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Data / Nursing homes / Texas / River Bend Healthcare

River Bend Healthcare, Seguin, TX: 1 star rating, fined $18,225 across 2 fines

River Bend Healthcare in Seguin, TX is run by West Coke County Hospital District, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $18,225 across 2 fines in the three years to October 1, 2026. CMS lists 49 health citations from inspections in that time, the latest survey on February 13, 2026, and 2 of them found actual harm or immediate jeopardy.

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Address
1339 Eastwood Dr., Seguin, TX 78155
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
115
Residents per day
73 on average
Ownership type
Government, Hospital district
Legal business name
West Coke County Hospital District
Chain
The Ensign Group, 347 facilities
Fines
$18,225 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
49, of which 2 with actual harm or immediate jeopardy
Latest survey
February 13, 2026
CMS Certification Number
676274
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
October 24, 2025Fine$9,246Not listeddata.cms.gov
May 1, 2024Fine$8,979Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
February 13, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 13, 2026F839Employ staff that are licensed, certified, or registered in accordance with state laws.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 13, 2026F814Dispose of garbage and refuse properly.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 13, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 13, 2026F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 13, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 13, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 13, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
November 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2025data.cms.gov
November 25, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2025data.cms.gov
October 24, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.G: isolated, actual harmPast noncomplianceDecember 30, 2024data.cms.gov
October 24, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
December 4, 2024F946Provide training in compliance and ethics.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 4, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
November 13, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceOctober 3, 2024data.cms.gov
July 3, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
July 3, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 20, 2024data.cms.gov
May 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 5, 2024data.cms.gov
May 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
May 1, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2024data.cms.gov
February 15, 2024F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
February 15, 2024F808Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 1, 2024data.cms.gov
January 6, 2024F910Ensure resident rooms meet each resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 1, 2024data.cms.gov
October 27, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 31, 2023data.cms.gov
October 27, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 30, 2023data.cms.gov
October 27, 2023F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2023data.cms.gov
October 27, 2023F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 30, 2023data.cms.gov
October 27, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
October 27, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
October 27, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 31, 2023data.cms.gov
October 27, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2023data.cms.gov
October 27, 2023F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 30, 2023data.cms.gov
October 27, 2023F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 30, 2023data.cms.gov
October 27, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 30, 2023data.cms.gov
October 27, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2023data.cms.gov
October 6, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedOctober 13, 2023data.cms.gov
October 6, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 13, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (5 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Clear Fork Healthcare LLCOperational or managerial controlNot listedMay 1, 2026data.cms.gov
Clear Fork Healthcare LLCAdditional disclosable partyNot listedAugust 5, 2026data.cms.gov
Eastwood Drive Health Holdings LLCAdditional disclosable partyNot listedMay 1, 2026data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedFebruary 12, 2026data.cms.gov
Standard Bearer Healthcare OP, LPAdditional disclosable partyNot listedMay 1, 2026data.cms.gov
The Ensign Group IncAdditional disclosable partyNot listedMay 1, 2026data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.