Arbor View Nursing & Rehabilitation

Special Focus Facility candidate · CMS abuse icon · Kerr · TX · For profit - Limited Liability company · 179 certified beds · CCN 455724 · GUADALUPE COUNTY HOSPITAL BOARD


Arbor View Nursing & Rehabilitation operates 179 certified beds in Kerrville, Texas. Its Medicare and Medicaid certification dates to 1987-12-03. It averages 68.0 residents a day.

What harm was found in the violations cited at Arbor View Nursing & Rehabilitation?

CMS lists 77 health-inspection deficiencies for Arbor View Nursing & Rehabilitation since 2022-02-10, 48 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-18.

Survey dateTagDeficiencySeverity
2026-06-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-09-07F0760Ensure that residents are free from significant medication errors.J
2025-09-07F0755, F0842Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-07-31F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2025-07-31F0727, F0812, F0850, F0925Have 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Hire a qualified full-time social worker in a facility with more than 120 beds. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-07-31F0607, F0609, F0729, F0760, F0761Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. / Ensure that residents are free from significant medication errors. / 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.E
2025-07-31F0584, F0605, F0610, F0641, F0656, F0677, F0695, F0842, F0880Honor 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2025-06-12F0809, F0842Ensure 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-06-12F0550, F0689, F0801, F0802Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D
2025-02-28F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-10-12F0583Keep residents' personal and medical records private and confidential.E
2024-10-12F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-05-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-03-14F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-03-14F0814, F0925Dispose of garbage and refuse properly. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2024-03-07F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
2024-01-22F0584Honor 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.K
2024-01-22F0609, F0908Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Keep all essential equipment working safely.E
2023-12-21F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2023-12-21F0727Have 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.F
2023-12-21F0726, F0755, F0761, F0943Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E
2023-12-21F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2023-04-27F0582, F0812, F0814Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly.E
2023-04-27F0550, F0558, F0641, F0656, F0684, F0685, F0690, F0758, F0760, F0791, F0842, F0880, F0881, F0925Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Ensure that residents are free from significant medication errors. / Provide or obtain dental services for each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2022-02-10F0761, F0803, F0812, F0880Ensure 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2022-02-10F0609, F0644, F0689, F0770, F0801, F0947Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide timely, quality laboratory services/tests to meet the needs of residents. / 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. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2022-02-10F0732, F0814Post nurse staffing information every day. / Dispose of garbage and refuse properly.C

Why was Arbor View Nursing & Rehabilitation fined 5 times?

DateTypeAmount
2025-07-31Fine$91,293
2024-06-14Fine$11,389
2024-05-07Fine$14,814
2023-12-21Fine$21,528
2023-12-21Fine$15,593

Has Arbor View Nursing & Rehabilitation had payment denied by Medicare?

Payment denial startLength in days
2025-09-026

How is Arbor View Nursing & Rehabilitation staffed?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.392543.38539
Total nursing staff turnover (%)81.555.3
Average number of residents per day68.075.8

Who owns Arbor View Nursing & Rehabilitation?

Arbor View Nursing & Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name GUADALUPE COUNTY HOSPITAL BOARD.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTGUADALUPE COUNTY HOSPITAL BOARDsince 11/01/2022
CORPORATE DIRECTORCOLVIN, JIM, HUMPHREY, RONALD, MAJOR, DOLORES, RAMIREZ, LOUIS, REYES, JAMES, SCHNURIGER, JEANNE, VORDENBAUM, ERICsince 03/01/2007
CORPORATE OFFICERGANN, KODY, HAYNES, ROBERTsince 12/21/2020
OPERATIONAL/MANAGERIAL CONTROLGUADALUPE COUNTY HOSPITAL BOARD, KERRVILLE NURSING OPERATIONS LLC, RIVERSIDE SNF OPERATIONS, LLC, RAMOS, BRIANsince 10/01/2024
ADP OF THE SNFGUADALUPE COUNTY HOSPITAL BOARD, RIVERSIDE SNF OPERATIONS, LLC, CHAMBERLAIN, JEFF, GIVENS, LAURA, RAMOS, BRIANsince 06/01/2025

Were you or a family member harmed at Arbor View Nursing & Rehabilitation?