River Hills Health and Rehabilitation sits on Bandera Highway in Kerrville, Texas, and offers assisted living, independent living, and continuing care all under one roof, plus skilled nursing care in a dedicated wing designed to make long-term residents feel right at home like family would, and you'll find a facility that's open every day, always with staff on hand, caring for people who may need help with things like bathing, therapy, or memory care, since there are programs in place for stroke, dementia, and people who need a lot of support, and the staff includes RNs, LVNs, CNAs, and NPs, working all through the day and night, with experienced hands in high acuity needs and long-term care, and they have both private and semi-private rooms so people can have space, along with things like a gym for rehabilitation, a beauty salon, wireless internet, and pets allowed, plus opportunities for folks to be around plants, animals, and children if they want, and there's always housekeeping and laundry done, meals served up in a fine dining way, and assistance with self-care tasks so people stay comfortable, but it's important to mention that the facility has had several citations, including immediate jeopardy-level deficiencies such as medication errors, lacking a licensed pharmacist, and failing to follow residents' care preferences, which led to a $74,915 fine in early 2025 for four deficiencies, and the most recent reports list a total of 54 deficiencies, including problems with infection control, so people considering River Hills should be aware that, while it's Joint Commission accredited and has some strong programs like wound care, pain management, podiatry, respite care, joint replacement rehab, and lots of therapies-physical, occupational, speech, and IV-it's seen more nursing staff turnover than the state average, and nurse hours per resident run a bit low, and yet there are many positive reviews from families who've toured or stayed, appreciating the personalized care approach and that the staff treat residents with respect, and it's nice too that people can get Medicare, Medicaid, and insurance to help with costs, and the management is by River Hills Chm LLC and the Uvalde County Hospital Authority, with oversight changing hands as recently as 2020, but there's no public info on direct owners, and families looking at this place should probably visit, since you're welcome to take a tour, and see for themselves whether the warm, inviting environment, comprehensive care, and rehabilitation options outweigh the concerns documented in inspections.
River Hills Health and Rehabilitation
2091 Bandera Hwy, Kerrville, TX, 78028- Assisted living
- Memory care
- Skilled nursing
Beautiful facility, inconsistent nursing care
I have mixed feelings. My mom stayed here six years - the building is beautiful, very clean, therapy/rehab is top-notch, admin and many staff are kind and professional (Jaymie and Kevin stood out), activities and meals can be good, and they do well with personalized care. However nursing is inconsistent: chronic understaffing, reliance on agency nurses, medication errors, poor communication, missed baths/soiled sheets, catheter/Foley neglect, lost clothing and occasional ER visits - I witnessed neglect and rude staff at times. If you need short-term rehab I'd recommend it; for long-term skilled nursing go in with caution and strong oversight.
Pricing
Schedule a Tour
Amenities
Healthcare services
- Activities of daily living assistance
- Assistance with bathing
- Assistance with dressing
- Assistance with transfers
- Medication management
- Mental wellness program
Healthcare staffing
- 12-16 hour nursing
- 24-hour call system
- 24-hour supervision
Meals and dining
- Diabetes diet
- Meal preparation and service
- Restaurant-style dining
- Special dietary restrictions
Room
- Air-conditioning
- Cable
- Fully furnished
- Housekeeping and linen services
- Kitchenettes
- Private bathrooms
- Telephone
- Wifi
Transportation
- Community operated transportation
- Transportation arrangement
- Transportation arrangement (non-medical)
Common areas
- Beauty salon
- Computer center
- Dining room
- Fitness room
- Gaming room
- Garden
- Outdoor space
- Small library
- Wellness center
Community services
- Concierge services
- Fitness programs
- Move-in coordination
Activities
- Community-sponsored activities
- Planned day trips
- Resident-run activities
- Scheduled daily activities
3.25 · 44 reviews
Overall rating
- 5
- 4
- 3
- 2
- 1
Care
2.5Staff
2.9Meals
1.8Amenities
3.7Value
2.0
Location
About River Hills Health and Rehabilitation
People often ask...
River Hills Health and Rehabilitation offers assisted living, memory care, and skilled nursing.
There are 1 photos of River Hills Health and Rehabilitation on Mirador.
The full address for this community is 2091 Bandera Hwy, Kerrville, TX, 78028.
Yes, River Hills Health and Rehabilitation offers respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
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