River Hills Health & Rehabilitation Center

Detailed report on the nursing home located in Kerrville, Texas (TX).

River Hills Health & Rehabilitation Center is a large, for-profit, nursing home with 150 beds based at 2090 Bandera Highway in Kerrville, TX. The facility has 58 residents indicating 39% of its beds are occupied, which is below average within this state. The provider participates in the medicare & medicaid programs and provides resident counseling services. The home is not located in a hospital or continuing care retirement community and is fully sprinklered. A total of 59 Medicare patients were given 1,521 days of non-swing bed care and services in 2006, and the provider was reimbursed $435,094 by Medicare.

On a state level, the number of registered nurse hours per resident per day is lower than average. Certified nursing assistant hours per resident per day is higher than average. The number of licensed practical or vocational nurse hours per resident per day is much higher than average. Licensed staff hours per resident per day is much higher than average.

When compared to other nursing homes in the state, it is more likely for short-stay residents to be given a pneumococcal vaccination and short-stay residents to have moderate to severe pain at River Hills Health & Rehabilitation Center.

When compared to other nursing homes in the state, it is less likely for short-stay residents to have delirium and short-stay residents to have pressure sores.

Overall Rating

Not Yet Rated
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Ownership Type

For-Profit - Partnership

Multiple Ownership

Yes

Address

2090 Bandera Highway
Kerrville, TX 78028

Phone Number

(830) 257-9900

Geographic Coordinates

29.942856, -99.110125
* The accuracy of these coordinates is at a street level.

Programs Accepted

Medicare & Medicaid

Counseling Available

Resident

Sprinkler System

The amount of the facility that is sprinklered. All fire code regulations at different locations must be met.

Fully Sprinklered
Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate Better than National Rate

Beds

The total number of beds the facility operates. Each resident is assigned to a single bed.

This Provider This Provider
150
Kerrville Average
121
Kerr County Average
121
Texas Average
106
United States Average
106

Beds Occupied

The percentage of total beds that are occupied by residents.

This Provider This Provider
39.00%
Kerrville
53.60%
Kerr County
53.60%
Texas
73.01%
United States
84.18%

Residents

The total number of residents residing at the facility.

This Provider This Provider
58
Kerrville Average
72
Kerr County Average
72
Texas Average
79
United States Average
90

Located in a Hospital

Status

Indicates whether the facility is located within a hospital.

This Provider This Provider
No
Kerrville
0 (0.00%)
Kerr County
0 (0.00%)
Texas
40 (3.50%)
United States
1,271 (8.03%)

Located in a CCRC

Status

Indicates whether the facility is located within a continuing care retirement community.

This Provider This Provider
No
Kerrville
1 (20.00%)
Kerr County
1 (20.00%)
Texas
51 (4.46%)
United States
1,255 (7.93%)

Recent Surveys

  • 05/03/2007 - Health Survey
  • 05/03/2007 - Fire Safety Survey
  • 08/28/2006 - Health Survey
  • 08/28/2006 - Fire Safety Survey

Staff

Charts

RN Hours Per Resident

The average number of registered nurse hours per resident per day.

This Provider
0.32
Kerrville Average
0.51
Kerr County Average
0.51
Texas Average
0.44
United States Average
0.64

CNA Hours Per Resident

The average number of certified nursing assistant hours per resident per day.

This Provider This Provider
2.74
Kerrville Average
1.89
Kerr County Average
1.89
Texas Average
2.15
United States Average
2.34

LPNLVN Hours Per Resident

The average number of licensed practical or vocational nurse hours per resident per day.

This Provider This Provider
1.44
Kerrville Average
1.45
Kerr County Average
1.45
Texas Average
0.84
United States Average
0.79

Licensed Staff Hours Per Resident

The average number of licensed staff hours per resident per day.

This Provider This Provider
1.76
Kerrville Average
1.96
Kerr County Average
1.96
Texas Average
1.28
United States Average
1.43

Quality Measures

Charts

Long-Stay Residents Given Influenza Vaccination

The percentage of long-stay residents given influenza vaccination during the flu season.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Long-Stay Residents Whose Need for Help With Daily Activities Has Increased

The percentage of long-stay residents whose need for help with daily activities has increased.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

High-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of high-risk long-stay residents who have pressure sores.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Long-Stay Residents Who Were Physically Restrained

The percentage of long-stay residents who were physically restrained.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Low-Risk Long-Stay Residents Who Lose Control of Their Bowels

The percentage of low-risk long-stay residents who lose control of their bowels or bladder.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Long-Stay Residents Who Spend Most of Their Time in Bed

The percentage of long-stay residents who spend most of their time in bed or in a chair.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Long-Stay Residents With a Urinary Tract Infection

The percentage of long-stay residents with a urinary tract infection.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Short-Stay Residents Given Influenza Vaccination

The percentage of short-stay residents given influenza vaccination during the flu season.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Short-Stay Residents With Delirium

The percentage of short-stay residents with delirium.

