River Hills Health and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 69 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (18 vs median 8.0)
- High staff turnover (69%)
- High RN turnover (100%)
Below average in Texas · Critically understaffed (RN) · $112,133 in fines
What this means for your family
This facility offers excellent physical therapy and has standout individual nurses like Jaymie who provide compassionate care. However, the documented history of medication errors and recent CMS penalties is a major red flag. If you choose this facility, you must implement a strict personal monitoring routine for medication administration and hygiene.
Google Reviews
Google Reviews
69 reviews on Google“Families considering River Hills Health and Rehabilitation will find a stark divide in experiences. While many praise the facility for its excellent physical therapy, warm nursing staff (specifically mentioning Nurse Jaymie), and a welcoming atmosphere, there are serious, documented concerns regarding medication errors, hygiene, and severe understaffing. Recent reports of CMS penalties and significant medical errors suggest a need for extreme vigilance regarding clinical oversight.”
Quality Themes
Tap a score for detailsStrengths
- Excellent physical and speech therapy services
- Compassionate and attentive nursing staff
- Welcoming and professional admissions/tour process
- Engaging resident activities and social programs
Concerns
- Serious medication errors and documentation issues (mentioned by 3 reviewers)
- Inadequate hygiene and cleanliness of resident areas (mentioned by 3 reviewers)
- Severe understaffing and reliance on untrained agency nurses (mentioned by 2 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 89 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about your physical and speech therapy programs; could you tell us more about how those services are integrated into a resident's daily routine?
- 2What specific steps is the facility taking to ensure medication administration and documentation are handled with the highest level of accuracy?
- 3How do you ensure consistent care and familiarity for residents, especially when managing staffing needs or using supplemental nursing support?
- 4Could you walk us through your protocols for maintaining cleanliness in the resident rooms and common areas to ensure a comfortable environment?
- 5What is the best way for family members to stay in regular contact with the nursing team if we have questions about a loved one's care?
- 6What kind of social programs or engaging activities are currently available to help residents stay connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“I chose this facility for my mother’s rehab and I must say, I’m so glad I did. She has been very well taken care of and showing improvement daily.”
“She has been given other residents medications by mistake several times which lead to kidney complications And multiple visits to the ER.”
“I can’t say enough good things about Nurse Jaymie Watson. From the moment she stepped into the room, her professionalism, compassion, and calming presence made a world of difference.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
12
measures
3
measures
2
measures
Residents whose walking got worse
Residents on antipsychotic medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
River Hills has faced significant ongoing concerns, with families filing 24 complaints resulting in federal citations across multiple areas. The facility shows persistent problems with medication management, care planning, and safety oversight that have recurred across surveys from 2023 to 2025. While the facility has corrected each cited deficiency, the pattern of repeated violations in core care areas suggests systematic challenges that families should carefully consider before placement.
Feb 4, 2026Complaint2
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nov 26, 2025Complaint1
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Sep 16, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 13, 2025Routine17
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 13, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
May 13, 2025Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal Penalties
Fine
Feb 8, 2025
$49,392
Fine
Dec 21, 2024
$47,467
Fine
Jan 10, 2024
$15,274
Ownership & Operations
Who Operates This Facility
Uvalde County Hospital Authority
for profit
RIVER HILLS CHM LLC
ALAN LOPEZ
Ownership & Management
Owners
Martin, Christopher
Owner
Rankin, Derek
Owner
Uvalde County Hospital Authority
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
69 reviews from families & visitors
Official Website
Visit facebook.com
Medicare data downloads
Original nursing home datasets
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