Nursing home
Arbor View Nursing & Rehabilitation
1213 Water St, Kerrville, TX 78028 · Map
For profit - Limited Liability company · 179 certified beds
Arbor View Nursing & Rehabilitation is a Medicare-certified nursing home in Kerrville, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.63 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Jul 31, 2025 cited 29 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 6 fines totaling $248,481In CMS records: 7 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Arbor View Nursing & Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.63 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.27 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.20 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 100.0% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 29.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 6 fines totaling $248,481, 7 total penalties, 1 Medicare payment denial.
What inspectors found at Arbor View Nursing & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Sep 7, 2025 · Full report (PDF) - Potential for harm
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 · Sep 7, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Sep 7, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 31, 2025 · Full report (PDF) - Immediate jeopardy
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 · Jul 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
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 · Jul 31, 2025 · Full report (PDF) - Potential for harm
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 · Jul 31, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jul 31, 2025 · Full report (PDF) - Potential for harm
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 · Jul 31, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1213 Water St
Kerrville, TX 78028 - CMS certification #
- 455724
- Ownership
- For profit - Limited Liability company
- Certified beds
- 179
- Avg residents/day
- 70.4
- Provider type
- Medicare and Medicaid
- First certified
- 1987-12-03
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Arbor View Nursing & Rehabilitation using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Staff pay 1 federal wage case with violations found, since 2019
Full public records, with dates and sources
Care and services
From the community’s website
What Arbor View Nursing & Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
licensed nursing staff are available 24 hours a day, 7 days a week to provide constant care and support.
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jan 29, 2019 to Jan 28, 2021. Violations found: Overtime. Back wages: $2,520 owed to 28 employees. Employer as DOL recorded it: Edgewater Care Center (Kerrville Nursing Operations, LLC). Case 1906056.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Peterson Regional Medical Center, Kerrville. 0.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Avir at Kerrville, Kerrville. 0.9 miles away, straight line.
- Nearest home health agency office
- Peterson Home Care, Kerrville. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- The Medicine Stop. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78028 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Kerrville Dialysis, Kerrville, 0.7 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 32 Medicare hospices tell CMS they serve ZIP code 78028.
Peterson Hospice, office in Kerrville, 0.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
New Century Hospice Of San Antonio, office in Kerrville, 2.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Methodist Healthcare Hill Country Hospice & Family Care, office in Fredericksburg, 21.9 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Becky Powers, MD, San Antonio. 41.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Arbor View Nursing & Rehabilitation a good nursing home?
CMS gives Arbor View Nursing & Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Arbor View Nursing & Rehabilitation staffed?
Arbor View Nursing & Rehabilitation reports 3.63 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Arbor View Nursing & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 29 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Arbor View Nursing & Rehabilitation have?
Arbor View Nursing & Rehabilitation is certified for 179 beds.