Nursing HomeInspections

Arbor View Nursing & Rehabilitation

Nursing home in Kerrville, TX

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

Call (830) 896-2411Send a messageMap ↗

Public-record details

Address
1213 Water St, Kerrville, TX 78028
Phone
(830) 896-2411
Listed under
For-profit
Medicare CCN
455724
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
179
Average residents per day
68
Ownership
For-profit, limited Liability company
Legal business name
Guadalupe County Hospital Board
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 3, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455724. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 31, 2025. CMS lists 77 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 10, 2022 to Jun 18, 2026): 29 from complaint inspections, 6 at the “actual harm” level or higher, including 5 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jun 18, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 7, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 7, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 7, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		J
Immediate jeopardy, isolated
Jul 31, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 31, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 31, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 31, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 31, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 31, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 77. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $154,617 and 1 denial of Medicare payment for new admissions in the last three years.

Jul 31, 2025Fine: $91,293
Jul 31, 2025Payment denial for 6 days from Sep 2, 2025
Jun 14, 2024Fine: $11,389
May 7, 2024Fine: $14,814
Dec 21, 2023Fine: $15,593
Dec 21, 2023Fine: $21,528

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.39 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
2.10 hours
Total nurse staffing on weekends
3.22 hours
Nursing staff turnover (yearly)
82%
RN turnover (yearly)
100%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Kerrville

Hilltop Village Nursing and Rehabilitation1400 Hilltop Rd · Kerrville, TX 78028 · (830) 895-3200 · For-profit51 health citations in 3 inspection cycles · last standard inspection Aug 27, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)Avir at Kerrville1555 Bandera Hwy · Kerrville, TX 78028 · (830) 412-2366 · For-profit67 health citations in 3 inspection cycles · last standard inspection Jun 27, 2025 · $20,467 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)River Hills Health and Rehabilitation Center2091 Bandera Hwy · Kerrville, TX 78028 · (830) 257-9900 · For-profit57 health citations in 3 inspection cycles · last standard inspection Jun 13, 2025 · $112,133 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 4 in Kerrville →