All states › Texas › Kerrville › Arbor View Nursing & Rehabilitation
1213 Water St Kerrville, TX 78028 · Kerr County
All 4 nursing homes in Kerrville, TX (4 take Medicaid)
CMS certification number 455724 · See this home on Medicare Care Compare
Is Arbor View Nursing & Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Arbor View Nursing & Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.27 hours per resident per day at Arbor View Nursing & Rehabilitation, about the same as the Texas median of 3.30 (US median: 3.72). About 0.36 of those hours are from registered nurses. On weekends it falls to 3.06 hours, 6% below its all-week average. 72.9% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Arbor View Nursing & Rehabilitation: Medicare and Medicaid
Arbor View Nursing & Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 4, 2026 and found 11 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 81 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 81 citations at Arbor View Nursing & Rehabilitation across 15 inspection dates, 34 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 7, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (15) and quality of life and care (13). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, July 31, 2025). 10 citations were under CMS's abuse, neglect and exploitation rules.
September 4, 2026 · 11 citations
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EKeep all essential equipment working safely.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DHave 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 29, 2026 · 1 citation · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 3, 2026 · 4 citations · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
June 18, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 7, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that residents are free from significant medication errors.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 31, 2025 · 20 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FHave 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FHire a qualified full-time social worker in a facility with more than 120 beds.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EVerify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
EEnsure that residents are free from significant medication errors.
EEnsure 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.
DHonor 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.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DRespond appropriately to all alleged violations.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide safe and appropriate respiratory care for a resident when needed.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
June 12, 2025 · 6 citations · includes complaint inspection
EEnsure 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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
February 28, 2025 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 12, 2024 · 2 citations · includes complaint inspection
EKeep residents' personal and medical records private and confidential.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 7, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 14, 2024 · 3 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDispose of garbage and refuse properly.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
March 7, 2024 · 1 citation · includes complaint inspection
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
January 22, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
KHonor 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.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EKeep all essential equipment working safely.
December 21, 2023 · 7 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FHave 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.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
EGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 27, 2023 · 17 citations
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDispose of garbage and refuse properly.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DAssist a resident in gaining access to vision and hearing services.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DImplement 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.
DEnsure that residents are free from significant medication errors.
DProvide or obtain dental services for each resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
DImplement a program that monitors antibiotic use.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Questions to ask on a tour of Arbor View Nursing & Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on July 31, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 3, 2026. How are staff trained, and how are concerns reported?
- There were 7 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 72.9% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
6 penalties in the last three years, including $154,617 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 31, 2025 | Fine | $91,293 |
| Jul 31, 2025 | Payment Denial | 6 days of payments denied |
| Jun 14, 2024 | Fine | $11,389 |
| May 7, 2024 | Fine | $14,814 |
| Dec 21, 2023 | Fine | $15,593 |
| Dec 21, 2023 | Fine | $21,528 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Arbor View Nursing & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.9 mi
Peterson Regional Medical Center KerrvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 42m for patients treated and sent home
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21.7 mi
Hill Country Memorial Hospital INC FredericksburgEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 36m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
- Hilltop Village Nursing and Rehabilitation · Kerrville · 2 stars · 2.7 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.