01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-31 | 24 | 2025-07-31 | 11 |
| Cycle 2 | 2023-04-27 | 26 | 2023-04-27 | 3 |
| Cycle 3 | 2022-02-10 | 27 | 2022-02-10 | 7 |
CMS CCN 4557242026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Arbor View Nursing & Rehabilitation
1213 Water St · Kerrville, TX 78028 · Kerr County
Certified beds179CMS provider file
Recent citation rows98current CMS citation release
Penalty rows6current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
98 rows in the current release
6 rows carry G–L scope/severity codes; 5 carry J–L. 22 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-07-15 · complaint2025-09-07 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-09-07 · HEALTHF0760Severity J · isolated immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-09-07 · HEALTHF0842Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-07-31 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-31 · FIREE0032Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-31 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-31 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-07-31 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0600Severity K · pattern of immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0609Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-09-08 · complaint2025-07-31 · HEALTHF0689Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0729Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0760Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-31 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-0803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-07-31 | Fine | $91,293 | 0 |
| 2025-07-31 | Payment Denial | $0 | 6 |
| 2024-06-14 | Fine | $11,389 | 0 |
| 2024-05-07 | Fine | $14,814 | 0 |
| 2023-12-21 | Fine | $15,593 | 0 |
| 2023-12-21 | Fine | $21,528 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- GUADALUPE COUNTY HOSPITAL BOARDOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/01/2022
- COLVIN, JIMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/05/2023
- HUMPHREY, RONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2022
- MAJOR, DOLORESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2025
- RAMIREZ, LOUISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2021
- REYES, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/05/2022
- SCHNURIGER, JEANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2015
- VORDENBAUM, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2007
- GANN, KODYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/21/2020
- HAYNES, ROBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/29/2003
- GUADALUPE COUNTY HOSPITAL BOARDOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2022
- KERRVILLE NURSING OPERATIONS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2022
- RIVERSIDE SNF OPERATIONS, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2024
- RAMOS, BRIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2024
- GUADALUPE COUNTY HOSPITAL BOARDOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2022
- RIVERSIDE SNF OPERATIONS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2024
- CHAMBERLAIN, JEFFIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/01/2024
- GIVENS, LAURAIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.39per resident day
RN hours0.35per resident day
Weekend nurse hours3.22per resident day
Staff turnover81.5%CMS reported field
06 / LOCAL RECORDS
Open the Kerrville ledger →