About River Hills Health and Rehabilitation Center
River Hills Health And Rehabilitation Center, located in KERRVILLE, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose River Hills Health and Rehabilitation Center
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.16 hrs
- Safety Record Clean
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
River Hills Health and Rehabilitation Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 4 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 120 | Jun 13, 2025 |
| Weighted Average | 226 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 25.4% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 13.0% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.0% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 3.4% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 6.3% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.9% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.7% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 97.2% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 18.3% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 96.9% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 86.3% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 5.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 21.1% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 2.7% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 11 complaints
- 2025: 9 complaints
- 2026: 2 complaints
- Total: 25 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Feb 06, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. |
| Feb 06, 2026 | Ensure each resident receives an accurate assessment. |
| Dec 19, 2025 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| Oct 01, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jul 11, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| Jun 03, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Jun 03, 2025 | Ensure each resident receives an accurate assessment. |
| Feb 09, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Feb 09, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Feb 09, 2025 | Provide timely, quality laboratory services/tests to meet the needs of residents. |
| Feb 09, 2025 | Ensure that residents are free from significant medication errors. |
| Dec 22, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Dec 22, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 22, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Dec 22, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Dec 22, 2024 | 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. |
| Sep 30, 2024 | Employ staff that are licensed, certified, or registered in accordance with state laws. |
| Sep 30, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Sep 30, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Sep 30, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Jan 29, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Jan 29, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 07, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Aug 07, 2023 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| Jul 23, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
Nearby Hospitals
PETERSON REGIONAL MEDICAL CENTER
KERRVILLE, TX
HILL COUNTRY MEMORIAL HOSPITAL
FREDERICKSBURG, TX
Owner & Operator Information
Business Entity
UVALDE COUNTY HOSPITAL AUTHORITY
Ownership Structure
- CHRISTOPHER MARTIN Direct: 50%
- DEREK RANKIN Direct: 50%
Management & Direction
- 2091KV LLC ADP OF THE SNF
- ADAM APOLINAR CORPORATE OFFICER
- TERRI CONTRERAS CORPORATE OFFICER
- LAUREN HERNANDEZ CORPORATE DIRECTOR
- LAUREN HERNANDEZ ADP OF THE SNF
- CHRISTOPHER LOCKHART CORPORATE DIRECTOR
- CHRISTOPHER LOCKHART ADP OF THE SNF
- ALAN LOPEZ OPERATIONAL/MANAGERIAL CONTROL
- ALAN LOPEZ ADP OF THE SNF
- RIVER HILLS CHM LLC ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Avir at Comfort | N/A | 5 |
| Knopp Healthcare and Rehab Center Inc | N/A | 4 |
| Kendall House Wellness and Rehabilitation | N/A | 4 |
| Care Choice of Boerne | N/A | 2 |
| Avir at Bandera | N/A | 3 |
| Hilltop Village Nursing and Rehabilitation | N/A | 2 |
| Avir at Fredericksburg | N/A | 4 |
| Cedar Creek Nursing and Rehabilitation Center | N/A | 2 |
| Cibolo Creek | N/A | 1 |
| Knopp Nursing and Rehab Center Inc | N/A | 1 |
Related Analysis
Best Nursing Homes in KERRVILLE, TX
Compare River Hills Health and Rehabilitation Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact River Hills Health and Rehabilitation Center directly at 8302579900. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.