Avir at Kerrville
Kerrville · 0.9 mi · 130 beds
Citations0Substantiated0
River Hills Health and Rehabilitation Center
2091 BANDERA HWY, Kerrville, TX, 78028
Nursing home150 licensed beds0 citations on record
3 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 21 deficiencies against River Hills Health and Rehabilitation Center in Kerrville, Texas at its most recent standard inspection on 2025-06-13, 8 of them arising from complaints. 6 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $112,133. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
150certified beds
21deficiencies at the last inspection
6immediate-jeopardy findings on record
0actual-harm findings on record
3federal fines, $112,133
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.6
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.51
Potential for minimal harmThe least serious band.1
Most recentDDDDDFDEEEEEEDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2026-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2026-02-04 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-02-04 · from a complaint · No actual harm, potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · F0882 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-09-16 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0727 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-06-13 · from a complaint · No actual harm, potential for more than minimal harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · F0685 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · F0813 · 2025-06-13 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.10679
Nursing staff turnoverShare of nursing staff who left in a year75.9%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS3
Total fined$112,133
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership
Who owns River Hills Health and Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| UVALDE COUNTY HOSPITAL AUTHORITY | Organization | NOT APPLICABLE | since 05/01/2026 |
| AZIZ, WESAM | Individual | NOT APPLICABLE | since 05/01/2026 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| APOLINAR, ADAM | Individual | NOT APPLICABLE | since 05/01/2026 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 05/01/2026 |
| CROWN MOUNTAIN HEALTHCARE LLC | Organization | NOT APPLICABLE | since 05/01/2026 |
| AZIZ, WESAM | Individual | NOT APPLICABLE | since 05/01/2026 |
| LOPEZ, ALAN | Individual | NOT APPLICABLE | since 03/11/2025 |
| BANDERA HWY HEALTH HOLDINGS LLC | Organization | NOT APPLICABLE | since 05/01/2026 |
| CROWN MOUNTAIN HEALTHCARE LLC | Organization | NOT APPLICABLE | since 05/19/2026 |
| ENSIGN SERVICES, INC. | Organization | NOT APPLICABLE | since 02/13/2026 |
| STANDARD BEARER HEALTHCARE OP LP | Organization | NOT APPLICABLE | since 05/01/2026 |
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Arbor View Nursing & Rehabilitation
Kerrville · 1.8 mi · 179 beds
Citations0Substantiated0
Hilltop Village Nursing and Rehabilitation
Kerrville · 4.5 mi · 150 beds
Citations0Substantiated0
Contact
Ask River Hills Health and Rehabilitation Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676114.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction