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River Hills Health And Rehabilitation Center

📍 2091 Bandera Hwy, Kerrville, TX 78028 📞 (830) 257-9900 🛏️ 150 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2025 1 penalties totaling $74,915

$74,915
Feb 8, 2025

Fine

2021 2 penalties totaling $5,655

$5,000
Nov 19, 2021

Fine

$655
Jun 21, 2021

Fine

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Health Violations by Year

2025 6 violations

Tag 0558 E May 13, 2025

Reasonably accommodate the needs and preferences of each resident.

Tag 0641 D May 13, 2025

Ensure each resident receives an accurate assessment.

Tag 0684 J Feb 8, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 9, 2025
Tag 0755 J Feb 8, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 9, 2025
Tag 0760 J Feb 8, 2025

Ensure that residents are free from significant medication errors.

✓ Corrected: Feb 9, 2025
Tag 0770 D Feb 8, 2025

Provide timely, quality laboratory services/tests to meet the needs of residents.

✓ Corrected: Feb 9, 2025

2024 13 violations

Tag 0583 E Apr 19, 2024

Keep residents' personal and medical records private and confidential.

✓ Corrected: Apr 20, 2024
Tag 0641 D Apr 19, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 22, 2024
Tag 0656 D Apr 19, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 13, 2024
Tag 0758 D Apr 19, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Apr 22, 2024
Tag 0759 D Apr 19, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Apr 20, 2024
Tag 0801 E Apr 19, 2024

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: May 31, 2024
Tag 0812 F Apr 19, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 6, 2024
Tag 0813 D Apr 19, 2024

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

✓ Corrected: May 6, 2024
Tag 0849 E Apr 19, 2024

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: May 6, 2024
Tag 0880 E Apr 19, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: May 24, 2024
Tag 0921 E Apr 19, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: May 6, 2024
Tag 0580 J Jan 10, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jan 29, 2024
Tag 0684 J Jan 10, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 29, 2024
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2023 22 violations

Tag 0656 D Jul 7, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 7, 2023
Tag 0757 D Jul 7, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Aug 7, 2023
Tag 0842 D Jun 23, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jul 23, 2023
Tag 0755 D Mar 30, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 4, 2023
Tag 0580 J Mar 4, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 5, 2023
Tag 0657 E Mar 4, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 5, 2023
Tag 0684 J Mar 4, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 5, 2023
Tag 0684 D Mar 4, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 5, 2023
Tag 0727 E Mar 4, 2023

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.

✓ Corrected: Mar 5, 2023
Tag 0755 E Mar 4, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 5, 2023
Tag 0761 E Mar 4, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Mar 5, 2023
Tag 0812 E Mar 4, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 5, 2023
Tag 0814 C Mar 4, 2023

Dispose of garbage and refuse properly.

✓ Corrected: Mar 5, 2023
Tag 0550 D Feb 16, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Tag 0580 J Feb 16, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0580 D Feb 16, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 17, 2023
Tag 0585 E Feb 16, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Tag 0609 E Feb 16, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0656 D Feb 16, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 17, 2023
Tag 0658 E Feb 16, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

2021 11 violations

Tag 0584 D Nov 19, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Nov 20, 2021
Tag 0641 D Nov 19, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Nov 20, 2021
Tag 0656 E Nov 19, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 16, 2021
Tag 0677 D Nov 19, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 8, 2021
Tag 0684 D Nov 19, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 16, 2021
Tag 0689 E Nov 19, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 16, 2021
Tag 0695 E Nov 19, 2021

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Nov 20, 2021
Tag 0700 D Nov 19, 2021

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Dec 16, 2021
Tag 0755 D Nov 19, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Nov 20, 2021
Tag 0761 E Nov 19, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Nov 20, 2021
Tag 0880 E Nov 19, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 20, 2021
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2019 14 violations

Tag 0577 C Dec 11, 2019

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

✓ Corrected: Jan 17, 2020
Tag 0644 D Dec 11, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Jan 17, 2020
Tag 0655 D Dec 11, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jan 17, 2020
Tag 0657 E Dec 11, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jan 17, 2020
Tag 0695 E Dec 11, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jan 17, 2020
Tag 0732 C Dec 11, 2019

Post nurse staffing information every day.

✓ Corrected: Jan 17, 2020
Tag 0755 D Dec 11, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 17, 2020
Tag 0759 E Dec 11, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jan 17, 2020
Tag 0761 E Dec 11, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jan 17, 2020
Tag 0803 F Dec 11, 2019

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Jan 17, 2020
Tag 0812 D Dec 11, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 17, 2020
Tag 0842 E Dec 11, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jan 17, 2020
Tag 0880 D Dec 11, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 17, 2020
Tag 0921 D Dec 11, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jan 17, 2020

2018 12 violations

Tag 0568 D Dec 21, 2018

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

✓ Corrected: Jan 31, 2019
Tag 0644 D Dec 21, 2018

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Jan 31, 2019
Tag 0656 D Dec 21, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 31, 2019
Tag 0658 E Dec 21, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jan 31, 2019
Tag 0688 D Dec 21, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jan 31, 2019
Tag 0690 D Dec 21, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jan 31, 2019
Tag 0691 D Dec 21, 2018

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

✓ Corrected: Jan 31, 2019
Tag 0692 D Dec 21, 2018

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jan 31, 2019
Tag 0695 D Dec 21, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jan 31, 2019
Tag 0761 F Dec 21, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jan 31, 2019
Tag 0812 F Dec 21, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 31, 2019
Tag 0921 E Dec 21, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jan 31, 2019
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2017 6 violations

Tag 0582 B Dec 1, 2017

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Dec 5, 2017
Tag 0656 E Dec 1, 2017

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 5, 2017
Tag 0679 E Dec 1, 2017

Provide activities to meet all resident's needs.

✓ Corrected: Dec 5, 2017
Tag 0755 E Dec 1, 2017

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 5, 2017
Tag 0842 E Dec 1, 2017

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Dec 2, 2017
Tag 0921 E Dec 1, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Dec 5, 2017
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