River Bend Healthcare
1339 Eastwood Dr · Seguin, TX · 78155 · 8303793900
115 certified beds Government - Hospital district
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $18,089 |
Inspection citations (57 in the current record)
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Potential for harm · D November 25, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 22, 2025 · Quality of Life and Care
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Actual harm · G October 24, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 30, 2024 · Pharmacy Service
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Potential for harm · D October 24, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D December 4, 2024
Ensure each resident receives an accurate assessment.
Corrected December 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 4, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 4, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 30, 2024 · Quality of Life and Care
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Potential for harm · D December 4, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 30, 2024 · Pharmacy Service
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Potential for harm · D December 4, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 30, 2024 · Pharmacy Service
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Potential for harm · D December 4, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 30, 2024 · Pharmacy Service
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Potential for harm · E December 4, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected December 30, 2024 · Nutrition and Dietary
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Potential for harm · F December 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 30, 2024 · Nutrition and Dietary
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Potential for harm · D December 4, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 30, 2024 · Administration
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Potential for harm · D December 4, 2024
Provide and implement an infection prevention and control program.
Corrected December 30, 2024 · Infection Control
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Potential for harm · E December 4, 2024
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected December 30, 2024 · Administration
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Potential for harm · E December 4, 2024
Provide training in compliance and ethics.
Corrected December 30, 2024 · Administration
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Potential for harm · D December 4, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 30, 2024 · Resident Rights
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Potential for harm · D November 13, 2024 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected October 3, 2024 · Pharmacy Service
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Potential for harm · D July 3, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected July 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 3, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 20, 2024 · Pharmacy Service
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Actual harm · G May 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 5, 2024 · Quality of Life and Care
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Potential for harm · D May 1, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 1, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected March 1, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 24, 2025 | Fine | $9,110 |
| May 1, 2024 | Fine | $8,979 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676274 · certified since March 2, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.