Arbor View Nursing & Rehabilitation

1213 Water St, Kerrville, TX 78028 · (830) 896-2411
For profit - Limited Liability company · 179 certified beds

Arbor View Nursing & Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2025, found 20 citations, 2 for actual harm or immediate jeopardy (the Texas average is 9.4). It was fined 5 times in the last three years, $154,617 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on July 31, 2025 found 20 citations. What an inspection citation means

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 31, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 31, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• 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.July 31, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 31, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Hire a qualified full-time social worker in a facility with more than 120 beds.July 31, 2025 · F0850 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.July 31, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.July 31, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 31, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.July 31, 2025 · F0729 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.July 31, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.July 31, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.July 31, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.July 31, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.July 31, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.July 31, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 31, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 31, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.July 31, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 31, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.July 31, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 34 citations.

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 29, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 3, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.July 3, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 3, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.July 3, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 18, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.September 7, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.September 7, 2025 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.September 7, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 31, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 12, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 12, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 12, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.June 12, 2025 · F0802 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 12, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 12, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 28, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 12, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.October 12, 2024 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 7, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 14, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Dispose of garbage and refuse properly.March 14, 2024 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.March 14, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.March 7, 2024 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 22, 2024 · F0584 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 22, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep all essential equipment working safely.January 22, 2024 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 21, 2023 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 21, 2023 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• 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.December 21, 2023 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.December 21, 2023 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 21, 2023 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.December 21, 2023 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.December 21, 2023 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $91,293July 31, 2025
• Fine of $11,389June 14, 2024
• Fine of $14,814May 7, 2024
• Fine of $15,593December 21, 2023
• Fine of $21,528December 21, 2023
• Medicare payment denial for 6 daysStarting September 2, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home