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Arbor View Nursing & Rehabilitation

1213 Water St, Kerrville, TX 78028 · CMS Certification Number (CCN) 455724

Special Focus Facility candidate CMS abuse icon

CMS shows the abuse icon when a nursing home was cited for abuse or neglect at the harm level or above (scope/severity G or higher) on its most recent inspection cycle, or at the potential-harm level (D or higher) on both of its two most recent cycles. CMS data dictionary

CMS lists this home in its data as a candidate for the Special Focus Facility (SFF) program, which CMS describes as for homes with a history of serious quality issues. CMS Technical Users’ Guide

At a glance

CMS overall rating: ★☆☆☆☆ 1 of 5
Health inspection citations: 82 in the last 3 inspection cycles (5 immediate jeopardy, 1 actual harm, 34 from complaints)
Fire safety citations: 21
Fines (last 3 years): 5 fines, total $154,617
Payment denials: 1
Most recent standard inspection: July 31, 2025
Official record: Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

Rating	This facility	Texas average	U.S. average
Overall	★☆☆☆☆ 1 of 5	2.7	3
Health inspections	★☆☆☆☆ 1 of 5	2.8	2.8
Staffing	★☆☆☆☆ 1 of 5	1.9	2.9
Quality measures	★★★☆☆ 3 of 5	3.7	3.6
Long-stay quality	★★★★☆ 4 of 5	Not published	Not published
Short-stay quality	★★★☆☆ 3 of 5	Not published	Not published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycle	Standard survey date	Health citations	From standard survey	From complaints
Cycle 1 (most recent)	July 31, 2025	29	20	10
Cycle 2	April 27, 2023	41	17	24

CMS weighted health inspection score: 487 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: 7. How to read these citations

82 health citations across 15 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

July 29, 2026: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
E	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 08/18/2026

July 3, 2026: 4 citations (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 08/04/2026
E	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 08/04/2026
D	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 08/04/2026
D	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 08/04/2026

June 18, 2026: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 07/15/2026

September 7, 2025: 3 citations (Complaint)

Severity	Tag	What was cited	Type	Status
E	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 09/08/2025
J	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 09/08/2025
E	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 09/08/2025

July 31, 2025: 20 citations (Standard + Complaint)

Severity	Tag	What was cited	Type	Status
F	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
D	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
F	F-0850	Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
D	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
F	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
E	F-0761	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. Pharmacy Service Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
E	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
E	F-0729	Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
F	F-0727	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. Nursing and Physician Services Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
D	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
K	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
D	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies	Standard + Complaint	Deficient, Provider has date of correction Corrected 09/08/2025
D	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
D	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
D	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
E	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
E	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
D	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
K	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025
D	F-0584	Honor 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. Resident Rights Deficiencies	Standard	Deficient, Provider has date of correction Corrected 09/08/2025

June 12, 2025: 6 citations (Complaint)

Severity	Tag	What was cited	Type	Status
E	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 07/08/2025
E	F-0809	Ensure 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. Nutrition and Dietary Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 07/08/2025
D	F-0802	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 07/08/2025
D	F-0801	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. Nutrition and Dietary Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 07/08/2025
D	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 07/08/2025
D	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 07/08/2025

February 28, 2025: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 04/01/2025

October 12, 2024: 2 citations (Complaint)

Severity	Tag	What was cited	Type	Status
E	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 10/13/2024
D	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 10/13/2024

May 7, 2024: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
G	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 05/08/2024

March 14, 2024: 3 citations (Complaint)

Severity	Tag	What was cited	Type	Status
E	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies	Complaint	Past Non-Compliance Corrected 03/12/2024
E	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 03/15/2024
F	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 03/15/2024

March 7, 2024: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 03/08/2024

January 22, 2024: 3 citations (Complaint)

Severity	Tag	What was cited	Type	Status
E	F-0908	Keep all essential equipment working safely. Environmental Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/23/2024
E	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/23/2024
K	F-0584	Honor 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. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/23/2024

December 21, 2023: 7 citations (Complaint + Infection control)

Severity	Tag	What was cited	Type	Status
E	F-0943	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Complaint + Infection control	Deficient, Provider has date of correction Corrected 12/22/2023
E	F-0761	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. Pharmacy Service Deficiencies	Complaint + Infection control	Deficient, Provider has date of correction Corrected 12/22/2023
E	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies	Complaint + Infection control	Deficient, Provider has date of correction Corrected 12/22/2023
F	F-0727	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. Nursing and Physician Services Deficiencies	Complaint + Infection control	Deficient, Provider has date of correction Corrected 12/22/2023
E	F-0726	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies	Complaint + Infection control	Deficient, Provider has date of correction Corrected 12/22/2023
K	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Complaint + Infection control	Past Non-Compliance Corrected 10/26/2023
D	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Complaint + Infection control	Deficient, Provider has date of correction Corrected 12/22/2023

April 27, 2023: 17 citations (Standard)

Severity	Tag	What was cited	Type	Status
D	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
E	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
E	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0758	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. Pharmacy Service Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
E	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023
D	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies	Standard	Deficient, Provider has date of correction Corrected 05/22/2023

