Arbor View Nursing & Rehabilitation
Nursing Home · Kerrville, TX
CMS certification number455724
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1213 Water StKerrville, TX 78028
Kerr County
- Phone
- (830) 896-2411
- ZIP code
- 78028 – all care providers
Facility details
- Certified beds
- 179
- Residents per day
- 68.0 (38% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Guadalupe County Hospital Board
- Medicare certified since
- December 3, 1987
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.39 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.35 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.94 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.10 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.22 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 81.5 (state 55.3 · U.S. 45.8)%
- RN turnover
- 100.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- July 31, 2025
- Health deficiencies (last cycle)
- 24.0 (state 9.3 · U.S. 9.3)
- From complaints
- 5
- Infection control citations
- 7
- Citations on record (3 years)
- 65 health · 15 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-15 |
| 2025-09-07 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-09-08 |
| 2025-09-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-09-07 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2025-09-08 |
| 2025-07-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2025-09-08 |
| 2025-07-31 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Hire a qualified full-time social worker in a facility with more than 120 beds. F0850 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. F0729 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-06-12 | 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. F0809 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-08 |
| 2025-06-12 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-08 |
| 2025-06-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-08 |
| 2025-06-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-08 |
| 2025-06-12 | 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. F0801 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-08 |
| 2025-06-12 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-08 |
| 2025-02-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2024-10-12 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-13 |
| 2024-10-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-13 |
| 2024-05-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-05-08 |
| 2024-03-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-03-14 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-03-14 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-12 |
| 2024-03-07 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-08 |
| 2024-01-22 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-01-23 |
| 2024-01-22 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-23 |
| 2024-01-22 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-23 |
| 2023-12-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-10-26 |
| 2023-12-21 | 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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-12-21 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-12-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-12-21 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-12-21 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-12-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-04-27 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-22 |
| 2023-04-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-22 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
6 penalties in the last three years, including $154,617 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-31 | Payment Denial | 6 days payment denial |
| 2025-07-31 | Fine | $91,293 |
| 2024-06-14 | Fine | $11,389 |
| 2024-05-07 | Fine | $14,814 |
| 2023-12-21 | Fine | $21,528 |
| 2023-12-21 | Fine | $15,593 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Guadalupe County Hospital Board (organization) | 5%+ Direct Ownership Interest · 100% | |
| Chamberlain, Jeff (individual) | Administrator · NOT APPLICABLE | |
| Givens, Laura (individual) | Administrator · NOT APPLICABLE | |
| Guadalupe County Hospital Board (organization) | Administrator · NOT APPLICABLE | |
| Ramos, Brian (individual) | Administrator · NOT APPLICABLE | |
| Riverside SNF Operations, LLC (organization) | Administrator · NOT APPLICABLE | |
| Colvin, Jim (individual) | Corporate Director · NOT APPLICABLE | |
| Humphrey, Ronald (individual) | Corporate Director · NOT APPLICABLE | |
| Major, Dolores (individual) | Corporate Director · NOT APPLICABLE | |
| Ramirez, Louis (individual) | Corporate Director · NOT APPLICABLE | |
| Reyes, James (individual) | Corporate Director · NOT APPLICABLE | |
| Schnuriger, Jeanne (individual) | Corporate Director · NOT APPLICABLE | |
| Vordenbaum, Eric (individual) | Corporate Director · NOT APPLICABLE | |
| Gann, Kody (individual) | Corporate Officer · NOT APPLICABLE | |
| Haynes, Robert (individual) | Corporate Officer · NOT APPLICABLE | |
| Guadalupe County Hospital Board (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Kerrville Nursing Operations LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Ramos, Brian (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Riverside SNF Operations, LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Arbor View Nursing & Rehabilitation?
Arbor View Nursing & Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Arbor View Nursing & Rehabilitation have?
It has 179 certified beds and cares for about 68 residents per day.
Has Arbor View Nursing & Rehabilitation been fined?
Yes. CMS lists 6 penalties totaling $154,617 in the last three years.
What is the phone number of Arbor View Nursing & Rehabilitation?
(830) 896-2411. The facility is located at 1213 Water St, Kerrville, TX 78028.
Other nursing homes in Kerrville
-
Hilltop Village Nursing and Rehabilitation
Nursing Home · Kerrville, TX · 150 beds
★★ -
Avir at Kerrville
Nursing Home · Kerrville, TX · 130 beds
★ -
River Hills Health and Rehabilitation Center
Nursing Home · Kerrville, TX · 150 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.