River Hills Health and Rehabilitation

    2091 Bandera Hwy, Kerrville, TX 78028
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.69·(74)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.2
    • Staff

      3.4
    • Meals

      1.9
    • Amenities

      3.5
    • Value

      1.8

    Pros

    • Highly regarded physical, occupational, and speech therapy
    • Compassionate, patient, and respectful staff
    • Personalized attention and encouragement for residents
    • Welcoming admissions, tours, and leadership support
    • Clean, comfortable, and attractive environment
    • Regular social activities, games, music, and veteran recognition
    • Faith-based services and spiritual programming
    • On-site amenities including barber and nail-care services
    • Positive experiences with long-term care and family support

    Cons

    • Inconsistent nursing responsiveness and follow-through
    • Staffing instability and reliance on agency personnel
    • Limited weekend and holiday coverage for therapy and support services
    • Medication-administration, documentation, and clinical-oversight gaps
    • Inconsistent personal-care routines and incontinence support
    • Uneven family communication and phone access
    • Inconsistent food quality, temperature, dietary accommodation, and supply continuity
    • Variable cleanliness and room upkeep
    • Maintenance, temperature-control, and equipment-reliability issues
    • Laundry and resident-belongings tracking weaknesses
    • Management visibility and accountability concerns

    Summary of reviews

    Experiences at River Hills Health and Rehabilitation vary substantially. Positive accounts frequently praise the therapy team, describing staff as knowledgeable, encouraging, and invested in residents’ progress. Families and residents also describe individualized attention, kind interactions, and support with transitions home. Other accounts raise concerns about nursing responsiveness, completion of routine care, and consistency of clinical oversight. Medication administration and documentation are recurring areas of concern, including reports of delays, errors, and limited clarity for families about medications and care plans. One reviewer also described concerns about physician and social-work decisions. These accounts contrast with families who describe attentive care and clear communication, so prospective residents may wish to ask how medication changes, care plans, and concerns are reviewed and communicated.

    Staff experiences are similarly mixed. Many positive comments describe compassionate, respectful employees and specific staff members who build rapport with residents. At the same time, negative accounts describe uneven responsiveness, frequent staff changes, and reliance on agency workers. Weekend and holiday coverage is a particular concern in some accounts, including limited therapy and reduced access to administrative or support staff. Families also describe difficulty reaching staff by phone or receiving return calls. Several accounts mention inconsistent bathing and incontinence-care routines, and concerns about staff attention during visits.

    Dining feedback is notably inconsistent. Some residents and families describe meals positively, while others cite poor taste or temperature, limited accommodation of special diets, and occasional supply shortages or meal-service errors. Activities are a relative strength in favorable accounts: reviewers mention group games, music, social gatherings, spiritual programming, and recognition of veterans. The building itself is often described as attractive, welcoming, and clean, with amenities and shared spaces; other accounts raise concerns about cleanliness, room conditions, laundry and clothing management, temperature control, and equipment maintenance.

    Management and overall quality also receive sharply different assessments. Some families praise leadership and admissions staff for answering questions, arranging tours, and helping them feel confident in choosing the facility. Other accounts describe management turnover, communication gaps, and concerns about follow-through and accountability. One review cites CMS special-focus monitoring during a period between August 2024 and July 2025 and a 2025 penalty of $74,915; families may wish to verify current regulatory information directly. End-of-life experiences are also mixed: one family described concerns about support during a short terminal stay, while another praised compassionate care during a prolonged stay. Overall, the reviews suggest strong therapy and meaningful staff relationships for some residents, alongside recurring concerns about staffing consistency, clinical processes, communication, dining, and day-to-day care routines.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    River Hills Health and Rehabilitation is located at 2091 Bandera Hwy, Kerrville, TX, 78028.

    About River Hills Health and Rehabilitation

    River Hills Health and Rehabilitation sits on Bandera Highway in Kerrville, Texas, and offers assisted living, independent living, and continuing care all under one roof, plus skilled nursing care in a dedicated wing designed to make long-term residents feel right at home like family would, and you'll find a facility that's open every day, always with staff on hand, caring for people who may need help with things like bathing, therapy, or memory care, since there are programs in place for stroke, dementia, and people who need a lot of support, and the staff includes RNs, LVNs, CNAs, and NPs, working all through the day and night, with experienced hands in high acuity needs and long-term care, and they have both private and semi-private rooms so people can have space, along with things like a gym for rehabilitation, a beauty salon, wireless internet, and pets allowed, plus opportunities for folks to be around plants, animals, and children if they want, and there's always housekeeping and laundry done, meals served up in a fine dining way, and assistance with self-care tasks so people stay comfortable, but it's important to mention that the facility has had several citations, including immediate jeopardy-level deficiencies such as medication errors, lacking a licensed pharmacist, and failing to follow residents' care preferences, which led to a $74,915 fine in early 2025 for four deficiencies, and the most recent reports list a total of 54 deficiencies, including problems with infection control, so people considering River Hills should be aware that, while it's Joint Commission accredited and has some strong programs like wound care, pain management, podiatry, respite care, joint replacement rehab, and lots of therapies-physical, occupational, speech, and IV-it's seen more nursing staff turnover than the state average, and nurse hours per resident run a bit low, and yet there are many positive reviews from families who've toured or stayed, appreciating the personalized care approach and that the staff treat residents with respect, and it's nice too that people can get Medicare, Medicaid, and insurance to help with costs, and the management is by River Hills Chm LLC and the Uvalde County Hospital Authority, with oversight changing hands as recently as 2020, but there's no public info on direct owners, and families looking at this place should probably visit, since you're welcome to take a tour, and see for themselves whether the warm, inviting environment, comprehensive care, and rehabilitation options outweigh the concerns documented in inspections.

    People often ask...

    River Hills Health and Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 5 photos of River Hills Health and Rehabilitation on Mirador.

    The full address for this community is 2091 Bandera Hwy, Kerrville, TX 78028.

    No, River Hills Health and Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RqzctAAB
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity150 residents
    LicenseeUvalde County Hospital Authority
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    3

    Reports

    36

    Citations

    0

    Complaints

    1

    Years

    21 Aug 2026Inspection
    Identified multiple deficiencies affecting resident rights, care quality, nutrition, records, infection control, equipment, and governance.
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    20 Aug 2026Life Safety
    Found multiple life-safety deficiencies related to fire safety, emergency preparedness, and building maintenance. The findings included missing fire drill procedures and documentation, incomplete emergency planning, and issues with exits, lighting, and hazardous areas.
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    11 Jun 2025Life Safety
    Found violations related to health and safety, electrical code and lighting, outdoor area maintenance, smoke barriers, emergency preparedness, and fire drill documentation.
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    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of River Hills Health and Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact River Hills Health and Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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