Seguin · 78155
Avir at Seguin
1215 Ashby
Seguin, TX 78155
River Bend Healthcare
Inside a hospital. This nursing unit is part of a hospital. Units like this often care for that hospital’s patients for a short stay after an admission, and may have their own admission rules. Ask before you plan around it.
⌖ Seguin, TX · Guadalupe County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds115
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (hospital district)
About River Bend Healthcare
River Bend Healthcare is a 115-bed government-run nursing home in Seguin, TX. Medicare rates it 1 out of 5 stars overall (much below average); the average in Texas is 2.7. At its last full inspection (Feb 2026), inspectors found 12 problems, more than the Texas average of 9.4. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 24 min a day with each resident, about the same as the Texas average of 3 hr 23 min. Medicare fined it $18,225 in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Is this your home? Tell families what makes it special: add photos, a description, care programs and amenities, and answer anything Medicare’s data flags.
Key details
Facility nameRiver Bend Healthcare
LocationGuadalupe County, Texas
Phone(830) 379-3900
Address1339 Eastwood Dr, Seguin, TX 78155 · Guadalupe County
CMS provider number676274
Ownership typeGovernment (hospital district)
Operating companyThe Ensign Group · 343 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMarch 2, 2011 (15 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
About average
- Nurse staffing per resident3 hr 24 min a dayTexas average: 3 hr 23 minAbout average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Oct 2025 (about 1 year ago). All 1 were later corrected.Ask about this
- Fines and penalties2 fines totaling $18,225Federal penalties from the last three years, most recently in Oct 2025 (about 1 year ago). The national average is $30,972 per home.Worth asking about
- Health citations at last inspection12 (Feb 2026)Texas average: 9.4. Most citations are minor and corrected within weeks.Worse than state average
- Registered nurse time per resident10 min a dayTexas average: 26 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital33.8%State average: 25.7%Worse than average
- Needed an emergency room visit14.6%State average: 12.3%About average
- Newly given antipsychotic drugs0.9%State average: 1.5%Better than average
Physical therapist time: about 10 minutes per resident a day. That is more than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.9%State average: 3.3%Better than average
- Pressure sores (bedsores)5.8%State average: 3.8%Worse than average
- Given antipsychotic drugs11.7%State average: 9.6%Worse than average
- Hospital stays per 1,000 resident days1.9State average: 2.2About average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.
- 54% Medicaid
- 7% Medicare
- 39% Private pay, insurance and other
Beds in use, on average59%Texas typical: 67%
Cost of care per resident day$234Texas typical: $270
Shares of resident days, from the home’s Medicare cost report for the year ending March 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 2 stars in January 2019. It has ranged from 1 to 3 stars and changed 11 times.
Overall rating1★
Health inspections2★
Staffing1★
Quality of care4★
Nurse hours per resident per day3.4
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 2 | 3 | 3 | 5.2 |
| Jan 2020 | 2 | 1 | 1 | 5 | 3.0 |
| Jan 2021 | 2 | 1 | 2 | 5 | 3.6 |
| Jan 2022 | 1 | 2 | 1 | 2 | 3.3 |
| Jan 2023 | 1 | 1 | 1 | 2 | 3.3 |
| Jan 2024 | 1 | 1 | 2 | 3 | 3.8 |
| Feb 2025 | 2 | 2 | 3 | 4 | 4.2 |
| Feb 2026 | 1 | 2 | 1 | 4 | 3.2 |
| Sep 2026 | 1 | 2 | 1 | 4 | 3.4 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Loading…
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
Other nursing homes near Seguin
Looking at more than one home? Here are other facilities from the directory in Seguin and the nearby area.
Seguin · 78155
Avir at Walnut Springs
1637 N King St
Seguin, TX 78155
Seguin · 78155
Guadalupe Valley Nursing and Rehabilitation Center
1210 Eastwood Dr
Seguin, TX 78155
Explore the area
View more homes nearby
Browse nursing homes in Seguin and the surrounding area.
See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.