River Hills Health and Rehabilitation

    2091 Bandera Hwy, Kerrville, TX, 78028
    3.3 · 44 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Beautiful facility, inconsistent nursing care

    I have mixed feelings. My mom stayed here six years - the building is beautiful, very clean, therapy/rehab is top-notch, admin and many staff are kind and professional (Jaymie and Kevin stood out), activities and meals can be good, and they do well with personalized care. However nursing is inconsistent: chronic understaffing, reliance on agency nurses, medication errors, poor communication, missed baths/soiled sheets, catheter/Foley neglect, lost clothing and occasional ER visits - I witnessed neglect and rude staff at times. If you need short-term rehab I'd recommend it; for long-term skilled nursing go in with caution and strong oversight.

    Pricing

    Schedule a Tour

    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

    3.25 · 44 reviews

    Overall rating

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

      2.5
    • Staff

      2.9
    • Meals

      1.8
    • Amenities

      3.7
    • Value

      2.0

    Pros

    • Excellent physical and occupational therapy services
    • Dedicated, compassionate rehab staff
    • Supportive and attentive administrative staff
    • Several skilled, knowledgeable nurses praised by name
    • On-site psychiatric services available
    • Barber shop and grooming/toenail services
    • Active programming and variety of activities
    • Faith-based spiritual programming (Bible study, gospel music, prayer)
    • Some reports of very clean, pleasant-smelling facility areas
    • Staff who go above and beyond and accommodate families
    • Reasonable pricing reported by some families
    • Good entertainment options (TV channels) and veteran appreciation

    Cons

    • Chronic understaffing and frequent staff turnover
    • Inconsistent nursing and CNA care quality
    • Medication errors, delays, and alleged falsified documentation
    • Serious adverse drug effects and reported misdiagnoses
    • Spotty and poor communication from staff/management
    • Weekend and holiday reductions in therapy and care coverage
    • Reliance on agency/travel nurses with variable competence
    • Hygiene and sanitation problems (urine smell, dirty/soiled sheets)
    • Patients not bathed or showered for extended periods
    • Food quality problems, stock-outs, and poor menu variety
    • Loss or disappearance of resident clothing and personal items
    • Catheter/Foley care issues (overflowing/uncared-for bags)
    • Broken equipment (beds) and slow repair response
    • Allegations of neglect, unprofessional/abusive staff behavior
    • Reported hospital readmissions, ER visits, and state investigation
    • Inadequate meal accommodations (e.g., gluten-free not handled)
    • Room temperature problems (too hot or too cold)
    • Medication distribution not on time and infusion delays
    • Poor or inconsistent laundry and linen care
    • Specific staff conflicts (e.g., aides refusing calls or arguing with families)

    Summary review

    Overall sentiment in the reviews is markedly mixed, with clear and consistent praise for the rehabilitation services and certain staff members contrasted by serious, recurring complaints about nursing care, medication management, sanitation, and staffing levels. Many reviewers singled out the therapy team as “top notch” and repeatedly praised individual clinicians and administrative staff for being caring, professional, and responsive. At the same time, an extensive set of criticisms — some alleging neglect or unsafe care — appears often enough to represent systemic concerns rather than isolated incidents.

    Care quality and clinical safety are the most polarizing themes. Strengths: multiple reviews specifically commend the facility’s physical therapy/rehab program and staff competence there; families frequently reported good outcomes from therapy and appreciated discharge planning and individualized attention. Weaknesses: numerous reviewers reported medication-related problems (delays, adverse effects, medications they considered ill-advised, and even allegations of altered or falsified medication documentation). Several accounts describe resulting ER visits, hospital readmissions, or worse. There are also recurring reports of misdiagnosis (including dementia), adverse drug effects, and poor clinical judgment by some physicians. These patterns raise important safety concerns that families repeatedly noted.

    Staffing, management, and communication form another consistent cluster of praise and criticism. Positive mentions: some families felt administration and certain named staff (Corey, Kevin, Jaymie and others) were professional, caring, and went “above and beyond.” Negative and recurring issues: many reviews describe chronic understaffing, especially on weekends and holidays, high staff turnover, and heavy reliance on agency/travel nurses. The result, reviewers say, is inconsistent care — CNAs and nurses who appear overwhelmed or inattentive, call lights ignored, missed showers, missed medication times, and occasional unprofessional behavior (refusing family requests, arguing, or sharing private information). Communication lapses — unanswered calls, missed callbacks, spotty updates — compound families’ frustrations and contribute to perceptions of mismanagement.

    Cleanliness, equipment, and personal care are described inconsistently across reviews. Several families report a clean, well-maintained, pleasant-smelling facility and praise housekeeping. Conversely, other reviewers describe troubling hygiene lapses: urine odors in bathrooms, urine-soaked or dirty sheets, sticky floors, residents left in hospital gowns, lack of bathing for days, and inadequate catheter/Foley care (including overflowing or unemptied bags and catheters left beyond their recommended date). Equipment issues such as broken beds and slow repair resolution were also noted, sometimes forcing families to supply mattresses. These conflicting accounts suggest variability in standards of care or uneven performance between shifts and staff teams.

    Dining and daily life receive mixed feedback. Some residents and families praised meals as above average and found the facility accommodating, while others described the food as inedible, gruel-like, or repeatedly insufficient (food running out, self-serve issues). Specific dietary concerns include lack of accommodation for gluten-free diets and meal choices that worsen blood sugar for diabetics (reports of sugary or inappropriate meals). On services and amenities, several reviewers appreciated on-site grooming, good TV options, and an active activity program; faith-based programming (Bible study, gospel music, prayer time) is a notable strength for families seeking a religious environment.

    Safety and property concerns appear frequently enough to merit attention. Multiple reviewers reported clothing disappearing or laundry not being done, residents’ belongings lost, and lack of adequate supervision that required family vigilance. In severe accounts, reviewers describe neglect culminating in harm or death, and one or more reports reference state-level investigation and hospital transfers. While some of these may be outlier or extreme cases, their recurrence across different reviews indicates that families perceived real safety lapses rather than single isolated events.

    In summary, River Hills Health and Rehabilitation presents a complex picture: exceptional rehabilitation services and several highly praised staff and administrators, set alongside recurring and serious concerns about nursing consistency, medication safety, hygiene, and staffing. The most frequent and actionable themes are understaffing (particularly on weekends/holidays), inconsistent nurse/CNA performance, medication-management problems, and variable cleanliness. Prospective residents and families should weigh the strong therapy and faith-based programming positives against the reported clinical and operational risks. If considering this facility, reviewers’ comments suggest verifying current staffing levels and nurse-to-resident ratios, asking about medication safety protocols and recent state survey history, confirming weekend therapy availability, and discussing laundry and catheter care practices. The reviews indicate that experiences can vary significantly by unit, shift, and individual staff, so in-person visits and specific, up-to-date questions are important when evaluating the facility.

    Location

    Map showing location of River Hills Health and Rehabilitation

    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.

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