The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
Arbor View Nursing & Rehabilitation
KERRVILLE, TX · Medicare-certified · 179 beds
Needs attention
Special Focus candidateAbuse citationFor-profit
2 of 5 overall
Arbor View Nursing & Rehabilitation in Kerrville, TX has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) despite a 5-star quality rating. It is listed as a Special Focus Facility candidate, had $166,653 in fines in the last 24 months, and reported staffing of 3.59 hours per resident per day below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.5855 hrs/resident/day
Quality measures
Last inspection: September 7, 2025Penalties, last 24 months: $166,653special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5855.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 1.08
- Nurse aides
- 2.21
- Weekend nursing
- 3.32
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6.1%6.5%No change
Residents with a fall causing major injury
1.5%5.9%Worsening
Residents with pressure ulcers (bedsores)
3.5%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.3%22.6%Worsening
Residents whose ability to walk got worse
10%0%Improving
Long-stay residents on antianxiety or sleep medication
40%26.4%Improving
Short-stay residents newly given an antipsychotic
—9.4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.4%12.7%No change
Residents with depressive symptoms
14.9%1.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
79.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—71.4%—
Short-stay residents given the pneumonia vaccine
76.9%100%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: K
The nursing home failed to ensure residents were free from significant medication errors. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $140,450 was recorded.
- INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $11,389 was recorded.
- PENALTY
A federal fine of $14,814 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $203,774 in total fines · 1 payment denial.
- 6 days
Medicare/Medicaid payment denial
Jul 31, 2025
- $140,450
Federal fine
Jul 31, 2025
- $11,389
Federal fine
Jun 14, 2024
- $14,814
Federal fine
May 7, 2024
- $21,528
Federal fine
Dec 21, 2023
- $15,593
Federal fine
Dec 21, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 67.2 residents on an average day (38% of 179 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.