Riverview Nursing & Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-06-15. 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) 249-2799 or your local Medicaid office to verify current eligibility.

Riverview Nursing & Rehabilitation 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 (2★), 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 75.1/100, placing it #5889 of 14703 facilities nationally and #359 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 Riverview Nursing & Rehabilitation receives a reported average of 3 hours 47 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 20 minutes; Licensed Practical Nurse (LPN) — 1 hour; Nurse Aide — 2 hours 28 minutes. On weekends, total nurse staffing is 3 hours 28 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 62.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 4 fine(s) totaling $156,748. 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 4 fine(s) totaling $156,748, and 0 Medicare payment denial(s). Total penalties: 4. The Total Weighted Health Survey Score is 238.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Riverview Nursing & Rehabilitation ranks 5889th out of 14,703 facilities (composite score: 75.1/100), placing it in the above average nationwide. Within TX, it ranks 359th out of 1,177 nursing homes. In Boerne, it ranks 4th out of 5 facilities. Among facilities sharing its ZIP code, it ranks 4th of 5. For 2026 staffing: total nurse hours rank #6,441 nationally and RN hours rank #12,183 nationally (#694 in TX). Our composite quality score of 75.1/100 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 Boerne, visit: https://nursinghomesnearme.org/texas/boerne/