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
Nursing home report
Waterside Nursing & Rehabilitation
Registered name: Arbor View Nursing & Rehabilitation
KERRVILLE, TX · Medicare-certified · 179 beds
Needs attention
Special Focus candidateAbuse citationFor-profit
Data as of July 1, 2026
1 of 5 overall
Waterside Nursing & Rehabilitation in Kerrville, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It is an SFF Candidate/special focus facility, had $91,293 in fines in the last 24 months, and reported nurse staffing was 3.39 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.3925 hrs/resident/day
Quality measures
Last inspection: September 7, 2025Penalties, last 24 months: $91,293special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3925.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 0.94
- Nurse aides
- 2.10
- Weekend nursing
- 3.22
Hours per resident per day.
Total staff turnover: 82%
Registered nurse turnover: 100%
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
9.4%5.7%Improving
Residents with a fall causing major injury
0%6.6%Worsening
Residents with pressure ulcers (bedsores)
0%2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%6.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.8%10%Improving
Residents whose ability to walk got worse
0%10.6%Worsening
Long-stay residents on antianxiety or sleep medication
34%30%Improving
Short-stay residents newly given an antipsychotic
—8.7%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.8%13.8%No change
Residents with depressive symptoms
4.8%3.4%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
87.5%100%Improving
Short-stay residents given the seasonal flu vaccine
—71.4%—
Short-stay residents given the pneumonia vaccine
88.6%100%Improving
What the inspectors found
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
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 fine of $91,293 was recorded.
- 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 · $154,617 in total fines · 1 payment denial.
- 6 days
Medicare/Medicaid payment denial
Jul 31, 2025
- $91,293
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
Recent ownership change · Nov 1, 2022
Now operated by Arbor View Nursing & Rehabilitation, previously Edgewood Care Center.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 68 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.