Arbor View Nursing & Rehabilitation, Kerrville, Texas

82
Citations from health inspectionsTexas average: 28 a home: 6
Residents harmed or put in dangerTexas average: 2.3 a home: $154,617
Fines from the federal governmentTexas average: $44,141 a home: 1 out of 5
Overall rating in starsTexas average: 2.7

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

15 inspection visits produced 82 citations. Residents were in immediate danger in five findings. Residents were found hurt in one case. Federal fines came to $154,617 (five fines). Once, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 1 out of 5
Rating for quality of care: 3 out of 5
Nurse time for each resident: 3.39 hours each dayThe Texas average is 3.39 hours
Time from registered nurses: 0.35 hours each dayThe Texas average is 0.43 hours
Nursing staff who left during one year: 81.5%against the Texas average of 55.3%
Beds that are certified: 179
Ownership: Limited Liability company (for profit)
Chain: This home is not part of a chain
Street address: 1213 Water St, Kerrville, Texas 78028
County: Kerr

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

One citation dated July 29, 2026

F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Four citations dated July 3, 2026

F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated June 18, 2026

F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Sept. 7, 2025

F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F760 Significant Medication Errors: immediate danger to residents, one or a few residents, found on a complaint visit.
F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

20 citations dated July 31, 2025

F925 Pest Control Program: risk of harm, no one found hurt, widespread.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F850 Full Time Social Worker in Large Facilities: risk of harm, no one found hurt, widespread.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents.
F729 Verify Nurse Aide Training and Retraining: risk of harm, no one found hurt, a pattern, several residents.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents.
F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents.
F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.

Six citations dated June 12, 2025

F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Feb. 28, 2025

F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Oct. 12, 2024

F583 Keep Resident Records Private: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated May 7, 2024

F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.

Three citations dated March 14, 2024

F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.

One citation dated March 7, 2024

F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Jan. 22, 2024

F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: immediate danger to residents, a pattern, several residents, found on a complaint visit.

Seven citations dated Dec. 21, 2023

F943 Staff Training on Abuse, Neglect, and Dementia: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

17 citations dated April 27, 2023

F925 Pest Control Program: risk of harm, no one found hurt, one or a few residents.
F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F685 Help Getting Vision and Hearing Care: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, a pattern, several residents.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

12 citations dated Feb. 10, 2022

F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F814 Dispose of Garbage Properly: minimal risk to residents, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, one or a few residents.
F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
July 31, 2025	Fine	$91,293
July 31, 2025	Payment denial for new admissions	six days
June 14, 2024	Fine	$11,389
May 7, 2024	Fine	$14,814
Dec. 21, 2023	Fine	$15,593
Dec. 21, 2023	Fine	$21,528

Ownership and Management of the Home

The home is run by Guadalupe County Hospital Board (operational or managerial control).
The home is run by Kerrville Nursing Operations LLC (operational or managerial control).
The home is run by Riverside SNF Operations, LLC (operational or managerial control).
The direct 100% owner is Guadalupe County Hospital Board.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 455724. Other homes in Texas.