River Bend Healthcare
1339 EASTWOOD DR., Seguin, TX, 78155
Federal 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 March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district
- Certified beds
- 115 · avg 72 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $22,994 total
State licensing & capacity
- License number
- 312907
- Service type
- Medicare/medicaid
- Licensed capacity
- 115 beds
- Bed type breakdown
- 28 Medicare-only · 87 Medicaid/Medicare
- Current license effective
- November 1, 2025
- Current license expires
- June 2, 2026
- Initial license date
- March 2, 2011
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Coke County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- River Bend Opco Llc
- Administrator
- John M Jass
Texas HHS licensing registry · as of April 16, 2026
About this community
River Bend Healthcare is a 115-bed nursing home in Seguin (Guadalupe County) operated by a hospital district and licensed for Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing score and a 2-star health inspection score. Quality-of-care measures rate 4 stars. The facility is running at about 63% of licensed capacity, with 72 of 115 beds occupied on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 192 minutes of nursing care per day, about 49 minutes less than at a 4-star-staffing facility in Texas. Registered nurse time is 16 minutes per resident per day, against 37 minutes at the 4-star threshold in Texas. Residents here also tend to need more hands-on care than at a typical facility — more dependent on staff for daily tasks, or managing more complex health needs on average — so the same hours stretch thinner than the raw numbers suggest.
CMS rates quality-of-care measures at 4 stars — both for residents who live here long-term and those recovering from a hospital stay. This score is based on clinical outcome data such as infection rates, falls, and pressure wounds, drawn from facility-reported records.
The facility has received 2 CMS fines totaling $22,994. The state median for Texas nursing homes that have any fines at all is about $20,699; 30% of Texas facilities have zero fines on record.
The facility is operating at roughly 63% of its licensed beds — 72 residents in a 115-bed building. When occupancy runs this low alongside a 1-star overall rating, it reflects a pattern worth understanding directly from the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.7 hours per resident per day here, compared to 3.2 on weekdays — ask how many nurses and aides are scheduled overnight and on Saturdays and Sundays.
Registered nurse coverage each day
CMS records show about 16 minutes of RN time per resident per day; ask whether a registered nurse is on-site around the clock or only during daytime hours.
Why occupancy is at 63%
The facility has 115 licensed beds but averages 72 residents — ask what's driving the vacancy and whether any units or wings are currently closed.
Details behind the two CMS fines
Two federal fines totaling roughly $23,000 appear in CMS records; ask what deficiencies triggered each fine and what changes were made in response.
How resident concerns get raised
The facility has a Resident Council but no Family Council — ask how family members are informed of care-plan changes or can formally raise concerns.
Relationship between operator and hospital district
West Coke County Hospital District holds the license while River Bend Opco LLC manages day-to-day operations — ask how decisions about staffing and care standards are made between the two.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.