Riverview Nursing & Rehabilitation
1102 River Rd · Boerne, TX · 78006 · 8302492799
96 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $78,025 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
8 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$78,025 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 4 · $156,748 |
Inspection citations (36 in the current record)
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Potential for harm · D March 7, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 7, 2025
Respond appropriately to all alleged violations.
Corrected March 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 7, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 7, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 10, 2025 · Quality of Life and Care
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Potential for harm · D March 7, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 10, 2025 · Nutrition and Dietary
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Potential for harm · E March 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 10, 2025 · Nutrition and Dietary
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Potential for harm · D March 7, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 10, 2025 · Nutrition and Dietary
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Potential for harm · D March 7, 2025
Provide and implement an infection prevention and control program.
Corrected March 10, 2025 · Infection Control
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Potential for harm · E March 7, 2025
Keep all essential equipment working safely.
Corrected March 10, 2025 · Environmental
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Potential for harm · E March 7, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 10, 2025 · Environmental
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No harm found · C March 7, 2025
Dispose of garbage and refuse properly.
Corrected March 10, 2025 · Nutrition and Dietary
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Potential for harm · D October 18, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 21, 2024 · Resident Rights
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Potential for harm · D October 18, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · D October 18, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · E October 18, 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 October 21, 2024 · Pharmacy Service
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Potential for harm · E October 18, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 21, 2024 · Nutrition and Dietary
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Potential for harm · E October 18, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 21, 2024 · Environmental
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Immediate jeopardy · J August 19, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 21, 2024 · Quality of Life and Care
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Potential for harm · E April 26, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 30, 2024 · Resident Rights
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Potential for harm · D April 26, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected April 30, 2024 · Resident Rights
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Potential for harm · E April 26, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 30, 2024 · Resident Rights
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Potential for harm · E April 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 30, 2024 · Nutrition and Dietary
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Potential for harm · E April 26, 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 April 30, 2024 · Administration
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Potential for harm · D April 26, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 30, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 19, 2024 | Fine | $78,025 |
| March 8, 2024 | Fine | $17,128 |
| January 13, 2024 | Fine | $20,391 |
| September 1, 2023 | Fine | $41,204 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675371 · certified since June 15, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.