Nursing homes › Texas › River Hills Health and Rehabilitation Center
2091 Bandera Hwy, Kerrville, TX 78028 · 8302579900 · 150 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Individual.
Total nurse staffing: 3.11 (Texas median: 3.27). RN hours: 0.23. Weekend total: 2.73. Nursing staff turnover: 76%.
All-time on record: 58 deficiency citations, including 6 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-06-01 |
| 2026-05-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-06-01 |
| 2026-05-07 | 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. | D | complaint | corrected 2026-06-01 |
| 2026-02-04 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2026-02-06 |
| 2026-02-04 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2026-02-06 |
| 2025-11-26 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | complaint | corrected 2025-12-19 |
| 2025-09-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-10-01 |
| 2025-06-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-07-11 |
| 2025-06-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2025-07-11 |
| 2025-06-13 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Health | corrected 2025-07-11 |
| 2025-06-13 | Have 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 | Health | corrected 2025-07-11 |
| 2025-06-13 | 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. | E | Health | corrected 2025-07-11 |
| 2025-06-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-07-11 |
| 2025-06-13 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2025-07-11 |
| 2025-06-13 | Honor 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 | Health | corrected 2025-07-11 |
| 2025-06-13 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | complaint | corrected 2025-07-11 |
| 2025-06-13 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-07-11 |
| 2025-06-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-07-11 |
| 2025-06-13 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-07-11 |
| 2025-06-13 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2025-07-11 |
| 2025-06-13 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-07-11 |
| 2025-05-13 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | corrected 2025-06-03 |
| 2025-05-13 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-06-03 |
| 2025-02-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2025-02-09 |
| 2025-02-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | complaint | corrected 2025-02-09 |
| 2025-02-08 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2025-02-09 |
| 2025-02-08 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | complaint | corrected 2025-02-09 |
| 2024-12-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-12-22 |
| 2024-12-21 | Have 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. | F | complaint | corrected 2024-12-22 |
| 2024-12-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2024-12-22 |
| 2024-12-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-12-22 |
| 2024-12-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-12-22 |
| 2024-09-09 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | corrected 2024-09-30 |
| 2024-09-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2024-09-30 |
| 2024-09-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-09-30 |
| 2024-09-09 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | complaint | corrected 2024-09-30 |
| 2024-04-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-05-31 |
| 2024-04-19 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2024-05-31 |
| 2024-04-19 | Employ 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 | Health | corrected 2024-05-31 |
| 2024-04-19 | Arrange 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 | Health | corrected 2024-05-31 |
| Date | Type | Amount |
|---|---|---|
| 2025-02-08 | Fine | $49,392 |
| 2024-12-21 | Fine | $47,467 |
| 2024-01-10 | Fine | $15,274 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| UVALDE COUNTY HOSPITAL AUTHORITY | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 05/01/2026 |
| AZIZ, WESAM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2026 |
| KEETCH, CHAD | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2011 |
| APOLINAR, ADAM | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2026 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2026 |
| CROWN MOUNTAIN HEALTHCARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2026 |
| AZIZ, WESAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2026 |
| LOPEZ, ALAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/11/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676114. Corrections: data@carerecords.org.