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River Hills Health and Rehabilitation Center

  • Nursing Home

Updated Sep 1, 2022 by Nick Lata

Historical Rating
Grade: B-minus
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: CMay 19: CJun 19: CJul 19: DAug 19: DSep 19: DJan 20: DMar 20: DApr 20: CMay 20: CJun 20: CJul 20: CAug 20: CSep 20: DOct 20: CJan 21: B-Feb 21: B-Mar 21: B-Apr 21: B-May 21: B-Jun 21: B-Jul 21: B-Aug 21: B-Sep 21: B-Oct 21: B-Nov 21: B-Jan 22: B-Feb 22: B-Mar 22: B-Apr 22: B-May 22: B-Jun 22: B-Aug 22: B-Sep 22: B-
See Rating Overview
River Hills Health and Rehabilitation Center's website

2091 Bandera Hwy,
Kerrville TX 78028

(830) 257-9900

61.13% estimated occupancy 1

River Hills Health and Rehabilitation Center is a large nursing home located in Kerrville, Texas. Featuring an overall rating of B-, this is a middle of the pack facility. Based on our analysis, this facility likely wouldn't be a bad choice. More information on this nursing home's category grades may be found below. Its best category was long-term care, which is addressed in the next paragraph.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Corporation
  • Secure Memory Care 
  • Offers Respite Care
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Home Making
  • Transportation
  • Medical Transportation
  • Speech Therapy
  • Stroke Recovery
  • IV Antibiotic Therapy
  • Wound Care
  • Occupational Therapy
  • Cardiac Therapy
  • Podiatry
  • Physical Therapy
  • Nutritional Counseling
  • Pain Management
  • Orthopedic Rehabilitation

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
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April
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May
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June
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July
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August
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September
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October
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November
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December
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January
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February
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March
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Long-term Care Quality

Grade: A

This nursing home excelled in our long-term care category, with a grade of A in this category. This really helped its overall score quite a bit. Nursing homes that excel in long-term care tend to be well-staffed and offer extensive hands on care to residents. Once we concluded our assessment of the volume of nursing care, we then looked at the facility's vaccination records. This nursing home vaccinated 98.91697 percent of its residents for pneumonia, which is an impressive figure. Pneumonia tragically can be a dangerous illness for nursing home patients so we strongly prefer when a facility doesn't take any chances. Clearly, this facility is doing something right in this area as it was able to keep its residents out of the hospital. In fact, it had less than one hospitalization per one thousand long-term resident days, which is an impressively low number.

Facility Inspections

Grade: A-minus

In addition, this facility also excelled in the area of inspections, where it received a grade of A-. Few nursing homes performed better in this area. We weigh several aspects of a nursing home's inspection report in determining these inspection grades. One critical factor is deficiencies. It should be noted that the severity of deficiencies is usually more meaningful than the number of deficiencies, as some deficiencies end up being quite minor. Fortunately, although this place had some minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are labeled as categories G, H, I, J, K and L. This tells you that the inspectors didn't consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Short-term Care Quality

Grade: B

Additionally, we awarded this nursing home a B in our short-term care category. This happens to be one of our more favorable scores. In determining our short-term care scores, we assess the nursing home's levels of highly skilled nursing, which includes registered nurses, physical therapists occupational therapists and other highly trained professionals. This category is frequently a fair measure of a facility's ability to rehabilitate patients. Unfortunately, it doesn't appear that this facility submitted information on registered nurse or physical therapist staffing. The final statistic we considered in this category is the number of patients who were able to leave the nursing home and return to the community. We discovered that 6 percent of this facility's residents were able to return home.

Nurse Quality

Grade: F

This nursing home's worst category was nursing, which is the last area we looked at. We gave it a lowly F for this category. Despite multiple decent scores in other areas, this grade is still alarming so we wanted to make sure you are aware. We scrutinized the skill-level of nurses at the nursing home, in addition to the number of hours the nurses spent with patients, in determining our score in this category. This place provided only 0.3 hours of nursing care per resident per day. This is an alarmingly low total. Lastly, we also assessed some nursing quality-based metrics in computing our nursing scores. This facility performed well in the area of avoiding pressure ulcers and major falls.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

River Hills Health and Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

Grade: B

In River Hills Health and Rehabilitation Center, 7.79% of Patients had Pressure Ulcers

This indicates the percent of patients that suffered from a pressure ulcer. Pressure ulcers are damage to the skin due to remaining in one position for an excessive period of time.

