Kerrville · 1.0 mi
Avir at Kerrville
1 of 5 · Medicare
View facility →River Hills Health and Rehabilitation Center
⌖ Kerrville, TX · Kerr County · Medicare data as of September 2026
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Medicare overall rating 1 of 5 stars
Certified beds150
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (individual)
About River Hills Health and Rehabilitation Center
River Hills Health and Rehabilitation Center is a 150-bed for-profit nursing home in Kerrville, TX. Medicare rates it 1 out of 5 stars overall (much below average); the average in Texas is 2.7.
- Inspections: 22 problems at its last full inspection (Jun 2025), more than the Texas average of 9.4. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 3 hr 06 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 76% of nursing staff left in the past year.
- Fines: $112,133 in federal fines in the last three years.
- Stands out: 3.8% of long-term residents were given antipsychotic drugs, compared with 15.4% nationally.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameRiver Hills Health And Rehabilitation Center
LocationKerr County, Texas
Phone(830) 257-9900
Address2091 Bandera Hwy, Kerrville, TX 78028 · Kerr County
Medicare provider number676114
Ownership typeFor-profit (individual)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 1, 2006 (19 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare 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 Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Jun 2025No citations for actual harm or immediate jeopardy since Jun 2025.Strength
About average
- Nurse staffing per resident3 hr 06 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 →
- Fines and penalties3 fines totaling $112,133Federal penalties from the last three years, most recently in Feb 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Health citations at last inspection22 (Jun 2025)Texas average: 9.4.Worse than state average
- Registered nurse time per resident14 min a dayTexas average: 26 minWorse than state average
- Nursing staff turnover76% a yearTexas average: 55%Worse 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 hospital29.8%State average: 25.7%About average
- Needed an emergency room visit16.9%State average: 12.3%Worse than average
- Newly given antipsychotic drugs0.0%State average: 1.5%Better than average
Physical therapist time: about 5 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is more than the state average of 4 minutes. It is not one person’s therapy schedule; 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 injury2.1%State average: 3.3%Better than average
- Pressure sores (bedsores)4.2%State average: 3.8%About average
- Given antipsychotic drugs3.8%State average: 9.6%Better than average
- Hospital stays per 1,000 resident days2.6State 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
Many residents here pay privately or through insurance. In Texas, Medicaid pays for 66% of resident days at a typical home.
- 38% Medicaid
- 8% Medicare
- 55% Private pay, insurance and other
Beds in use, on average74%Texas typical: 67%
Facility operating cost per resident day$287Texas typical: $270
Shares of resident days, from the home’s Medicare cost report for the year ending June 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.
What a stay may cost
- Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
- Paying privately: ask the home for its daily rate and what it includes. As a guide, Texas’s Medicaid program uses about $262 a day (about $7,981 a month) as the average cost of nursing home care (September 2025); see the state’s figure.
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Texas →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
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 9 times.
Overall rating1★
Health inspections1★
Staffing1★
Quality of care4★
Nurse hours per resident per day3.1
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 2 | 1 | 5 | 3.3 |
| Jan 2020 | 3 | 3 | 1 | 5 | 3.0 |
| Jan 2021 | 2 | 2 | 1 | 5 | 3.4 |
| Jan 2022 | 1 | 2 | 1 | 4 | 2.1 |
| Jan 2023 | 2 | 2 | 1 | 5 | 3.0 |
| Jan 2024 | 1 | 2 | 1 | 4 | 3.0 |
| Feb 2025 | 1 | 1 | 1 | 3 | 3.3 |
| Feb 2026 | 2 | 1 | 1 | 5 | 3.0 |
| Sep 2026 | 1 | 1 | 1 | 4 | 3.1 |
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.
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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.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.