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Nursing HomeMedicaid Investigative

Arbor View Nursing & Rehabilitation

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1213 Water Street, Kerrville, TX 78028179 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 6 Google reviews

5
4
3
2
1
Arbor View Nursing & Rehabilitation Nursing Home in Kerrville, TX — Street View
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10/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (29 vs median 8.0)
  • High staff turnover (100%)
  • High RN turnover (100%)

Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · Very high staff turnover · $248,481 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for families prioritizing compassionate nursing care and a vibrant social life for residents. While the staff is a major strength, you may want to inquire about their current cleaning protocols and facility maintenance schedules.

Google Reviews

Google Reviews

6 reviews on Google
Families can expect a compassionate environment with highly praised nursing staff and a robust activities program featuring live music and animal visits. While the facility has seen significant improvements under new ownership, some reviewers note that the building's aesthetics and deep cleaning could be improved.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean4.0Activities10.0MedsN/AMemory10.0Comms10.0ValueN/A

Strengths

  • Compassionate and kind nursing staff
  • Engaging activities and events
  • Dedicated memory care programming
  • Improved care standards under new ownership

Rating Trends

Tap a year to see what changed

2345.02025(3)5.02026(3)

Distribution · 6 analyzed

5
6
4
0
3
0
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of kindness is maintained during busy shifts?
  • 2With the recent changes in ownership, what specific steps have been taken to improve the overall care standards and facility maintenance?
  • 3What kind of daily activities or special events do you have planned to keep the residents engaged and socially active?
  • 4Could you tell me more about the specific programming and specialized support available within your memory care unit?
  • 5How does the facility manage cleanliness and sanitation protocols in the resident rooms and common areas?
  • 6In the event of a medical emergency during the night, what is the protocol for contacting physicians and ensuring immediate care?

Personalized based on this facility's data


Key Review Excerpts

There's always something fun going on here, from animal visits to live music and bake sales. Every time I visit, I see residents that are absolutely loved and well cared for.

Frequent visitor · 2026★★★★★

I had the pleasure of working with Teresa shook the nurse and she is one of the kindest souls I've came across. She treats the patients with patience and kindness As well as communicates effectively.

Patient/Family member · 2025★★★★★

They've changed so much over the last year under new owners. Not only do they now have state-of-the-art care and practices, but they're led by folks with values at the center of every choice.

Family member · 2025★★★★★
Source: 6 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.30hrs
40%
Registered nurses for medical care
Total Nursing
3.59hrs
87%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.5%
Better than Avg
Here
4.5%
US
15.3%
TX
14.9%
Kerr
20.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.7%
Worse than Avg
Here
32.7%
US
19.5%
TX
18.4%
Kerr
22.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
19.4%
TX
14.2%
Kerr
20.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.6%
Mixed vs Avgs
Here
8.6%
US
15.4%
TX
9.4%
Kerr
3.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.5%
Mixed vs Avgs
Here
7.5%
US
12.1%
TX
2.5%
Kerr
1.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.7%
Worse than Avg
Here
91.7%
US
93.4%
TX
96.9%
Kerr
97.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility71.4%
Worse than Avg
Here
71.4%
US
79.7%
TX
88.0%
Kerr
90.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility9.4%
Worse than Avg
Here
9.4%
US
1.6%
TX
1.5%
Kerr
0.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.2%
Mixed vs Avgs
Here
90.2%
US
81.8%
TX
89.2%
Kerr
92.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

29deficiencies
6penalties
Well above state avg (9.1)
33 complaint-triggered
$248,481 in fines

This facility shows concerning patterns with 100 deficiencies across 14 surveys and 35 complaint-triggered violations, indicating families have filed reports about care issues. The most recurring problems involve accident hazards and safety supervision, medication management errors, and abuse/neglect prevention and reporting failures. Issues appear to persist across multiple surveys despite corrections, particularly with safety hazards, medication errors, and maintaining proper safeguards against abuse, suggesting systemic challenges that warrant careful consideration before placement.

Sep 7, 2025Complaint
3
0760Immediate jeopardy · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jul 31, 2025Routine
30
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

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

0600Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0850Potential for harm · WidespreadCorrected

Administration Deficiencies

Hire a qualified full-time social worker in a facility with more than 120 beds.

0925Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0032Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0729Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minimal · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jul 31, 2025Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jun 12, 2025Complaint
6
0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0801Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0802Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Feb 28, 2025Complaint
1
0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Oct 12, 2024Complaint
2
0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Federal Penalties

Fine

Jul 31, 2025

$140,450

Payment Denial

Jul 31, 2025

6-day denial

Fine

Jun 14, 2024

$11,389

Fine

May 7, 2024

$14,814

Fine

Dec 21, 2023

$15,593

Fine

Dec 21, 2023

$21,528

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guadalupe County Hospital Board

Organization Type

for profit

Management Company

RIVERSIDE SNF OPERATIONS, LLC

Administrator

JEFF CHAMBERLAIN

Ownership & Management

Owners

Guadalupe County Hospital Board

Owner · Organization

100%

Key personnel

Colvin, JimOfficer / DirectorHumphrey, RonaldOfficer / DirectorMajor, DoloresOfficer / DirectorRamirez, LouisOfficer / DirectorReyes, JamesOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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