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Medicare-certifiedSkilled Nursing

Arbor View Nursing & Rehabilitation

(830) 896-2411

About Arbor View Nursing & Rehabilitation

Arbor View Nursing & Rehabilitation is a for profit - limited liability company nursing home in KERRVILLE, TX with 179 certified beds.

Community at a glance

Capacity

179 residents

Location

Kerrville, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1213 WATER ST, Kerrville, Texas 78028

(830) 896-2411

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Arbor View Nursing & Rehabilitation is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.
  • Medicare flags Arbor View Nursing & Rehabilitation for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on July 31, 2025, state inspectors cited 29 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 24 minutes with each resident a day, about the same as the Texas average.

Medicare fined Arbor View Nursing & Rehabilitation 5 times in the last three years, $154,617 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 24 minutes
Registered nurse time per resident, per day21 minutesBelow the Texas average
Nursing staff who left in the past year82%Above the Texas average

2 administrators have left the home in the past year.

Inspections

53 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 29, 2026 · Complaint investigation · 1 citation

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 18, 2026

July 3, 2026 · Complaint investigation · 4 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Aug 4, 2026
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 4, 2026
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Aug 4, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 4, 2026
June 18, 2026 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 15, 2026
September 7, 2025 · Complaint investigation · 3 citations+
  • Ensure that residents are free from significant medication errors.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Sep 8, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 8, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Sep 8, 2025
July 31, 2025 · Standard inspection · 20 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationCorrected Sep 8, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareCorrected Sep 8, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Sep 8, 2025
  • Hire a qualified full-time social worker in a facility with more than 120 beds.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Sep 8, 2025
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, widespread (level F)EnvironmentalCorrected Sep 8, 2025
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Sep 8, 2025
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Sep 8, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 8, 2025
  • Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Sep 8, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 8, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Sep 8, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 8, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 8, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 8, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 8, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 8, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Sep 8, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 8, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 8, 2025
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Sep 8, 2025
June 12, 2025 · Complaint investigation · 6 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 8, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 8, 2025
  • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jul 8, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jul 8, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 8, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 8, 2025
February 28, 2025 · Complaint investigation · 1 citation+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 1, 2025
October 12, 2024 · Complaint investigation · 2 citations+
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Oct 13, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 13, 2024
May 7, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 8, 2024
March 14, 2024 · Complaint investigation · 3 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Mar 15, 2024
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintAlready fixed by Mar 12, 2024
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Mar 15, 2024
March 7, 2024 · Complaint investigation · 1 citation+
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 8, 2024
January 22, 2024 · Complaint investigation · 3 citations+
  • 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.

    Immediate danger to residents, a pattern (level K)Resident RightsFrom a complaintCorrected Jan 23, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 23, 2024
  • Keep all essential equipment working safely.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jan 23, 2024
December 21, 2023 · Complaint investigation · 7 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintAlready fixed by Oct 26, 2023
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Dec 22, 2023
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Dec 22, 2023
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Dec 22, 2023
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 22, 2023
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Dec 22, 2023
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 22, 2023

Fines and payment denials

5 fines totaling $154,617 and 1 Medicare payment denial in the last three years.

  • July 31, 2025Payment denial, 6 days
  • July 31, 2025Fine: $91,293
  • June 14, 2024Fine: $11,389
  • May 7, 2024Fine: $14,814
  • December 21, 2023Fine: $15,593
  • December 21, 2023Fine: $21,528

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Guadalupe County Hospital Board
Medicare-certified beds
179
Average residents per day
68
Accepts
Medicare and Medicaid
First certified
December 3, 1987
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
455724

Location

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1213 WATER STKerrville, TX 78028

12 other communities within 10 miles

Senior living near Kerrville

Questions about Arbor View Nursing & Rehabilitation

How did Arbor View Nursing & Rehabilitation do on its last inspection?+

State inspectors visited on July 31, 2025 and cited 29 health deficiencies, 10 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Arbor View Nursing & Rehabilitation?+

Nurses and aides spend 3 hours 24 minutes with each resident per day, including 21 minutes from registered nurses. 82% of nursing staff left over the past year.

Has Arbor View Nursing & Rehabilitation been fined by Medicare?+

Yes. Medicare fined Arbor View Nursing & Rehabilitation 5 times in the last three years, totaling $154,617.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Kerrville Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026