River Hills Health And Rehabilitation Center has received an F grade based on CMS data, with a score of 15/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Kerrville facility should carefully review its inspection history and quality metrics.
With 3.00 total nurse hours per resident per day, River Hills Health And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 55 deficiencies at River Hills Health And Rehabilitation Center, including 6 classified as serious — among the most concerning citation levels. The most notable finding involved: designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.00 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.14 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.97 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.89 | 2.4 | Below Average |
| Weekend Total Nursing | 2.65 | 3.8 | Below Average |
| Weekend RN Hours | 0.10 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0882 Severity FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Nov 25, 2025 · Infection Control Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 15, 2025 · Quality of Life and Care Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jun 12, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Jun 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0690 Severity EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventJun 12, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.4% | 4.5% | Worse |
| Falls with major injury | 1.9% | 3.0% | Better |
| On antipsychotic medication | 7.2% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 6.7% | 14.0% | Better |
| Excessive weight loss | 2.9% | 7.5% | Better |
| New/worsened incontinence | 21.4% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $112,133
How This Grade Was Calculated
This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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