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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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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 30% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 18 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 89 analyzed
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
3
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
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
Detailed Medicare record · up to 3-year lookback
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.
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.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
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
Uvalde County Hospital Authority
for profit
RIVER HILLS CHM LLC
ALAN LOPEZ
Owners
Martin, Christopher
Owner
Rankin, Derek
Owner
Uvalde County Hospital Authority
Owner (parent company) · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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