Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected, date of correction 15 Mar 2026
River Bend Healthcare
Nursing home · 1339 Eastwood Dr., Seguin, TX 78155 · Guadalupe County · (830) 379-3900Medicare and Medicaid certified
49
health deficiencies
across 11 surveys
across 11 surveys
2
at actual harm or worse
0 immediate jeopardy
0 immediate jeopardy
$18,225
in federal fines
2 penalties
2 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 Guadalupe County
4.5 health deficiencies per survey, against a county median of 4.6. Lower is better.
Fewer deficiencies per survey than 57 out of 100 nursing homes in Guadalupe 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 | 0 | |
| Actual harm | 2 | |
| Potential for harm | 47 | |
| No harm | 0 |
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: 15 fire safety deficiencies on record.
What the surveyors found
The most recent deficiency is open to read. The full record of 49, with dates, severity and corrections, is in the report.
Nutrition and Dietary
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Administration
Employ staff that are licensed, certified, or registered in accordance with state laws.
Infection Control
Provide and implement an infection prevention and control program.
Read all 49 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, $12Records last updated 23 October 2026 from CMS and Texas HHSC.
Source: CMS Care Compare nursing home data (data.cms.gov), refreshed monthly. Survey findings are public records written by state surveyors for CMS. KnowYourCareHome does not inspect homes and adds no findings of its own.
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