Overview
River Hills Health and Rehabilitation Center has a Medicare overall rating of 1 out of 5, below the Texas average of 2.8. It ranks 2nd of 4 nursing homes in Kerrville. Its strongest area is quality of care (4 of 5), and its weakest is health inspections (1 of 5).
Residents receive about 3.2 hours of nursing care per day, fewer than at 64% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.2 hours come from registered nurses.
Its most recent standard inspection, on August 21, 2026, found 21 health deficiencies, more than the Texas average of 9.6. 7 of them came from complaint investigations. Medicare records 3 fines totaling $112,133 in the past three years.
River Hills Health and Rehabilitation Center is a government-run facility with 150 certified beds, caring for about 100 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2006.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 50%
Top 82%
Top 83%
Family reviews
No reviews yet. If your family has experience with River Hills Health and Rehabilitation Center, your review helps others decide.
Inspections and penalties
- Most recent standard inspection
- August 21, 2026
- Health deficiencies cited
- 21
- Complaint-related deficiencies
- 7
- Fines in the last 3 years
- 3 totaling $112,133
- Payment denials
- 0
- Total penalties
- 3
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.18 hrs
- Registered nurses (RN)0.21 hrs
- Licensed practical nurses (LPN)1.06 hrs
- Nurse aides1.91 hrs
- Physical therapists0.08 hrs
Facility details
- Ownership
- Government - Hospital district
- Certified beds
- 150
- Average residents per day
- 100
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- October 1, 2006
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes