1102 River Road, Boerne, TX 78006
To contact a resident: (830) 249-2799
For more information about senior living options: (866) 208-4318
Overall Review of Riverview Nursing And Rehabilitation
Pros
The staff at Avir at Boerne are compassionate and truly care about residents.- The new ownership has brought many positive changes and the facility takes great care of its residents.
- The staff are loving and caring for residents, creating a welcoming environment.
- The new administrator at Riverview is kind and dedicated to providing the highest level of care with empathy.
- Avir at Boerne’s residents enjoy a homelike environment thanks to caring staff and an excellent therapy team.
- Riverview's team is hardworking and compassionate, and the administrator has brought wonderful improvements.
- The facility is well maintained and has undergone renovations, including new furniture and added piano opportunities for residents.
Cons
The facility is extremely dirty and poorly maintained, with a nonfunctional toilet that fills with urine.- The nursing director yelled at a family member and repeatedly hung up on him when he tried to check on his wife.
- The staff are described as incompetent, do not speak English well, and lack proper training and communication.
- The building feels old and run down, with rooms that look shabby and furniture that seems from Goodwill.
- The environment is not welcoming or home-like, and dementia patients reportedly wander the halls like zombies.
- Calls to the facility are often not answered, leaving families unable to contact their loved ones.
- The private-pay policy is accused of corporate greed, denying refunds after a 30-day notice.
- A reviewer would not recommend placing a loved one there due to concerns about care and safety.
- There are accounts of mistreatment and neglect, including patients being left dirty or inadequately cared for.
Review
Riverview Nursing and Rehabilitation in Boerne is best suited for families that prize a warm, caregiving culture and a true sense of community, where staff demonstrate genuine attentiveness and residents feel treated like people first. It can be a strong match for families who value a homelike atmosphere, an active therapy team, and ongoing improvements under new leadership. Those who need meticulous cleanliness, flawless daily operations, and crystal-clear, consumer-friendly financial terms may find this community falls short of expectations and should consider alternatives.
On the plus side, the facility earns praise for compassionate, engaged caregivers and a therapy program that residents and families notice and appreciate. Several reviewers highlight a staff that truly cares, creating a mood of kindness and empathy that permeates daily life. The new administrator and ownership are repeatedly cited as making thoughtful changes, with residents described as receiving high levels of care, and families feeling supported through transitions. The environment is repeatedly described as homelike and welcoming, with amenities like piano opportunities that add a sense of normalcy and enjoyment for residents who want to stay socially and creatively engaged.
Yet the darker undertow of the reviews cannot be ignored. Notable complaints center on cleanliness and maintenance, ranging from dirty interiors and unsanitary restrooms to rooms and furnishings that look worn or neglected. Several families recount communication gaps, missed phone calls, delayed updates, and frustration when trying to obtain information about loved ones. There are serious accusations about mistreatment, sedation, and staff behavior that undermine confidence in daily oversight, along with reports of language barriers and insufficient training. The discharge and refund policies emerge as a painful sore point for private-pay families, with one reviewer describing a rigid 30-day notice policy and a dispute over refunds that left a bad impression about governance and accountability.
These opposing threads create a clear calculus: the core strength is a compassionate, resident-centered culture backed by a forward-moving leadership team and a therapy program that can deliver meaningful daily benefit. The principal risks are structural and administrative, an aging building that has visible wear, inconsistent cleanliness, and a history of contentious interactions with families and questions about how policies are applied. For families who can tolerate limited physical polish and imperfect systems in exchange for a deeply caring staff and a supportive community, Riverview can still fulfill meaningful needs.
To make a confident decision, prospective residents should verify several practical realities during a visit. First, assess the current state of cleanliness and maintenance, and ask for a recent safety and sanitation audit or housekeeping schedule. Second, interrogate the administration about communication norms: how families are kept informed, how often calls are returned, and who to contact for urgent updates. Third, probe the staff mix and training, language capabilities, CNA and nursing staffing levels at different shifts, and how dementia or memory-care needs are managed in practice. Fourth, obtain a transparent understanding of billing, contracts, and the 30-day discharge or refund terms, requesting written summaries of policies and any exceptions. Fifth, observe whether residents appear engaged and well cared for in common spaces and during routine activities, including therapy sessions and recreational programs.
In the end, Riverview suits families prioritizing warmth, personal attention, and a palpable sense of community over pristine walls and flawless administrative processes. It is a credible choice for those who want a facility with a heart, a responsive therapy program, and visible improvements under new leadership. However, families who cannot reconcile aging infrastructure, inconsistent cleanliness, and opaque or rigid financial terms with ongoing care should actively explore other options. In Boerne and the wider San Antonio area, several facilities offer stronger guarantees around cleanliness, transparent pricing, and more predictable family communication, credentials that can be decisive for breach-sensitive transitions and dementia-care planning.
96 resident community capacity
Skilled Nursing Facility
Air-conditioning
Beauty salon
Cable or satellite TV
Computer center
Dining room
Fitness room
Fully furnished
Gaming room
Garden
Housekeeping services
Kitchenette
Move-in coordination
Outdoor space
Private bathrooms
Restaurant-style dining
Small library
Telephone
Wellness center
Wi-Fi/high-speed internet available
San Antonio International (23 miles away)
Community operated transportation
12-16 hour nursing
24-hour call system
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Diabetes diet
Medication management
Mental wellness program
Special dietary restrictions
Concierge services
Planned day trips
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