River Hills Health And Rehabilitation Center

2091 Bandera Hwy
Kerrville, TX 78028
Kerr County
Phone: 830-257-9900
Provider Number: 676114
Last Inspection: 10/30/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
150
Number of Residents
Number of
Residents
82
Number of Beds Available
Beds Available
68
Percent Occupancy
Percent Occupancy
55%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • TX
  • USA
  • 29
  • 37
  • 22
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 29
  • 41
  • 88
Lower Numbers are Better

Details by Inspection Date

 

10/30/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 11/24/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 11/2/2015
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Pattern : Minimal 4 11/2/2015
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/2/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 11/6/2015
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 11/6/2015
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 11/2/2015
 

10/3/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 11/3/2014
Failed To: Allow residents to self-administer drugs if determined safe. Pattern : Minimal 4 11/3/2014
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 11/3/2014
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 11/3/2014
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 11/3/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/3/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 11/3/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 11/3/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 11/3/2014
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 11/3/2014
 

8/1/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 8/21/2013
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 9/2/2013
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 8/20/2013
Failed To: Ensure residents maintain acceptable nutritional status. Pattern : Minimal 4 8/22/2013
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 8/19/2013
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 8/30/2013
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 8/30/2013
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 8/26/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 8/30/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 8/16/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 8/30/2013
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 8/7/2013
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Potential 3 8/30/2013
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 8/27/2013
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 8/30/2013
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 8/30/2013
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Widespread : Minimal 5 9/9/2013
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Pattern : Minimal 4 8/8/2013
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 8/30/2013
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 8/22/2013
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 8/22/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 8/22/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

7/16/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 7/17/2015
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 7/17/2015
 

3/3/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 3/4/2015

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg TX State Avg
Number of Residents 82 80.00 76.40
Registered Nurses 0.60 0.44 0.60
Licensed Practical / Vocational Nurses 1.02 1.16 0.92
Certified Nursing Assistants 2.16 2.16 2.18
Total Staff Hours 3.78 3.75 3.70

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% TX State Avg%
High Risk Long Stay Residents With Pressure Ulcers 9 6 6
Long Stay Residents Experiencing One or More Falls with Major Injury 2 5 3
Long Stay Residents Who Have Depressive Symptoms 0 5 6
Long Stay Residents Who Lose Too Much Weight 6 8 6
Long Stay Residents Who Received an Antipsychotic Medication 15 20 22
Long Stay Residents Who Self Report Moderate to Severe Pain 29 13 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 18 5 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 14 3 9
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 16 20 19
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 6 3
Long Stay Residents With a Urinary Tract Infection 0 3 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 32 38 46
Short Stay Residents Who Newly Received an Antipsychotic Medication 4 3 3
Short Stay Residents Who Self Report Moderate to Severe Pain 20 18 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 14 9 28
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 15 13 28
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 0 1