This Provider This Provider
0.00%
Kerrville
0.20%
Kerr County
0.20%
Texas
2.44%
United States
2.12%

Short-Stay Residents With Pressure Sores

The percentage of short-stay residents with pressure sores.

This Provider This Provider
8.00%
Kerrville
10.00%
Kerr County
10.00%
Texas
15.13%
United States
17.46%

Long-Stay Residents Given Pneumococcal Vaccination

The percentage of long-stay residents who were assessed and given pneumococcal vaccination.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Long-Stay Residents Who Have Moderate to Severe Pain

The percentage of long-stay residents who have moderate to severe pain.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Low-Risk Long-Stay Residents Who Have Pressure Sores

The percentage of low-risk long-stay residents who have pressure sores.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Long-Stay Residents Who are More Depressed or Anxious

The percentage of long-stay residents who are more depressed or anxious.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Long-Stay Residents Who Have Catheter Inserted and Left

The percentage of long-stay residents who have/had a catheter inserted and left in their bladder.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Long-Stay Residents Whose Ability to Move Around Their Room Got Worse

The percentage of long-stay residents whose ability to move about in and around their room got worse.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Long-Stay Residents Who Lose Too Much Weight

The percentage of long-stay residents who lose too much weight.

Note:

Not Available - The data for this measure is missing. Call the facility to discuss this quality measure.

Short-Stay Residents Given Pneumococcal Vaccination

The percentage of short-stay residents who were assessed and given pneumococcal vaccination.

This Provider This Provider
88.00%
Kerrville
64.60%
Kerr County
64.60%
Texas
73.29%
United States
73.02%

Short-Stay Residents Who Had Moderate to Severe Pain

The percentage of short-stay residents who had moderate to severe pain.

This Provider This Provider
52.00%
Kerrville
33.40%
Kerr County
33.40%
Texas
16.69%
United States
20.65%

Treatment Figures

Charts

Non-Swing Bed Patients

The number of non-swing bed patients treated by this provider that were covered by Medicare Part A in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
59
Kerrville Average
108
Kerr County Average
108
Texas Average
109
United States Average
133

Non-Swing Bed Patient Discharges

The number of non-swing bed patient discharges made by this provider that were covered by Medicare Part A in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
36
Kerrville Average
91
Kerr County Average
91
Texas Average
102
United States Average
124

Non-Swing Bed Utilization Days

The number of days of non-swing bed care that are chargeable to Medicare Part A facility utilization by this provider in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
1,521
Kerrville Average
3,544
Kerr County Average
3,544
Texas Average
4,098
United States Average
4,470

Financials

Charts

Medicare Non-Swing Bed Payments

The total non-swing bed associated Medicare Part A payments made to this provider in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$435,094
Kerrville Average
$839,725
Kerr County Average
$839,725
Texas Average
$1,086,537
United States Average
$1,318,701

Medicare Payments Per Non-Swing Bed Utilization Day

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed utilization day in 2006. This measure includes full days, coinsurance days, and lifetime reserve days. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$286
Kerrville Average
$237
Kerr County Average
$237
Texas Average
$265
United States Average
$295

Medicare Payments Per Non-Swing Bed Patient

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient in 2006. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$7,374
Kerrville Average
$7,790
Kerr County Average
$7,790
Texas Average
$9,970
United States Average
$9,943

Medicare Payments Per Non-Swing Bed Patient Discharge

The average Medicare payments made to this provider per Medicare Part A covered non-swing bed patient discharge in 2006. A discharge is defined as a formal release from a hospital or skilled nursing facility. A non-swing bed is defined as a bed that is used by a patient over a period of time at a skilled nursing facility, often as a residence.

This Provider This Provider
$12,086
Kerrville Average
$9,228
Kerr County Average
$9,228
Texas Average
$10,669
United States Average
$10,652

Deficiencies

05/03/2007 - Smoking Regulations

05/03/2007 - Smoking Regulations
Type:
Fire Safety
Category:
Smoking Regulations
Issue:
posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
05/30/2007

05/03/2007 - Resident Assessment

05/03/2007 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Make a complete assessment that covers all questions for areas that are listed in official regulations.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
06/06/2007

05/03/2007 - Resident Assessment

05/03/2007 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Check and update (if needed) each resident's assessment every 3 months.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
06/06/2007

05/03/2007 - Resident Assessment

05/03/2007 - Resident Assessment
Type:
Health
Category:
Resident Assessment
Issue:
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
06/06/2007

05/03/2007 - Quality Care

05/03/2007 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Give professional services that meet a professional standard of quality.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
06/06/2007

