River Hills Health And Rehabilitation Center
Kerrville, TX · Medicare and Medicaid-certified nursing home (CCN 676114) · 150 certified beds
Health inspection: 1 · Quality measures: 4 · Staffing: 1
Federal fines: 3 totaling $112,133
Phone: (830) 257-9900 · Verify on Medicare Care Compare ↗
River Hills Health And Rehabilitation Center has a CMS overall star rating of 1 out of 5, below the Texas state average of 2.65. Its health inspection rating is also 1 star and its staffing rating is 1 star.
River Hills reports total nurse hours per resident per day of about 3.11, with registered nurse hours per resident per day of about 0.23, and a staffing star rating of 1 out of 5. Nursing staff turnover is reported at 75.9%, which is high.
River Hills has 3 federal fines on record totaling $112,133.00, with 0 payment denials. CMS data provided does not indicate an abuse icon or Special Focus Facility status for this location.
About this facility
River Hills Health And Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Kerrville, Kerr County, Texas. The facility is certified for 150 beds and reports an average daily census of 99.2 residents. It is operated under a for-profit, individual ownership structure and has been federally certified since October 2006. No ownership change has occurred in the past 12 months.
According to CMS Care Compare, River Hills holds an overall star rating of 1 out of 5, which is below the Texas state average of 2.65. Its component ratings are: health inspections 1 star, staffing 1 star, and quality measures 4 stars. Families should note the significant gap between the low health inspection and staffing scores and the higher quality-measure score.
Nurse staffing data show total nurse hours per resident per day of approximately 3.11, with registered nurse hours per resident per day of about 0.23. Nursing staff turnover is reported at 75.9%, a high figure worth discussing with facility administration.
On the penalty record, CMS lists 3 federal fines totaling $112,133.00 for this facility, with 0 payment denials of Medicare/Medicaid payment on record. No abuse icon or Special Focus Facility designation is indicated in the provided data for this listing.
This profile is based on CMS Care Compare data; families should verify current figures directly on Care Compare before making a decision.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
River Hills has a CMS overall rating of 1 out of 5 stars, below the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
Yes, River Hills is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse hours per resident per day are about 3.11, with RN hours per resident per day of about 0.23; nursing staff turnover is 75.9%. The staffing star rating is 1 out of 5.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 3 fines totaling $112,133.00, with 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus Facility designation for this facility.
How large is this facility and how many residents live there?
River Hills is certified for 150 beds and has an average daily census of 99.2 residents.
Who owns this facility — and is it part of a chain?
It is owned as a for-profit individual operation; the data provided does not indicate it is part of a chain.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since October 1, 2006.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures; River Hills scores 1, 1, 1, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The provided data does not specify service lines; contact the facility at (830) 257-9900 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at (830) 257-9900 to arrange a visit and review the inspection record on Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review current details at https://www.medicare.gov/care-compare/details/nursing-home/676114?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.