River Hills Health and Rehabilitation Center: Staffing, Turnover, and Inspection Record
River Hills Health and Rehabilitation Center is a 150-bed for-profit nursing home in Kerrville, Texas. In the CMS August 2026 release it reported 1.83 nurse aide hours per resident per day, 8% below the Texas average of 2.00, and 75.9% nursing staff turnover (Texas average 55.3%).
River Hills Health and Rehabilitation Center
2091 Bandera HwyKerrville, TX 78028
Kerr County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At River Hills Health and Rehabilitation Center, nurse aides logged 1.83 hours per resident per day, 8% below the Texas average. With about 99 residents a day, that works out to roughly 182 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.83 | 2.00 | 2.32 |
| Licensed practical nurses | 1.04 | 0.95 | 0.86 |
| Registered nurses | 0.23 | 0.43 | 0.69 |
| All nursing staff | 3.11 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.73 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
75.9% of nursing staff at River Hills Health and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 83.3%.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 13, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 22 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $112,133 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 8, 2025 | Fine | $49,392 |
| Dec 21, 2024 | Fine | $47,467 |
| Jan 10, 2024 | Fine | $15,274 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. River Hills Health and Rehabilitation Center holds 1 of 5 overall; the Texas average is 2.6.
About River Hills Health and Rehabilitation Center
- Ownership: For profit - Individual
- Legal name: Uvalde County Hospital Authority
- Medicare and Medicaid certified since: Oct 1, 2006
- Councils: resident council
- Area: rural
Nursing homes near River Hills Health and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Kerrville Kerrville | 1.0 | 130 | 1.98 | 3.37 | 64.4% | 1 | $20,467 |
| Arbor View Nursing & Rehabilitation Kerrville · SFF candidate · abuse citation | 1.8 | 179 | 2.10 | 3.39 | 81.5% | 1 | $154,617 |
| Hilltop Village Nursing and Rehabilitation Kerrville | 4.6 | 150 | 2.03 | 3.04 | 78.3% | 2 | None |
| Avir at Comfort Comfort | 13.5 | 76 | 1.89 | 3.77 | 59.4% | 5 | None |
| Cedar Creek Nursing and Rehabilitation Center Bandera | 19.8 | 62 | 1.64 | 3.35 | 94.4% | 2 | None |
| Avir at Bandera Bandera | 20.8 | 118 | 1.54 | 2.40 | 56.7% | 1 | $100,293 |
| Knopp Nursing & Rehab Center Inc Fredericksburg | 22.1 | 60 | 1.73 | 3.09 | 62.5% | 1 | $32,094 |
| Avir at Fredericksburg Fredericksburg | 22.5 | 90 | 1.64 | 2.86 | 87.8% | 3 | $23,520 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.