the correction, and the full ownership trail. One payment, no subscription.
Get the full report, $12Source: CMS Care Compare nursing home data (data.cms.gov), refreshed monthly. This page last updated 24 Oct 2026. Survey findings are public records written by state surveyors for CMS. KnowYourCareHome does not inspect homes and adds no findings of its own.
Full report $12, one time
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