River Hills Health and Rehabilitation Center
Nursing home in Kerrville, Texas, CMS certification number 676114
2091 Bandera Hwy, Kerrville, TX 78028 · Kerr County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 150
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 21, 2026
- Deficiencies at that inspection
- 21
- Fines in 3 years
- $112,133 (3)
Does River Hills Health and Rehabilitation Center take Medicare and Medicaid?
Yes to both. River Hills Health and Rehabilitation Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours River Hills Health and Rehabilitation Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.18
- Registered nurse hours
- 0.21
- Licensed practical nurse hours
- 1.06
- Nurse aide hours
- 1.91
- Weekend total hours
- 2.73
- Nursing staff turnover
- 72.5%
- Registered nurse turnover
- 66.7%
Health inspections and complaints
Inspectors last made a standard visit on August 21, 2026 and cited 21 deficiencies, plus 7 from complaint visits.
The visit before, on June 13, 2025, found 14.
Infection control citations: 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined River Hills Health and Rehabilitation Center 3 times in the past 3 years, for $112,133 in total.
Beds and residents
On an average day 99.6 residents live here, about 66% of its 150 certified beds.
- Certified beds
- 150
- Average residents per day
- 99.6
- Certified since
- October 1, 2006
- Resident or family council
- Resident
Who owns River Hills Health and Rehabilitation Center
- Legal business name
- Uvalde County Hospital Authority
- Ownership type
- Government - Hospital district
Other nursing homes near River Hills Health and Rehabilitation Center
- Avir at Kerrville1555 Bandera Hwy, Kerrville 78028
- Arbor View Nursing & Rehabilitation1213 Water St, Kerrville 78028
- Hilltop Village Nursing and Rehabilitation1400 Hilltop Rd, Kerrville 78028
- Avir at Comfort615 Faltin St., Comfort 78013
- Cedar Creek Nursing and Rehabilitation Center159 Montague Ave, Bandera 78003
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run River Hills Health and Rehabilitation Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about River Hills Health and Rehabilitation Center
What is the CMS star rating of River Hills Health and Rehabilitation Center?
1 out of 5 stars overall.
Does River Hills Health and Rehabilitation Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at River Hills Health and Rehabilitation Center?
21 cited at the last standard visit.
Who owns River Hills Health and Rehabilitation Center?
Uvalde County Hospital Authority, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.