Minimizes Serious Falls

Grade: C

In River Hills Health and Rehabilitation Center, 3.33% of Patients had Serious Falls

This tells you the percentage of long-term residents who suffered falls leading to serious injury. Falls can arise for a variety of reasons, but high rates of major falls may be an indicator of lower levels of patient supervision.

Minimizes Urinary Tract Infections

Grade: A+

In River Hills Health and Rehabilitation Center, 1.51% of Patients had UTIs

This tells you the percentage of patients who sustained a urinary tract infection. Urinary tract infections are routinely the result of nursing homes with worse hygiene protocols. More frequent bathing reduces the number likelihood of residents sustaining infections. Keep in mind that this statistic is sometimes skewed by the fact that nursing homes have varying reporting standards for UTI's.

Appropriately Uses Anti-Psychotic Medication

Grade: A

In River Hills Health and Rehabilitation Center, 11.48% of Patients use Anti-Psychotic Medication

This metric gauges the percent of long-term stay patients that were administered antipsychotic drugs. Excessive reliance on these medications may indicate a facility is using these medications to subdue residents in scenarios where such medications are not medically required. Nevertheless, some facilities need to rely on these medications due to having more patients suffering from cognitive disorders.

Appropriately Uses Anti-Anxiety Medication

Grade: B-minus

In River Hills Health and Rehabilitation Center, 22.56% of Patients use Anti-Anxiety Medication

This indicates the percent of residents who were prescribed antianxiety medications. These medications are used to treat residents suffering from depression or anxiety.

Managing Depression Among Residents

Grade: B

In River Hills Health and Rehabilitation Center, 4.81% of Patients

This datapoint measures the percentage of long-term care patients who are demonstrating depressive symptoms. Many would argue this is a reasonable measure of resident quality of care.

Appropriate Vaccine Usage

Grade: B-plus

In River Hills Health and Rehabilitation Center, 94.64% of Patients

This datapoint measures the percent of long-term stay patients that received the flu and pneumonia vaccines.

Residents Maintain Autonomy

Grade: A

In River Hills Health and Rehabilitation Center, 17.1% Percentage of Patients

This is the percent of residents that required increased assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may indicate decline of a patient's medical condition.

Ability to Keep Residents Mobile

Grade: D

In River Hills Health and Rehabilitation Center, 16.36% Percentage of Residents

This indicates the percent of patients who were able to retain mobility over time. Preserving mobility can be a good sign for residents' health.

Hospitalizations

Grade: F

In River Hills Health and Rehabilitation Center, 1.67 Hospitalizations per 1,000 resident days

This is the number of times residents are hospitalized per thousand days of patient care.

Short-term Care: Rehospitalizations

Grade: A

In River Hills Health and Rehabilitation Center, 16.36 Percentage of Residents Rehospitalized

This tells you the number of times residents are rehospitalized per 1,000 days of short-term care. There is a correlation between staying out of the hospital and a nursing home's quality of short-term rehabilitation.

Short-term Care: ER Visits

Grade: F

In River Hills Health and Rehabilitation Center, 11.4 Percentage of Patients

This metric tracks the number of emergency room visits per thousand days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: A-minus

In River Hills Health and Rehabilitation Center, 66.86% Percentage of Resident

Measures the percentage of short-term care residents who experienced functional improvements.

Scores for Kerrville, TX

  • Overall Rating has a grade of C
  • Nurse Rating has a grade of D
  • Long-term Care Rating has a grade of C
  • Short-term Care Rating has a grade of C
  • Inspection Rating has a grade of B-plus

Looking for more options? Kerrville, Texas has 3 other nursing homes

Nearby Hospitals

  • Peterson Regional Medical CenterAcute Care Hospitals 2.5 miles away551 Hill Country Drive Kerrville Texas 78028Voluntary non-profit - Private(830) 896-4200

Nearby Dialysis

  • Kerrville Dialysis2.18 miles away515-a Granada Kerrville Texas 78028Dialysis Stations: 16 (830) 257-8734