River Hills Health And Rehabilitation Center
2091 Bandera Hwy, Kerrville, TX, 78028
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual
- Certified beds
- 150 · avg 100 residents/day
- Total nursing staff turnover
- 77.3% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $112,133 total
Medicare certification
- CMS Certification Number
- 676114
- Certified beds
- 150 beds · avg 100 residents/day
- Ownership type
- For profit - Individual
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Uvalde County Hospital Authority
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Parent entity
Uvalde County Hospital Authority
Disclosed owners (10 on record)
- Lauren Hernandez
Corporate Director · since 2025
- Alan Lopez
Operational/managerial Control · since 2025
- Christopher r Lockhart
Corporate Director · since 2024
- Adam Apolinar
Corporate Officer · since 2022
- Terri Contreras
Corporate Officer · since 2019
- 2091kv LlcREIT
Adp of The Snf · since 2017
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 56)
- D0641·Feb 4, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0628·Feb 4, 2026Complaint
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F0882·Nov 26, 2025Complaint
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D0689·Sep 16, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0605·Jun 13, 2025Complaint
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.
- D0880·Jun 13, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0813·Jun 13, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0812·Jun 13, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20251 fine · $49K
- 20242 fines · $63K
Most recent events
- Feb 8, 2025Fine · $49K
- Dec 21, 2024Fine · $47K
- Jan 10, 2024Fine · $15K
Largest single fine on record: $49K.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Jun 13, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about River Hills Health And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.