Arbor View Nursing & Rehabilitation
1213 Water St · Kerrville, TX · 78028 · 8308962411
179 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $140,450 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$140,450 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 5 · $203,774 |
Inspection citations (76 in the current record)
-
Immediate jeopardy · J September 7, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 8, 2025 · Pharmacy Service
-
Potential for harm · E September 7, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 8, 2025 · Pharmacy Service
-
Potential for harm · E September 7, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 8, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · K July 31, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K July 31, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 8, 2025 · Quality of Life and Care
-
Potential for harm · D July 31, 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.
Corrected September 8, 2025 · Resident Rights
-
Potential for harm · D July 31, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E July 31, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E July 31, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 31, 2025
Respond appropriately to all alleged violations.
Corrected September 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 31, 2025
Ensure each resident receives an accurate assessment.
Corrected September 8, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 31, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 8, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 31, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 8, 2025 · Quality of Life and Care
-
Potential for harm · F July 31, 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.
Corrected September 8, 2025 · Nursing and Physician Services
-
Potential for harm · E July 31, 2025
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected September 8, 2025 · Nursing and Physician Services
-
Potential for harm · E July 31, 2025
Ensure that residents are free from significant medication errors.
Corrected September 8, 2025 · Pharmacy Service
-
Potential for harm · E July 31, 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.
Corrected September 8, 2025 · Pharmacy Service
-
Potential for harm · F July 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 8, 2025 · Nutrition and Dietary
-
Potential for harm · D July 31, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 8, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F July 31, 2025
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected September 8, 2025 · Administration
-
Potential for harm · D July 31, 2025
Provide and implement an infection prevention and control program.
Corrected September 8, 2025 · Infection Control
-
Potential for harm · F July 31, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 8, 2025 · Environmental
-
Potential for harm · D July 31, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 8, 2025 · Quality of Life and Care
-
Potential for harm · D June 12, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 8, 2025 · Resident Rights
-
Potential for harm · D June 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 8, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 31, 2025 | Fine | $140,450 |
| July 31, 2025 | Payment Denial | 6 days |
| June 14, 2024 | Fine | $11,389 |
| May 7, 2024 | Fine | $14,814 |
| December 21, 2023 | Fine | $15,593 |
| December 21, 2023 | Fine | $21,528 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455724 · certified since December 3, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.