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River Bend Healthcare

1339 Eastwood Dr., Seguin, TX 78155 · Guadalupe County · (830) 379-3900

★☆☆☆☆ (1/5)Overall CMS rating
★★☆☆☆ (2/5)Health inspection
★☆☆☆☆ (1/5)Staffing
★★★★☆ (4/5)Quality measures

Fewer inspection deficiencies (12) than 25% of nursing homes in Texas. Rated #4 of 5 nursing homes in Seguin by overall CMS stars. Nursing hours per resident day: 3.4 — about the same as the Texas average of 3.39.

Quality details (CMS data, Oct 2026 release)

Certified beds115
Average residents per day69.6
OwnershipGovernment
ParticipationMedicare and Medicaid
Provider chainTHE ENSIGN GROUP
Nursing hours per resident per day3.39 (Texas average: 3.39)
— of which RN hours0.16
— of which nurse aide hours2.11
Staff turnover—
RN turnover—
Most recent health inspectionFeb 13, 2026
Deficiencies cited (latest cycle)12 (Texas average: 9.4)
Weighted inspection score (lower is better)103
Federal fines in past 3 years2 fine(s) totaling $18,225
Payment denials / penalties2

Compare homes before you choose

Ratings change with every inspection cycle. Compare River Bend Healthcare side by side with other homes in Seguin and check the latest red flags:

See all nursing homes in Seguin →

More nursing homes in Seguin

Avir At Walnut Springs★★★★☆ (4/5) · SeguinWindsor Nursing And Rehabilitation Center Of Segui★★☆☆☆ (2/5) · SeguinGuadalupe Valley Nursing And Rehabilitation Center★★☆☆☆ (2/5) · SeguinAvir At Seguin★☆☆☆☆ (1/5) · Seguin

Plan the cost of care in Texas

What does care cost in Texas? A semi-private nursing home room runs a median of $5,627 per month — see Texas senior care cost medians and check Texas Medicaid eligibility limits.

Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset, Oct 2026 release (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.