RIVER HILLS HEALTH AND REHABILITATION CENTER
RIVER HILLS HEALTH AND REHABILITATION CENTER is a 150-bed nursing home in KERRVILLE, Texas. CMS has certified it for Medicare and Medicaid since 2006-10-01. It averages 99.2 residents a day.
What harm was found in the violations cited at RIVER HILLS HEALTH AND REHABILITATION CENTER?
CMS lists 57 health-inspection deficiencies for RIVER HILLS HEALTH AND REHABILITATION CENTER since 2023-03-04, 50 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-19 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2026-05-07 | F0609, F0755, F0761 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 |
| 2026-02-04 | F0628, F0641 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. | D |
| 2025-11-26 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2025-09-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-06-13 | F0656, F0677, F0690, F0727, F0761, F0812 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-06-13 | F0583, F0584, F0605, F0685, F0689, F0760, F0813, F0880 | Keep residents' personal and medical records private and confidential. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program. | D |
| 2025-05-13 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E |
| 2025-05-13 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2025-02-08 | F0684, F0755, F0760 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. | J |
| 2025-02-08 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D |
| 2024-12-21 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-12-21 | F0727 | 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 |
| 2024-12-21 | F0655, F0656, F0657 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-09-09 | F0607, F0609 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2024-09-09 | F0755, F0839 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Employ staff that are licensed, certified, or registered in accordance with state laws. | D |
| 2024-04-19 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-04-19 | F0583, F0801, F0849, F0880, F0921 | Keep residents' personal and medical records private and confidential. / 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. / 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. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-04-19 | F0641, F0656, F0758, F0759, F0813 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Implement 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. / Ensure medication error rates are not 5 percent or greater. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| 2024-01-10 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2023-03-04 | F0657, F0727, F0755, F0761, F0812 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-03-04 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-03-04 | F0814 | Dispose of garbage and refuse properly. | C |
Why was RIVER HILLS HEALTH AND REHABILITATION CENTER fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-02-08 | Fine | $49,392 |
| 2024-12-21 | Fine | $47,467 |
| 2024-01-10 | Fine | $15,274 |
How is RIVER HILLS HEALTH AND REHABILITATION CENTER staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.10679 | 3.38539 |
| Total nursing staff turnover (%) | 75.9 | 55.3 |
| Average number of residents per day | 99.2 | 75.8 |
Who owns RIVER HILLS HEALTH AND REHABILITATION CENTER?
RIVER HILLS HEALTH AND REHABILITATION CENTER is registered with CMS as For profit - Individual, operates under the legal business name UVALDE COUNTY HOSPITAL AUTHORITY.
| Role | Owner | Association date |
|---|---|---|
| INDIRECT OWNERSHIP INTEREST | UVALDE COUNTY HOSPITAL AUTHORITY | since 05/01/2026 |
| MANAGING CONTROL - GOVERNING BODY | AZIZ, WESAM | since 05/01/2026 |
| CORPORATE DIRECTOR | KEETCH, CHAD | since 03/01/2011 |
| CORPORATE OFFICER | APOLINAR, ADAM, BURNAM, SOON | since 05/01/2026 |
| OPERATIONAL/MANAGERIAL CONTROL | CROWN MOUNTAIN HEALTHCARE LLC, AZIZ, WESAM, LOPEZ, ALAN | since 03/11/2025 |
| ADP OF THE SNF | BANDERA HWY HEALTH HOLDINGS LLC, CROWN MOUNTAIN HEALTHCARE LLC, ENSIGN SERVICES, INC., STANDARD BEARER HEALTHCARE OP LP, THE ENSIGN GROUP, INC., AZIZ, WESAM, LOPEZ, ALAN | since 02/13/2026 |
Were you or a family member harmed at RIVER HILLS HEALTH AND REHABILITATION CENTER?