05/03/2007 - Quality Care

05/03/2007 - Quality Care
Type:
Health
Category:
Quality Care
Issue:
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
06/06/2007

05/03/2007 - Environmental

05/03/2007 - Environmental
Type:
Health
Category:
Environmental
Issue:
Have a program to keep infection from spreading.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
06/06/2007

05/03/2007 - Environmental

05/03/2007 - Environmental
Type:
Health
Category:
Environmental
Issue:
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
06/06/2007

05/03/2007 - Corridor Walls and Doors

05/03/2007 - Corridor Walls and Doors
Type:
Fire Safety
Category:
Corridor Walls and Doors
Issue:
corridor and hallway doors that block smoke.
Found Via:
Survey
Scope:
Isolated
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
05/25/2007

05/03/2007 - Smoke Compartmentation and Control

05/03/2007 - Smoke Compartmentation and Control
Type:
Fire Safety
Category:
Smoke Compartmentation and Control
Issue:
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
06/07/2007

05/03/2007 - Emergency Plans and Fire Drills

05/03/2007 - Emergency Plans and Fire Drills
Type:
Fire Safety
Category:
Emergency Plans and Fire Drills
Issue:
record of quarterly fire drills for each shift under varying conditions.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
05/31/2007

05/03/2007 - Medical Gases and Anesthetizing Areas

05/03/2007 - Medical Gases and Anesthetizing Areas
Type:
Fire Safety
Category:
Medical Gases and Anesthetizing Areas
Issue:
proper medical gas storage and administration areas.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
05/10/2007

05/03/2007 - Laboratories

05/03/2007 - Laboratories
Type:
Fire Safety
Category:
Laboratories
Issue:
proper facilities for the use and storage of combustible liquids.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
06/11/2007

05/03/2007 - Electrical

05/03/2007 - Electrical
Type:
Fire Safety
Category:
Electrical
Issue:
weekly inspections and monthly testing of generators.
Found Via:
Survey
Scope:
Widespread
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
05/04/2007

05/03/2007 - Electrical

05/03/2007 - Electrical
Type:
Fire Safety
Category:
Electrical
Issue:
properly installed electrical wiring and equipment.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Minimal harm or potential for actual harm
Date Found:
05/03/2007
Date Fixed:
05/23/2007

08/28/2006 - Pharmacy Service

08/28/2006 - Pharmacy Service
Type:
Health
Category:
Pharmacy Service
Issue:
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Found Via:
Survey
Scope:
Pattern
Level of Harm:
Potential for minimal harm
Date Found:
08/28/2006
Date Fixed:
09/06/2006

Reviews and Ratings

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Discussions

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Supplemental

Last Modified

Monday, July 21, 2008 2:46 PM MST

Indicates the latest change to the core data for this provider. It does not reflect changes from user input, such as reviews and discussions.

Disclosure

CiteHealth is not associated with River Hills Health & Rehabilitation Center or River Hills Health and Rehabilitation Center. We do not endorse, sponsor, or take financial incentives from this provider.

Updates & Additional Information

We appreciate any verifiable updates or additional information you may have on this provider.

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Note: There are a total of 6 homes within 25 miles of this provider.

Newest Reviews

Kerrville at a Glance

Kerrville has a total population of 20,425, of which 4,285 are children under the age of 18 and 5,982 are seniors 65 and older. The median age is 44.7.

Total Population:
20,425
Median Age:
44.7
Males:
9,531 (46.7%)
Female:
10,894 (53.3%)
Children (0-17):
4,285 (21.0%)
Adults (18-64):
10,158 (49.7%)
Seniors (65+):
5,982 (29.3%)
Age Breakdown:
Breakdown of age groups in Kerrville
Married:
10,228 (50.1%)
Divorced:
1,997 (9.8%)
Marriage Breakdown:
Breakdown of marriage in Kerrville
Hispanic Ethnicity:
4,643 (22.73%)
White:
17,543 (85.89%)
African American:
610 (2.99%)
Asian:
117 (0.57%)
Pacific Islander:
16 (0.08%)
Indian:
112 (0.55%)
Other:
1,674 (8.20%)
Two or More:
353 (1.73%)
Racial Breakdown:
Breakdown of race in Kerrville

Health

The average number of disabilities per resident is 0.43, which does not include institutionalized individuals.

Disabilities:
0.43 (Per Capita)
Dialysis Centers:
1
Doctors:
244
Home Agencies:
2
Hospitals:
1
Nursing Homes:
5
Medical Suppliers:
15
Rehab Centers:
4

Wealth

The median family income is $38,979 while the median household income is $32,085. Roughly 14.72% of the population live in poverty.

Family Income:
$38,979
Household Income:
$32,085
In Poverty:
14.72%

Nearby Doctors

Note: These physicians are not associated with this provider. However, an office is nearby.

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