River Bend Healthcare
1339 Eastwood Dr, Seguin, TX 78155 · 115 beds · Government - Hospital district
The records flag: 2 citations where a resident was harmed.
These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.
Who's actually on the floor
Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.
Registered nurses only — hours per resident per day. Longer is better.
Slightly less nurse coverage at weekends — about 8% lower.
Staff turnover: not reported
High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.
What inspectors found
State inspectors visit at least once a year and after complaints. Over the last three years this facility received 49 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.
| Severity | Citations |
|---|---|
| Actual harm | 2 |
| Potential for harm | 47 |
| No harm | 0 |
16 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.
Medicare has issued $18,225 in fines here over the past three years.
Disclosed affiliations
Medicare has not published ownership or affiliation information for this facility. That is a gap in the federal record, not a finding about the facility — the great majority of facilities do have entries, so it is a reasonable thing to ask about on a visit.
Other options nearby
Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.
| Facility | Miles | Rating | Nurse hrs | Weekend |
|---|---|---|---|---|
| Guadalupe Valley Nursing and Rehabilitation Center | 0.2 | 2 | 0.39 | −30% |
| Windsor Nursing and Rehabilitation Center of Segui | 0.2 | 2 | 0.23 | −43% |
| Avir at Seguin | 0.3 | 1 | 0.25 | −38% |
| Avir at Walnut Springs | 1.6 | 4 | 0.17 | +10% |
| Legend Oaks Healthcare and Rehabilitation - New Br | 13.1 | 3 | 0.45 | −7% |
| Avir at New Braunfels | 13.6 | 1 | 0.27 | −24% |
| Sundance Inn Health Center | 14.8 | 2 | 0.50 | −53% |
| Kirkwood Manor | 15.6 | 2 | 0.45 | −40% |
Worth asking on a visit
Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.
- Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?