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Nursing homeFAID #14639

River Bend Healthcare

1339 EASTWOOD DR, SEGUIN, TX, 78155

(830) 379-3900

crosshm.com/river-bend

115 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · River Bend Healthcare

Address

1339 Eastwood Dr

Seguin, TX 78155

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Public record summary

What we can show you for free.

Bed capacity

115

CMS facility ID

676274

Care type

Nursing home

County

Guadalupe

Facility name

River Bend Healthcare

Street address

1339 EASTWOOD DR

City / state / ZIP

Seguin, TX 78155

Phone

(830) 379-3900

Website

crosshm.com/river-bend

About this facility — River Bend Healthcare

River Bend Healthcare is a Medicare/Medicaid-certified skilled nursing facility in Seguin, Texas. It is licensed for 115 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 11 senior care facilities in Seguin and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited River Bend Healthcare 64 times across 15 inspections in the last three years, including 10 food-safety citations, and CMS has imposed $18,225 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - Hospital district

Regulatory standing

Licensed / certified since

2011-03-02

CMS overall rating

1 of 5 stars

Health deficiencies

12 at the last standard inspection

Federal fines

$18,225 total

Last standard inspection

2026-02-13

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$292 per day (≈ $8,880/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

51% Medicaid · 12% Medicare · 37% private/other

Occupancy

60% (fiscal year 2023)

Vs. state median

5% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

115

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 10 food-safety citations on its three-year record — flagged below among the inspections.

2026-02-13Health inspection8 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-03-15

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-03-15

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-03-15

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2026-03-15

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-03-15

F-0814

D · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2026-03-15

F-0839

E · No harm found

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2026-03-15

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-15

2025-11-25Health inspectionComplaint-triggered2 citations

F-0655

D · No harm foundFrom a complaint

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-12-22

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-22

11 earlier / fire-safety inspections (54 citations)

2025-10-24Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-11-21

F-0755

G · Actual harmFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-30

2024-12-04Health inspectionComplaint-triggered14 citations

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-30

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-12-30

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-12-30

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-12-30

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-12-30

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-30

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-12-30

F-0761

D · No harm found

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 2024-12-30

F-0805

E · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-12-30

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-30

F-0849

D · No harm found

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 2024-12-30

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-12-30

F-0944

E · No harm found

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2024-12-30

F-0946

E · No harm found

Provide training in compliance and ethics.

Corrected 2024-12-30

2024-11-13Health inspectionComplaint-triggered1 citation

F-0761

D · No harm foundFrom a complaint

Corrected 2024-10-03

2024-07-03Health inspectionComplaint-triggered2 citations

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-07-20

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-07-20

2024-05-01Health inspectionComplaint-triggered3 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-05-05

F-0656

E · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-05-05

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-05

2024-02-15Health inspectionComplaint-triggered2 citations

F-0808

D · No harm foundFood safetyFrom a 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 2024-03-01

F-0810

D · No harm foundFood safetyFrom a complaint

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2024-03-01

2024-01-06Health inspectionComplaint-triggered1 citation

F-0910

E · No harm foundFrom a complaint

Ensure resident rooms meet each resident's needs.

Corrected 2024-02-01

2023-10-27Health inspection12 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-11-15

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-11-30

F-0578

D · No harm found

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 2023-11-30

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2023-11-30

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-15

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-12-31

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-17

F-0690

D · No harm found

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 2023-12-15

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-11-30

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-11-15

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-30

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-12-31

2023-10-06Health inspectionComplaint-triggered2 citations

F-0805

E · No harm foundFood safetyFrom a complaint

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-10-13

F-0812

F · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-10-13

2026-02-13Fire-safety inspection7 citations

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2026-03-27

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2026-03-27

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-03-27

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-03-27

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-03-27

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-03-27

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-03-27

2024-12-04Fire-safety inspection8 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-12-30

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-12-30

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-12-30

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-30

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-30

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-12-30

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-30

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-12-30

Federal penalties

2025-10-24Fine$9,246

2024-05-01Fine$8,979

Total fines$18,225

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676274.

Visitor reviews

What people say on Google.

5.035 ratings on Google

★★★★★Christopher McNeil · 2026-03-13 · via Google
“River Bend Healthcare in Seguin is a wonderful facility. The building is modern, clean, and very well maintained, and the environment feels welcoming from the moment you walk in. The staff clearly care about the residents and work hard to create a supportive and respectful atmosphere. It’s great to see a place where residents are treated with dignity and the facility itself is kept at such a high …”

★★★★★Jeremy Roy · 2026-02-13 · via Google
“This has become our mother’s new home! This was a huge decision for our family. The staff at Riverbend have supported us on this entire journey. They have cared for Mom with great compassion. We could not be more pleased.”

★★★★★CHRISTIAN MUNOZ · 2026-04-09 · via Google
“Great nursing home led by an amazing group of professionals. Their leadership, administration and nursing staff are experienced, attentive, and truly caring individuals who go above and beyond for their residents. As a healthcare provider group that works closely with them, we can honestly say they genuinely care for our patients and take pride in the quality of care they provide. It’s reassuring …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 64 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered