River Hills Health And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2006-10-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (830) 257-9900 or your local Medicaid office to verify current eligibility.

River Hills Health And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 72.0/100, placing it #7320 of 14703 facilities nationally and #488 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at River Hills Health And Rehabilitation Center receives a reported average of 3 hours of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 8 minutes; Licensed Practical Nurse (LPN) — 58 minutes; Nurse Aide — 1 hour 53 minutes. On weekends, total nurse staffing is 2 hours 39 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 68.9%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 3 fine(s) totaling $112,133. 20 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 3 fine(s) totaling $112,133, and 0 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 221.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, River Hills Health And Rehabilitation Center ranks 7320th out of 14,703 facilities (composite score: 72.0/100), placing it in the above average nationwide. Within TX, it ranks 488th out of 1,177 nursing homes. In Kerrville, it ranks 1st out of 4 facilities. Among facilities sharing its ZIP code, it ranks 1st of 4. For 2026 staffing: total nurse hours rank #13,161 nationally and RN hours rank #14,067 nationally (#1100 in TX). Our composite quality score of 72.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Kerrville, visit: https://nursinghomesnearme.org/texas/kerrville/