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Nursing HomeMedicaid Investigative

River Bend Healthcare

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1339 Eastwood Dr., Seguin, TX 78155115 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 33 Google reviews

5
4
3
2
1
River Bend Healthcare Nursing Home in Seguin, TX — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (18 vs median 8.0)

Bottom 25% in Texas · Critically understaffed (RN) · $22,994 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for those seeking high-quality rehabilitation or long-term care, particularly due to their standout physical therapy team and clean environment. Since the facility has recently undergone ownership and management changes, you may want to visit during your preferred time of day to see the positive improvements firsthand.

Google Reviews

Google Reviews

33 reviews on Google
River Bend Healthcare is highly regarded by families and rehab patients for its modern, clean, and beautiful facility. Reviewers consistently praise the compassionate nursing staff and the exceptional quality of the physical therapy department. While the facility has recently undergone management and ownership changes, these transitions are noted as positive improvements to the level of care provided.

Quality Themes

Tap a score for details
Food10.0Staff10.0Clean10.0Activities9.0MedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Compassionate and professional nursing staff
  • Exceptional physical therapy and rehab services
  • Modern, clean, and well-maintained building
  • Welcoming and supportive atmosphere
  • Effective administration and communication

Rating Trends

Tap a year to see what changed

2345.02025(28)5.02026(6)

Distribution · 34 analyzed

5
34
4
0
3
0
2
0
1
0
14 reviews posted between Apr 24, 2025Apr 25, 2025 · 14 were 5-star

How They Respond to Reviews

77%response rate
Generic

The owner uses highly repetitive, template-based responses that primarily consist of variations of 'Thank you.' There is almost no attempt to personalize the replies to the specific details or staff members mentioned in the reviews.

Questions for Your Tour

  • 1It is wonderful to see how much the administration engages with the community through your review responses; how does that same level of communication work between the staff and families regarding daily updates?
  • 2We have heard such lovely things about the compassion of your nursing team; how do you ensure that this high level of personal care is maintained during busy shifts?
  • 3The physical therapy and rehab services here seem to be a real standout; could you tell us more about how the therapy team works with residents to help them regain their independence?
  • 4Since the building looks so modern and well-maintained, what kind of daily activities or social programs are available to keep residents engaged and active in the common areas?
  • 5In terms of medical care, what is the protocol for managing urgent medical needs or emergencies during the overnight hours?
  • 6With the recent health inspection findings, what specific steps is the facility taking right now to improve staffing levels and address the noted deficiencies?

Personalized based on this facility's data


Key Review Excerpts

Without any doubt this is the very best rehab facility I have been to. I tried 3, previously, and they all were sadly lacking. Not so with River Bend. All aspects of my recovery was immediately taken care of - and every department made sure that any needs I had were addressed.

Rehab patient · 2025★★★★★

The PT people take their time to find out what your weakness and strengths are and push you just Enough that you’re still functional at the end of

Spouse of resident · 2025★★★★★

The clinical staff and floor staffs are exceptionally positive, practice amazing care for our seniors and the center is full of fun events !

Hospice representative · 2025★★★★★
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
31%
Registered nurses for medical care
Total Nursing
3.37hrs
82%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility83.3%
Worse than Avg
Here
83.3%
US
95.5%
TX
98.0%
Guadalupe
99.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Guadalupe
1.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.3%
Worse than Avg
Here
91.3%
US
93.4%
TX
96.9%
Guadalupe
99.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.0%
Worse than Avg
Here
19.0%
US
14.4%
TX
16.1%
Guadalupe
11.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.4%
Mixed vs Avgs
Here
14.4%
US
19.4%
TX
14.2%
Guadalupe
7.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility15.7%
Worse than Avg
Here
15.7%
US
15.3%
TX
14.9%
Guadalupe
9.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility46.5%
Worse than Avg
Here
46.5%
US
79.7%
TX
88.0%
Guadalupe
91.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.0%
Mixed vs Avgs
Here
89.0%
US
81.8%
TX
89.2%
Guadalupe
94.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
TX
1.5%
Guadalupe
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
2penalties
Well above state avg (9.1)
16 complaint-triggered
$22,994 in fines

River Bend Healthcare shows a concerning pattern of recurring deficiencies, including 16 complaint-triggered violations where families reported issues to authorities. The facility has persistent problems with medication management, care planning, and food safety that appear across multiple years despite corrections. While deficiencies have been addressed when identified, the repeated nature of violations in critical areas like pharmaceutical services and resident assessments suggests ongoing quality challenges families should carefully consider.

Nov 25, 2025Complaint
2
0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Oct 24, 2025Complaint
2
0755Actual harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Dec 4, 2024Routine
21
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0944Potential for harm · PatternCorrected

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0946Potential for harm · PatternCorrected

Administration Deficiencies

Provide training in compliance and ethics.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Dec 4, 2024Complaint
1
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Nov 13, 2024Complaint
1
0761Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Jul 3, 2024Complaint
2
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Federal Penalties

Fine

Oct 24, 2025

$9,110

Fine

May 1, 2024

$8,979

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Coke County Hospital District

Organization Type

for profit

Management Company

RIVER BEND OPCO LLC

Administrator

JOHN M JASS

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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