{
 "id": "676114",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "River Hills Health and Rehabilitation Center",
 "slug": "river-hills-health-and-rehabilitation-center",
 "path": "/tx/kerr/kerrville/river-hills-health-and-rehabilitation-center",
 "address": {
  "street": "2091 BANDERA HWY",
  "city": "Kerrville",
  "county": "Kerr",
  "state": "TX",
  "state_name": "Texas",
  "zip": "78028"
 },
 "phone": "8302579900",
 "coords": [
  30.015817,
  -99.126613
 ],
 "capacity": 150,
 "residents_per_day": 99.2,
 "status": "Medicare and Medicaid",
 "licensee": "Uvalde County Hospital Authority",
 "administrator": null,
 "licensed_since": "2006-10-01",
 "last_visit": "2025-06-13",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Individual",
  "chain": null,
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 1,
   "health_inspection": 1,
   "staffing": 1,
   "quality": 4
  },
  "cycle1": {
   "date": "2025-06-13",
   "total": 21,
   "standard": 14,
   "complaint": 8
  },
  "fines": {
   "count": 3,
   "dollars": 112133,
   "penalties": 3
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.10679,
   "turnover_pct": 75.9
  },
  "on_record": {
   "immediate_jeopardy": 6,
   "actual_harm": 0,
   "potential_harm": 51,
   "minimal": 1
  },
  "penalties_on_file": {
   "count": 3,
   "dollars": 112133
  },
  "owners": [
   {
    "name": "UVALDE COUNTY HOSPITAL AUTHORITY",
    "role": "Organization",
    "since": "since 05/01/2026",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "AZIZ, WESAM",
    "role": "Individual",
    "since": "since 05/01/2026",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "KEETCH, CHAD",
    "role": "Individual",
    "since": "since 03/01/2011",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "APOLINAR, ADAM",
    "role": "Individual",
    "since": "since 05/01/2026",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BURNAM, SOON",
    "role": "Individual",
    "since": "since 05/01/2026",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "CROWN MOUNTAIN HEALTHCARE LLC",
    "role": "Organization",
    "since": "since 05/01/2026",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "AZIZ, WESAM",
    "role": "Individual",
    "since": "since 05/01/2026",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "LOPEZ, ALAN",
    "role": "Individual",
    "since": "since 03/11/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BANDERA HWY HEALTH HOLDINGS LLC",
    "role": "Organization",
    "since": "since 05/01/2026",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "CROWN MOUNTAIN HEALTHCARE LLC",
    "role": "Organization",
    "since": "since 05/19/2026",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ENSIGN SERVICES, INC.",
    "role": "Organization",
    "since": "since 02/13/2026",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "STANDARD BEARER HEALTHCARE OP LP",
    "role": "Organization",
    "since": "since 05/01/2026",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-05-07",
   "tag": "0609",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2026-05-07",
   "tag": "0755",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2026-05-07",
   "tag": "0761",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2026-02-04",
   "tag": "0628",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2026-02-04",
   "tag": "0641",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-11-26",
   "tag": "0882",
   "sev": "F",
   "complaint": true
  },
  {
   "date": "2025-09-16",
   "tag": "0689",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-06-13",
   "tag": "0656",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0677",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0690",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0727",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0761",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0583",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0584",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0605",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-06-13",
   "tag": "0685",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0689",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0760",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-06-13",
   "tag": "0813",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "676114"
 }
}