Texas › Kerr County › Kerrville
Arbor View Nursing & Rehabilitation
1213 Water St, Kerrville, TX 78028
CMS abuse iconSpecial Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 179 beds, Arbor View Nursing & Rehabilitation serves Kerrville in Kerr County, Texas and has taken Medicare and Medicaid residents since 1987.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 77 health deficiencies across the three most recent survey cycles (24, 26, 27 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 43.0 per 100 beds, more than the state median of 22.5.
CMS lists 6 penalties in the period covered: fines totalling $155K and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 81.5%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
77health deficiencies, 3 survey cycles6 at actual harm or worse
$155Kfines listed by CMS6 penalties in period
3.4nurse hours per resident per daystate median 3.3
38%occupancy (residents ÷ beds)68 residents a day
Compared with county, state and nation
| Measure | This facility | Kerr Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 77 | 67 | 25 | 28.7 |
| Citations per 100 beds | 43.0 | 43.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 81.5% | 78.3% | 52.1% | 45.8% |
| Fines listed | $154,617 | $112,133 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 27 Apr 2023.
Severity mix: J ×1 K ×4 G ×1 D ×38 E ×25 F ×6 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Jul 2026 |
| 7 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 8 Sep 2025 |
| 7 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 8 Sep 2025 |
| 7 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 8 Sep 2025 |
| 31 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0761 | 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. | E | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 8 Sep 2025 |
| 31 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 8 Sep 2025 |
| 31 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Sep 2025 |
| 12 Jun 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint investigation | 8 Jul 2025 |
| 12 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 8 Jul 2025 |
| 12 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 8 Jul 2025 |
| 12 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Jul 2025 |
| 12 Jun 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Complaint investigation | 8 Jul 2025 |
| 12 Jun 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Complaint investigation | 8 Jul 2025 |
| 28 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 1 Apr 2025 |
| 12 Oct 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 13 Oct 2024 |
| 12 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 13 Oct 2024 |
| 7 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 May 2024 |
| 14 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 15 Mar 2024 |
| 14 Mar 2024 | F0814 | Dispose of garbage and refuse properly. | E | Complaint investigation | 15 Mar 2024 |
| 14 Mar 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 12 Mar 2024 |
| 7 Mar 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 8 Mar 2024 |
| 22 Jan 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | K | Complaint investigation | 23 Jan 2024 |
| 22 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 23 Jan 2024 |
| 22 Jan 2024 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 23 Jan 2024 |
| 21 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 26 Oct 2023 |
| 21 Dec 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 22 Dec 2023 |
| 21 Dec 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 22 Dec 2023 |
| 21 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 22 Dec 2023 |
| 21 Dec 2023 | F0761 | 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. | E | Complaint investigation | 22 Dec 2023 |
| 21 Dec 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint investigation | 22 Dec 2023 |
| 21 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 22 Dec 2023 |
| 27 Apr 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 22 May 2023 |
| 27 Apr 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 22 May 2023 |
| 10 Feb 2022 | F0761 | 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. | E | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0803 | 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. | E | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 5 Mar 2022 |
| 10 Feb 2022 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 5 Mar 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 31 Jul 2025 | Payment denial | — | 6 days |
| 31 Jul 2025 | Fine | $91,293 | |
| 14 Jun 2024 | Fine | $11,389 | |
| 7 May 2024 | Fine | $14,814 | |
| 21 Dec 2023 | Fine | $21,528 | |
| 21 Dec 2023 | Fine | $15,593 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 81.5%, RNs 100.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 8.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.3% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.5% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Guadalupe County Hospital Board.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Guadalupe County Hospital Board | 5% or greater direct ownership interest | 100% | 11/01/2022 |
| Guadalupe County Hospital Board | Operational/managerial control | NOT APPLICABLE | 11/01/2022 |
| Kerrville Nursing Operations LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2022 |
| Riverside SNF Operations, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| Guadalupe County Hospital Board | Adp of the snf | NOT APPLICABLE | 11/01/2022 |
| Riverside SNF Operations, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kerr County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hilltop Village Nursing and Rehabilitation | Kerrville | 150 | 2 | 3 | 1 | 51 | 34.0 | — | 27 Aug 2025 |
| Avir At Kerrville | Kerrville | 130 | 1 | 1 | 1 | 67 | 51.5 | $20K | 1 Jul 2026 |
| River Hills Health and Rehabilitation Center | Kerrville | 150 | 1 | 1 | 1 | 57 | 38.0 | $112K | 19 Jun 2026 |
All 4 facilities in Kerr County
Questions and answers
How many deficiencies has Arbor View Nursing & Rehabilitation been cited for?
77 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Arbor View Nursing & Rehabilitation been fined?
Yes. CMS lists fines totalling $155K in the period covered, plus 1 payment denial.
How does staffing at Arbor View Nursing & Rehabilitation compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Arbor View Nursing & Rehabilitation?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Guadalupe County Hospital Board, Guadalupe County Hospital Board and Kerrville Nursing Operations LLC. Individual owners and managers are not listed on this site.
When was Arbor View Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 31 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.