February 10, 2022: 12 citations (Standard)

Severity	Tag	What was cited	Type	Status
D	F-0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
E	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
C	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
E	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
E	F-0803	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. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
D	F-0801	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. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
D	F-0770	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
E	F-0761	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. Pharmacy Service Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
C	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
D	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
D	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022
D	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Standard	Deficient, Provider has date of correction Corrected 03/05/2022

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

21 fire safety citations across 4 inspection dates

Date	Severity	Tag	What was cited	Status
07/31/2025	E	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
07/31/2025	F	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
07/31/2025	F	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
07/31/2025	C	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies	No revisit needed
07/31/2025	E	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
07/31/2025	E	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
07/31/2025	F	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
07/31/2025	F	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
07/31/2025	F	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
07/31/2025	F	E-0032	Provide primary/alternate means for communication. Emergency Preparedness Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
07/31/2025	F	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies	Deficient, Provider has date of correction Corrected 09/01/2025
01/22/2024	E	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies	Deficient, Provider has date of correction Corrected 01/30/2024
01/22/2024	E	K-0344	Have an alternate power supply for its alarm system. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 01/30/2024
01/22/2024	E	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies	Deficient, Provider has date of correction Corrected 01/30/2024
04/27/2023	E	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies	Deficient, Provider has date of correction Corrected 05/30/2023
04/27/2023	C	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies	Waiver has been granted Corrected 04/28/2023
04/27/2023	E	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 05/30/2023
02/10/2022	C	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies	Deficient, Provider has date of correction Corrected 01/28/2022
02/10/2022	E	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 03/10/2022
02/10/2022	F	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 03/10/2022
02/10/2022	D	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 01/28/2022

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

Date	Type	Fine amount	Payment denial
July 31, 2025	Fine	$91,293	—
July 31, 2025	Payment Denial	—	Starting September 2, 2025, 6 days
June 14, 2024	Fine	$11,389	—
May 7, 2024	Fine	$14,814	—
December 21, 2023	Fine	$15,593	—
December 21, 2023	Fine	$21,528	—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

Measure	This facility	Texas average	U.S. average
Total nurse staff hours per resident per day	3.39	3.39	3.86
Registered nurse (RN) hours per resident per day	0.35	0.43	0.69
LPN/LVN hours per resident per day	0.94	Not published	Not published
Nurse aide hours per resident per day	2.1	Not published	Not published
Total nurse staff hours per resident per day, weekends	3.22	Not published	Not published
RN hours per resident per day, weekends	0.22	Not published	Not published
Total nursing staff turnover (%)	81.5	55.3	45.8
Registered nurse turnover (%)	100	Not published	Not published
Administrators who have left	2	Not published	Not published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name: Guadalupe County Hospital Board
Ownership type: For profit - Limited Liability company
Chain: Not published
Ownership changed in last 12 months: No
Certified beds: 179
Average residents per day: 68
Participates in: Medicare and Medicaid
Located inside a hospital: No
Continuing care retirement community: No
Resident and family council: Resident
First approved for Medicare/Medicaid: December 3, 1987
County/parish: Kerr

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

19 ownership and management records

Name	Role	Type	Ownership %	Since
GUADALUPE COUNTY HOSPITAL BOARD	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	undefined undefined, NaN
COLVIN, JIM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	undefined undefined, NaN
HUMPHREY, RONALD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	undefined undefined, NaN
MAJOR, DOLORES	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	undefined undefined, NaN
RAMIREZ, LOUIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	undefined undefined, NaN
REYES, JAMES	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	undefined undefined, NaN
SCHNURIGER, JEANNE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	undefined undefined, NaN
VORDENBAUM, ERIC	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	undefined undefined, NaN
GANN, KODY	CORPORATE OFFICER	Individual	NOT APPLICABLE	undefined undefined, NaN
HAYNES, ROBERT	CORPORATE OFFICER	Individual	NOT APPLICABLE	undefined undefined, NaN
GUADALUPE COUNTY HOSPITAL BOARD	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	undefined undefined, NaN
KERRVILLE NURSING OPERATIONS LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	undefined undefined, NaN
RIVERSIDE SNF OPERATIONS, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	undefined undefined, NaN
RAMOS, BRIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	undefined undefined, NaN
GUADALUPE COUNTY HOSPITAL BOARD	ADP OF THE SNF	Organization	NOT APPLICABLE	undefined undefined, NaN
RIVERSIDE SNF OPERATIONS, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	undefined undefined, NaN
CHAMBERLAIN, JEFF	ADP OF THE SNF	Individual	NOT APPLICABLE	undefined undefined, NaN
GIVENS, LAURA	ADP OF THE SNF	Individual	NOT APPLICABLE	undefined undefined, NaN
RAMOS, BRIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	undefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Medicare Care Compare: Arbor View Nursing & Rehabilitation. Full inspection reports, quality measures and staffing.
HHSC long-term care complaint portal (TULIP). The state agency also takes nursing home complaints.
Ask the facility to show you its most recent inspection report and plan of correction.

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.