River Bend Healthcare

1339 Eastwood Dr., Seguin, TX 78155 · (830) 379-3900
Government - Hospital district · 115 certified beds

River Bend Healthcare has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 8 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $18,225 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on February 13, 2026 found 8 citations. What an inspection citation means

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 13, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.February 13, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Employ staff that are licensed, certified, or registered in accordance with state laws.February 13, 2026 · F0839 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.February 13, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.February 13, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 13, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 13, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Dispose of garbage and refuse properly.February 13, 2026 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 14 citations.

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedNovember 25, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 25, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.October 24, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 24, 2025 · F0755 · Level of harm: Actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.December 4, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.November 13, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.July 3, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 3, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 1, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 1, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 1, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• 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.February 15, 2024 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide special eating equipment and utensils for residents who need them and appropriate assistance.February 15, 2024 · F0810 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure resident rooms meet each resident's needs.January 6, 2024 · F0910 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $9,246October 24, 2025
• Fine of $8,979May 1, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home