ElderGrade
F

17/100

Poor

Arbor View Nursing & Rehabilitation

1213 Water St, Kerrville, TX 78028

CMS 1/5 stars #4 of 4 in Kerr County (830) 896-2411
Certified beds
179
Occupancy
38%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 6 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $154,617 in federal fines

    CMS has fined this facility across 5 penalty action(s).

  • Nursing staff turnover of 82%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 5 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 47 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.16 total nurse hours per resident per day (national median 3.77)
  • 0.35 RN hours per resident per day
  • Weekend staffing drops 5% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 82% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $154,617 in federal fines across 5 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.39 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.35 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.22 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 81.50%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 76 citations

Last standard health inspection: July 31, 2025 (1 year ago).

J Sep 7, 2025 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Immediate jeopardy to resident health or safety

E Sep 7, 2025 F0755 From a complaint

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

E Sep 7, 2025 F0842 From a complaint

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.

No actual harm, potential for more than minimal harm

K Jul 31, 2025 F0600

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.

Immediate jeopardy to resident health or safety

K Jul 31, 2025 F0689

Quality of Life and Care Deficiencies

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

Immediate jeopardy to resident health or safety

F Jul 31, 2025 F0727

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.

No actual harm, potential for more than minimal harm

F Jul 31, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

F Jul 31, 2025 F0850

Administration Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
COLVIN, JIM Individual CORPORATE DIRECTOR
HUMPHREY, RONALD Individual CORPORATE DIRECTOR
MAJOR, DOLORES Individual CORPORATE DIRECTOR
RAMIREZ, LOUIS Individual CORPORATE DIRECTOR
REYES, JAMES Individual CORPORATE DIRECTOR
SCHNURIGER, JEANNE Individual CORPORATE DIRECTOR
VORDENBAUM, ERIC Individual CORPORATE DIRECTOR
GANN, KODY Individual CORPORATE OFFICER
HAYNES, ROBERT Individual CORPORATE OFFICER
GUADALUPE COUNTY HOSPITAL BOARD Organization OPERATIONAL/MANAGERIAL CONTROL
KERRVILLE NURSING OPERATIONS LLC Organization OPERATIONAL/MANAGERIAL CONTROL
RIVERSIDE SNF OPERATIONS, LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Arbor View Nursing & Rehabilitation

What is the ElderGrade for Arbor View Nursing & Rehabilitation? +

Arbor View Nursing & Rehabilitation holds an ElderGrade of F (17 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Arbor View Nursing & Rehabilitation? +

Residents receive an average of 3.39 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Arbor View Nursing & Rehabilitation been cited for harming residents? +

Yes. 6 of the 76 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Arbor View Nursing & Rehabilitation accept Medicaid? +

Yes, Arbor View Nursing & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.