River Bend Healthcare
River Bend Healthcare in SEGUIN, TX — inspection on October 24, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview 10/24/2025 at 2:07 p.m., the ADON, stated he was notified by LVN C that Resident #1 had a change in condition on 10/21/2025 around 5:00 p.m.
The ADON said he contacted the physician and received an order to send Resident #1 to the hospital.
The ADON stated normally it was the charge nurse's responsibility to notify the responsible party at the time of a medication errors, change in condition, and transfers to the hospital.
The ADON stated we had so much going on right then that there was a mishap and miscommunication and the RP was not contacted at the time of the medication error, change in condition, and transfer to the hospital.
The ADON stated Resident #1's RP arrived at the facility on 10/22/2025 and was notified at that time of Resident #1's medication error, change in condition, and transfer to hospital.
The ADON stated it was important to notify the responsible party of changes in order to let them know where their family member is and they need to know from us and not from the hospital.
Record review of an undated facility policy titled, Discharge/Transfer of (Voluntary)the Resident, the policy stated, Transfer: 4.
Explain transfer and reason to the resident and/or representative or person (s) responsible for care.
Record review of a facility document dated 10/22/2025, and titled, In-Service Training: Proper Notification to Responsible Parties Following a Medication Error, stated, Immediate Actions Following Discovery of a Medication Error: 3.
Notify the Responsible Party/Resident Representative: a.
Must be done promptly after physician notification, especially if the error resulted in or could result in harm.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Remarkable Healthcare of Seguin
1339 Eastwood Dr Seguin, TX 78155
SUMMARY STATEMENT OF DEFICIENCIES
During an interview with Resident #5, 10/24/2025 at 5:43 p.m., Resident #5 stated she received her Carbidopa-Levodopa three times a day and stated she had been receiving her medication accurately and on time and expressed no concerns with medication administration.
During an interview with Resident #6, 10/24/2025 at 5:48 pm, Resident #6 stated he received his Carbidopa-Levodopa four times a day and expressed no concerns with medication administration.
During an observation with LVN J, 10/24/2025 at 5:39 p.m., LVN J pulled Resident #5 and #6 Carbidopa-Levodopa 25-100 mg blister pack from the medication administration cart and Resident 5 and Resident #6's blister pack matched the resident's Carbidopa-Levodopa MAR.
Facility ID: