Georgianna Morrow
Jun 2026
Very nice employees and people.
1 / 5Quick Facts
- Total units
- 150
- Medicare rating
- 1 of 5
- Ownership
- For profit, Individual
- Certified beds
- 150
- Inspections
- View history (69 citations)
- Therapy services
- Physical and speech therapy offered on-site
- Capacity
- Licensed for up to 150 residents
- Pricing transparency
- No pricing published; must contact facility directly
CMS Care Compare
What Families Think
Reviewers describe River Hills Health and Rehabilitation as a warm, well-run skilled nursing and long-term care facility where staff form real relationships with residents and families. Praise centers on attentive nursing and therapy teams, clear communication, and a clean, welcoming building, though a couple of reviewers noted room for improvement in food service and inconsistent past experiences.
The Good
- Staff described as compassionate, attentive, and respectful
- Physical and speech therapy praised by residents
- Clean, welcoming, well-maintained building
- Clear, timely communication with families
- Organized group activities like balloon volleyball and games
The Bad
- One report of food often served cold
- One reviewer noted past negative reviews before recent leadership changes
- No published pricing information available
AI-generated from reviews and community data.
River Hills Health and Rehabilitation is a senior living community in Kerrville, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.1 out of 5 across 73 reviews.
About River Hills Health and Rehabilitation
River Hills Health and Rehabilitation is a skilled nursing and long-term care facility in Kerrville, Texas with a licensed capacity of 150 residents. The building is newer and well-maintained on its exterior, though conditions vary significantly according to family experience.
Families report deeply divided experiences. Some residents and their families describe excellent, compassionate care, particularly praising attentive staff, thoughtful assistance with personal needs, and a faith-based environment with regular spiritual activities. However, other families document serious safety and quality concerns: inconsistent medication administration (with doses missed or withheld for extended periods), insufficient staffing (one account noted 30 patients per aide), cleanliness issues, and lack of basic personal care such as bathing, grooming, and prompt hygiene support. Several reviews note that staff may seem disengaged or resistant to family requests, and that family members must monitor care closely to ensure tasks are completed. Food quality receives mixed comments, with one resident noting it was good but usually served cold.
The facility holds a 4.1 out of 5 rating across 73 Google reviews, indicating broad but inconsistent satisfaction. Prospective families should plan frequent visits and active involvement in monitoring their loved one's care.
Types of Care at River Hills Health and Rehabilitation
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Cable or Satellite TV
- Emergency Call System
- Private Bathroom
- Private Rooms
- Wheelchair Accessible
Meals & Dining
- Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
- Restaurant style Dining Room
Community Amenities
- 24-Hour Staff
- Chapel / Religious Services
- Gathering / Activity Spaces
- Housekeeping
- Medication Management
- On-Site Nurse (RN)
Activities
- Religious Services
- Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)
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Help Me ChooseReviews of River Hills Health and Rehabilitation
4.1overall · 73 ratings combined
4.1★ on Google (73)
Dian Follett
Jun 2026
My stay at River Hills was overall excellent. The food was good although usually cold. The staff, however was an excellent experience for me!!! Not only were they well trained, very knowledgeable and capable, they were so kind and thoughtful, they treated me like they would have treated their own family member. They explained everything I was needing to do, assisted me in doing it. Upon my completion I was told “Good job or great job. I actually enjoyed physical therapy because of them. This may silly but I really love them 💕 I think of them often and remember my stay there. Not that I don’t love being home. It’s like Heaven on Earth actually! I just want to say thank you for all you did!! On Friday they get all the patients together for fun, therapeutic games like volleyball with balloons-and ring toss and corn hole toss and everyone is happy and enjoying themselves. When I was about to leave for my trip home the staff members who were not treating other patients came out to our car to say goodby to meThat touched my heart. If you’re ever in need of physical therapy. River Hills is the place for you!!
Briana Gonzales
Jun 2026
The staff treat residents with kindness, patience, and respect. They don’t just provide care — they build relationships, encourage the resident to keep going. The facility is clean, welcoming, and always has activities that bring smiles and laughter. The leadership is an amazing team and will help you with a questions you may have.
Tracy Rouse Konvicka
May 2026
Never in my life have I seen such atrocities such horrible care of people. I’ve held my breath for many many many months hoping that things will get better because that’s what they always promised me. I walked in today. AC is out nobody’s working on it it’s 76° in the hallways. God knows what it is in the rooms. They had one washing machine working but we we couldn’t even find my dad‘s clothing So I can go wash it for them. We pay over $6800 a month for him to be there and you can’t afford AC or a new washer. The food looked like dog food. You should be ashamed of yourselves. Never ever ever put your loved one in this hell hole I’m doing everything I can right now to get my dad out of there!!!!
Traci Green
May 2026
Despite a few negative reviews, my experience at River Hills Health and Rehab was overwhelmingly positive and truly deserves recognition. Their therapy department is exceptional - their care is patient-centered and they are genuinely invested in patient progress and quality of life. Equally impressive is the interdisciplinary team. Their compassion, professionalism, and dedication truly speaks to their commitment to high-quality care and teamwork.
Government Inspection History
14 inspection visits in the last three years, 69 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
May 7, 2026Health Complaint3 citations
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 1, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 1, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 1, 2026
Feb 4, 2026Health Complaint2 citations
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 6, 2026
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 6, 2026
Nov 26, 2025Health Complaint1 citation
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 19, 2025
Sep 16, 2025Health Complaint1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 1, 2025
Jun 13, 2025Fire Safety StandardHealth ComplaintHealth Standard18 citations
Have simulated fire drills held at unexpected times.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 11, 2025
Provide primary/alternate means for communication.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025
Have properly installed electrical wiring and gas equipment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 11, 2025
Assist a resident in gaining access to vision and hearing services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 11, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 11, 2025
May 13, 2025Health Complaint2 citations
Reasonably accommodate the needs and preferences of each resident.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jun 3, 2025
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 3, 2025
Feb 8, 2025Health Complaint4 citations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Feb 9, 2025
Ensure that residents are free from significant medication errors.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Feb 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Feb 9, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 9, 2025
Dec 21, 2024Health Complaint5 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Dec 22, 2024
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.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 22, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 22, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 22, 2024
Sep 9, 2024Health Complaint4 citations
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 30, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 30, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 30, 2024
Employ staff that are licensed, certified, or registered in accordance with state laws.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 30, 2024
Apr 19, 2024Fire Safety StandardHealth Standard16 citations
Develop and maintain an Emergency Preparedness Program (EP).
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 31, 2024
Conduct testing and exercise requirements.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 22, 2024
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 19, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2024
Inspect, test, and maintain automatic sprinkler systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 19, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2024
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 22, 2024
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2024
Keep residents' personal and medical records private and confidential.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2024
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 31, 2024
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2024
Ensure medication error rates are not 5 percent or greater.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 31, 2024
Mar 8, 2024Infection ControlNo citations
Jan 10, 2024Health Complaint2 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 29, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jan 29, 2024
Jul 7, 2023Health Complaint2 citations
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 7, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 7, 2023
Mar 4, 2023Fire Safety StandardHealth Standard9 citations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2023
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2023
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 5, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 5, 2023
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 5, 2023
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 10, 2023
Dispose of garbage and refuse properly.
Severity C of L: potential for minimal harm, widespreadCorrected Mar 5, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does River Hills Health and Rehabilitation offer?
River Hills Health and Rehabilitation offers Skilled Nursing / Long Term Care.
Where is River Hills Health and Rehabilitation located?
River Hills Health and Rehabilitation is located at 2091 Bandera Hwy in Kerrville, Texas.
What do families say about River Hills Health and Rehabilitation?
Reviewers describe River Hills Health and Rehabilitation as a warm, well-run skilled nursing and long-term care facility where staff form real relationships with residents and families. Praise centers on attentive nursing and therapy teams, clear communication, and a clean, welcoming building, though a couple of reviewers noted room for improvement in food service and inconsistent past experiences.
How did River Hills Health and Rehabilitation do on recent health and safety inspections?
River Hills Health and Rehabilitation had 14 government inspection visits in the last three years, with 69 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit River Hills Health and Rehabilitation?
Submit the Request Information form on this page to connect with River Hills Health and Rehabilitation and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at River Hills Health and Rehabilitation? Claim this listing to update photos, pricing, and details. It's free.
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