River Hills Health and Rehabilitation

    2091 Bandera Hwy, Kerrville, TX, 78028
    3.3 · 44 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    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

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.5
    • Staff

      2.9
    • Meals

      1.8
    • Amenities

      3.7
    • Value

      2.0

    Location

    Map showing location of River Hills Health and Rehabilitation

    About River Hills Health and Rehabilitation

    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.

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